Sol 72051722R00001 - LW Transboundery Lead SC signed.pdf

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Solicitation for U. S. Citizen / Third Country National Personal Service Contractor (US-TCN PSC) – Local Works Transboundary Lead
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72051722R00001
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U.S. AGENCY FOR INTERNATIONAL DEVELOPMENT T+ (809) 567-7775

Avenida República de Colombia #57 RNC: 4-30-00171-6 Altos de Arroyo Hondo, Santo Domingo, D.N. drinfo@usaid.gov Dominican Republic, 10605 USAID.GOV | @USAID

SOLICITATION NUMBER: 72051722R00001

ISSUANCE DATE: November 9, 2021

CLOSING DATE AND TIME: November 29, SUBJECT: Solicitation for U.S. Citizen / Third Country National Personal Service Contractor (US-TCN PSC) – Local Works Transboundary Lead

Dear Prospective Offerors:

The United States Government, represented by the U.S. Agency for International Development (USAID), is seeking offers from qualified persons to provide personal services under contract as described in this solicitation.

Offers must be in accordance with Attachment 1 of this solicitation. Incomplete or unsigned offers will not be considered. Offerors should retain copies of all Offer materials for their records.

This solicitation in no way obligates USAID to award a PSC contract, nor does it commit USAID to pay any cost incurred in the preparation and submission of the offer.

Any questions must be directed in writing to the Point of Contact specified in the Attachment 1.

Sincerely, Samuel Carter

Contracting Executive Officer

ATTACHMENT 1 72051722R00001

I. GENERAL INFORMATION

1. SOLICITATION NO.: 72051722R00001

2. ISSUANCE DATE: November 9, 2021

3. CLOSING DATE/TIME FOR RECEIPT OF OFFERS: November 29, 2021

4. POINT OF CONTACT:

Roxsana Soto / Soraya Morillo USAID/Dominican Republic Telephone Number: 809-368-7101 Cell Phone Number: 809-754-8570 E-mail: rosoto@usaid.gov E-mail: smorillo@usaid.gov

5. POSITION TITLE: Transboundary Lead

6. MARKET VALUE: $93,907.00 - $122,077.00 equivalent to GS-14 Final compensation will be negotiated within the listed market value.

7. PERIOD OF PERFORMANCE: The base term of the initial contract will be for one (1) yeas, with the possibility of four (4) additional one (1) year extensions pending approval, needs for the position, performance and funding, not to exceed a total of five (5) years.

The base period will be for one year (1), estimated to start on March 1st, 2022. Based on Agency need, Performance and funding, the Contracting Officer may exercise additional option periods for four years (4) for the dates estimated as follows:”

Base Period March 1st, 2022- February 28, 2023

Option Period 1 March 1st, 2023 – February 28, 2024

Option Period 2 March 1st, 2024 – February 28, 2025

Option Period 3 March 1st, 2025 – February 28, 2026

Option Period 4 March 1st, 2026 – February 28, 2027 mailto:rosoto@usaid.gov mailto:smorillo@usaid.gov

8. PLACE OF PERFORMANCE: The position will be based in Santo Domingo, Dominican Republic with possible travel as stated in the Statement of Duties.

9. ELIGIBLE OFFERORS: United States Citizens and Third Country Nationals are eligible offerors. TCNPSC under this solicitation are eligible for benefits in accordance with AIDAR Appendix J, sec. 4(c)(2)(ii)(B)). An exception has been approved by the Mission Director in accordance with AIDAR Appendix J and ADS 309maa, requesting Approval to Use Alternate Classification Procedures (ACP).

10. SECURITY LEVEL REQUIRED: Facilities Access. The selected applicant must be able to obtain and maintain an employment authorization security clearance as provided by

USAID.

11. STATEMENT OF DUTIES:

a. General Statement of Purpose of the Contract

USAID/Dominican Republic (USAID/DR) is seeking the services of an off-shore U.S.

citizen to provide assistance as a Senior Advisor for the SEED Office under a Personal Services Contract (PSC) for a period of one year beginning on or about September 2021 with possible extension years based on Agency needs. The Senior Advisor will serve as support to the SEED team and will be responsible for managing and providing guidance related to the transboundary portfolio which includes overseeing the office’s transboundary strategy to ensure integration across programs, and supervising, coaching, and mentoring selected staff members.

Context The Dominican Republic (DR) is the largest economy in the Caribbean and shares the island of Hispaniola with Haiti which is the DR’s major trading partner. Despite its classification as a middle-income country, 23 percent of the DR's population lives in poverty. Major development challenges include a high incidence of violent crime and narcotics, human, and wildlife trafficking, vulnerability to climate change, weak institutions, poor education, and lack of job opportunities for youth. Vulnerable groups, such as women, people with disabilities, people of Haitian descent, and lesbian, gay, bisexual and transgender individuals, are often subject to discrimination. According to the United Nations High Commissioner for Refugees (UNHCR), there are an estimated 650,000 to one million Haitians living in the DR, many of which are undocumented, thereby hindering their ability to access basic services.

The World Bank Group ranks the Dominican Republic 128th out of 137 countries for quality of the educational system and is highly exposed to natural disasters in the world, ranking 50th out of 183 countries in terms of vulnerability related to climate change.

Further, Transparency International ranks the Dominican Republic in the 22nd percentile for corruption and 25th percentile for rule of law, demonstrating a high level of corruption and violence.

In response to these development challenges, the goal of the 2020-2025 USAID/DR CDCS is to promote a more secure and inclusively prosperous DR that advances local and transboundary resilience. Specifically, under its Border Resilience Project, USAID will engage local organizations and associations as grantees to conduct the formative research necessary to develop and implement social behavior change strategies that raise awareness and include all segments of the community including women and youth in participatory, two-way communication. For marine protected areas, this will bring together local and transboundary stakeholders to support local participation and adaptive management in the northern Dominican Republic-Haiti region. Similarly, WASH activities will build the capacity of local stakeholders, communities, government actors, and the private sector to take collective action in the sustainable management of critical water resources and sanitation systems.

Additionally, USAID will foster new partnerships between local transboundary organizations from the DR and Haiti to address conflict drivers and conflict mitigation and management challenges that have constrained collaboration in the DR-Haiti border region and stalled people-to-people reconciliation. USAID will also help bolster the resilience of local livelihoods and strengthen the adaptation capacity of farmers to withstand extreme weather events like droughts, heat waves, and floods that damage crops and infrastructure and reduce food security. USAID will further support the establishment of renewable energy generation that will provide increased access to clean energy to vulnerable communities and promote the sustainable use of natural resources.

These efforts will build on shared community assets in both Dominican and Haitian communities to improve livelihoods, generate forums for dialogue and conflict resolution, and facilitate locally-led development solutions.

USAID/DR Local Works Program In 2018, USAID/DR was awarded $8 million through the Economic Growth, Education, and Environment Bureau’s legislative initiative, Local Works program, to design and implement a community-led development program along the border between the DR and Haiti. In addition to advancing locally-owned development, the program is designed to enhance the Agency’s ability to empower local actors to take the lead in addressing development challenges to ensure long-term sustainability. To fulfill these objectives, USAID/DR will implement activities over the next five years based on identified needs and assessments to improve livelihoods and the economic integration of communities.

Senior Advisor Profile To be able to effectively manage and implement the Border Resilience Project, its associated Local Works activities, and other programs in the SEED Office, the Mission will need to staff a Senior Advisor that will be dedicated to ensuring the management and integration of its three large portfolios - the Border Resilience Project, the Caribbean Energy Initiative, and the Caribbean Biodiversity Project - with particular focus on leading the transboundary work for the Mission.

Further, the SEED Office provides expert technical assistance pertaining to biodiversity conservation, energy, sustainable natural resources management, and locally-led development to partner Missions and stakeholders in the Dominican Republic, Jamaica, Haiti, Barbados, and the Eastern Caribbean region, which serves ten Eastern Caribbean islands. The Senior Advisor will provide leadership in the design, implementation, assessment, and reporting related to the Border Resilience Project that covers the Dominican Republic’s bilateral environment program and will further support the regional biodiversity and energy projects under the regional Caribbean Development Program (CDP) Operating Unit. S/he will mentor and coach staff. Frequent travel to the border region and infrequently to the Caribbean region will be required.

The SEED Office will cover additional cross-border activities that will require an increase in management and oversight, and support Mission and country activities in Haiti. The initiation of the new projects will increase the SEED Office from its current eight staff to 13 full-time personnel. For this reason, the addition of a full-time Senior Advisor is critical.

The Senior Advisor will be an added member of the Mission that consists of 86 staff with a mix of local staff, PSCs, and U.S. Direct Hire staff. USAID/DR provides regional support services to USAID Missions in Jamaica and Eastern and Southern Caribbean.

b. Statement of Duties to be Performed

The USPSC is assigned to serve as Senior Advisor in the USAID/DR SEED Office.

Responsibilities include leading and providing new guidance to project and activity design for the three portfolios; overseeing and participating in the design of project activities; and leading the implementation of the Border Resilience Project. The individual will need to develop new theories of change and logic models based on the assessments that have been conducted. The USPSC will lead the implementation of the Border Resilience Project that reflects a wide, broad and varied program that includes program areas such as Locally-led Development (Local Works), Conflict Management and Mitigation (CMM), Climate Change Adaptation, Water, Sanitation, and Hygiene (WASH) and Water Resources Management (WRM), and coordination with the Energy and Biodiversity portfolios under the CDP. The Senior Advisor will lead the transboundary coordination efforts with USAID/Haiti and other USAID Missions in the Caribbean region and will represent the office in National and local government meetings. Lastly, the Senior Advisor will assist the Office Director in the management of 13 full-time personnel.

The individual should have knowledge on how to develop and award new initiatives, seek innovative partnerships, and promote partnerships with new and underutilized partners, based on the principles surrounding sustainable development and resilience. They will be applying this knowledge to interpret and adapt guidelines, regulations and precedents to analyze results and recommend changes and deviations. This work requires continuing efforts to establish concepts, theories, or programs or to resolve unyielding problems especially in regard to the Border Resilience Project which is seen as politically controversial. The position will be technically responsible for independently administering projects and serve under the management of the SEED Office Director.

The USPSC will provide and develop guidance and mentorship to the SEED Office in the implementation, management, monitoring, and evaluation of new awards including purchase orders. This will require originating new techniques, establishing criteria and information and having flexibility in their approach. This will include identifying opportunities for developing and, in some cases, streamlining processes and solutions in the office. The individual will also provide actionable recommendations on optimizing organization, and coordination on bi-national efforts and provide coaching and mentoring to staff. The individual will be meeting frequently with the Interagency, partners in and outside of the Agency, representatives of professional organizations and foreign governments, private sector and civil society groups to find synergies and collaboration opportunities. S/he will use judgement to determine the approach and motivate in negotiating with others to establish a strong rapport to relay information and find synergies and opportunities and to gain compliance with established policies and regulations especially in regard to environmental compliance. The work usually involves active participation in conferences, meetings, or presentations involving problems or issues of considerable consequence or importance. The individual will be represented at the Border roundtable with contact with diverse viewpoints, goals or objectives and justify, defend, negotiate, or settle matters involving significant or controversial issues.

Overall, the USPSC is expected to:

● Be fluent in Spanish and English

● Apply a broad knowledge and expertise of U.S. Government and USAID regulations and procedures, international development, and management

● Independently plan, analyze and evaluate the planning, design and implementation, results and accomplishments of current project activities for their effectiveness, efficiency, and significance

● Provide and develop guidance on best practices in addressing gender equality, women’s empowerment, and social inclusion and find opportunities for integration

● Mentor team staff where needed in USAID planning, strategy development, budgeting, program development, project design and monitoring and evaluation

● Provide proposed recommendations for the Office Director’s consideration concerning any adjustments needed to increase program efficiencies

● Guide, coordinate, and lead the work of the technical staff and team and use the Google Suite to track all the components

● Lead the overall Border Resilience in coordination with all SEED program areas and operationalize integration

● Engage in Ambassador-level meetings with the Embassy and facilitating internal and external discussions to inform the approach, priorities, and sectoral focus of the Office

● Support joint work with Haiti, Front Office engagement, and strategic needs to coordinate and collaborate on cross-border activities with new partners, host governments, and USAID/Washington

● Support the Deputy Office Director in overall technical oversight, highlighting any perceived weaknesses or inefficiencies of staffing structure or workflow/organization of the office

● Provide office coverage as needed and identify opportunities, isolating and defining unknown conditions, resolving critical problems, and developing new theories for cross-collaboration between the portfolios.

The work of this individual will directly affect the development of major aspects of the administration of these programs and staff. S/he will provide strategic recommendations and leadership in the design and development of the office’s strategy and structure. Under the direction of the Office Director the Senior Advisor will collaborate with the Mission’s monitoring, evaluation, and learning (MEL) team to lead, develop and implement the Border Resilience Project learning agenda and information tracking systems. S/he will also advise on the design of planned evaluations. S/he will support the Mission in a variety of other tasks as assigned and will respond to urgent information requests and action items as needed.

C. Supervisory Relationship

The Local Works Transboundary Lead position will not supervise anyone.

D. Supervisory Controls

Level of supervision required over the position: Minimal. The employee is expected to work independently and report to the Office Director. Under the direction of the Office Director the Senior Advisor will collaborate with the Mission’s monitoring, evaluation, and learning (MEL) team to lead, develop and implement the Border Resilience Project learning agenda and information tracking systems. S/he will also advise on the design of planned evaluations.

12. PHYSICAL DEMANDS: The work requested does not involve undue physical demands.

II. MINIMUM QUALIFICATIONS REQUIRED FOR THIS POSITION

Candidates will be evaluated and ranked based on the following selection criteria:

Prior Work Experience (25 pts): A minimum of seven years of professional experience in project design and implementation, and monitoring and evaluation, preferably for U.S.

Government agencies, are required. Formal team leader responsibilities for coordinating/directing the work of other professional staff are required.

Education (15 pts): Bachelor’s degree in environment, geography, economics, public or business administration, political science, international relations or a related field is required.

Language Proficiency (10 pts): Level IV (fluent) in English and Level III (advanced) Spanish

Knowledge (25 pts): Knowledge of U.S. Government laws, policies, regulations and procedures related to international development assistance. Mastery and expertise in development project design as well as the principles of sound program oversight, budgeting and reporting, monitoring and evaluation, and assistance and acquisition is required.

Experience working on complicated interconnected issues, multi-disciplinary approaches, conflict, gender equality, female empowerment, and social inclusion in the international development context, including integration of the same in the design and implementation of assistance programs is preferred. A working knowledge of the Latin America and Caribbean region, its institutions, and peculiar development challenges is preferred.

Demonstrated ability to work across multiple technical sectors and provide technical solutions is required.

Skills, and Abilities (25 pts): Excellent written and oral communication, analytical, management, and interpersonal/teamwork skills are required. Computer skills, including the development and management of spreadsheets, tracking systems, etc., and the ability to interpret, organize, and present data to a variety of audiences preferred. Ability to multitask. Ability to work in a team-based setting is required.

III. EVALUATION AND SELECTION FACTORS

The Government may award a contract without discussions with offerors in accordance with FAR 52.215-1. The CO reserves the right at any point in the evaluation process to establish a competitive range of offerors with whom negotiations will be conducted pursuant to FAR 15.306(c). In accordance with FAR 52.215-1, if the CO determines that the number of offers that would otherwise be in the competitive range exceeds the number at which an efficient competition can be conducted, the CO may limit the number of offerors in the competitive range to the greatest number that will permit an efficient competition among the most highly rated offers. The FAR provisions referenced above are available at https://www.acquisition.gov/browse/index/far.

Applicants will be evaluated on the extent and quality of their education, knowledge, experience, language, and other skills, as they relate to this position against the following criteria:

Education: 15 points Prior Work Experience: 25 points Language Proficiency: 10 points Knowledge: 25 points Skills and Abilities 25 points Total: 100 points

USAID policy specifies that U.S. citizens or resident aliens (USNs) are preferred over third country nationals (TCNs). Therefore, USN and TCN offers will not be evaluated together. USAID will evaluate USN offers first and if the CO determines that there are no qualified USNs, only then will USAID evaluate TCN offers.

https://www.acquisition.gov/browse/index/far

IV. SUBMITTING AN OFFER

1. Eligible offerors are required to complete and submit the offer form AID 309-2, “Offeror Information for Personal Services Contracts,” available at http://www.usaid.gov/forms.

2. Offers must be received by the closing date and time Section I, item 3, and submitted to the Point of Contact specified in Section I.

3. Offeror submissions must clearly reference the Solicitation number on all offeror submitted documents.

4. An up-to-date curriculum vitae (CV) or resume: Your CV/resume must contain sufficient relevant information to evaluate the application in accordance with the stated evaluation criteria. Broad general statements that are vague or lacking specificity will not be considered as effectively addressing particular selection criteria.

5. Applicants are required to provide a cover letter addressing how they meet the requirements of each criterion listed and submit three to five professional references with complete contact information.

6.

Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors - The Offeror will be required to show proof that the Offeror is fully vaccinated against COVID-19 on or before the first date of onboarding, or submit an approved reasonable accommodation to the CO. If the contractor does not meet this requirement the contract may be terminated.

V. LIST OF REQUIRED FORMS PRIOR TO AWARD

The CO will provide instructions about how to complete and submit the following forms after an offeror is selected for the contract award.

Forms outlined below can be found at: http://www.usaid.gov/forms/

1. Form AID 309-2, “Offeror Information for Personal Services Contracts with Individuals”, form attached.

2. Medical History and Examination Form (DS-1843) **

3. Questionnaire for Sensitive Positions (SF-86) ** or

4. Questionnaire for Non-Sensitive Positions (SF-85) **

5. Fingerprint Card (FD-258) **

** Forms 2 through 5 shall be completed ONLY upon the advice of the Contracting Officer that an applicant is the successful candidate for the job.

VI. BENEFITS AND ALLOWANCES

http://www.usaid.gov/forms http://www.usaid.gov/forms http://www.usaid.gov/forms/

As a matter of policy, and as appropriate, a USPSC is normally authorized the following benefits and allowances:

1. BENEFITS:

(a) Employer's FICA Contribution

(b) Contribution toward Health & Life Insurance

(c) Pay Comparability Adjustment

(d) Annual Increase (pending a satisfactory performance evaluation)

(e) Eligibility for Worker's Compensation

(f) Annual and Sick Leave

2. ALLOWANCES:

Section numbers refer to rules from the Department of State Standardized Regulations (Government Civilians Foreign Areas), available at https://aoprals.state.gov/content.asp?content_id=282&menu_id=101.

(A) Temporary lodging allowance (Section 120), ³

(B) Living quarters allowance (Section 130), ³

(C) Post allowance (Section 220), ³

(D) Supplemental post allowance (Section 230), ³

(E) Separate maintenance allowance (Section 260),4

(F) Education allowance (Section 270),4

(G) Educational travel (Section 280),4

(H) Post differential (Section 500),

(I) Payments during evacuation/authorized departure (Section 600), and

(J) Danger pay (Section 650).

³Mission Directors may authorize per diem in lieu of these allowances.

4These allowances are not authorized for short tours (i.e., less than a year).

VII. TAXES

USPSCs are required to pay Federal income taxes, FICA, Medicare, and applicable State income taxes.

VIII. USAID REGULATIONS, POLICIES AND CONTRACT CLAUSES

PERTAINING TO PSCs

USAID regulations and policies governing USPSC awards are available at these sources:

https://aoprals.state.gov/content.asp?content_id=282&menu_id=101.

https://aoprals.state.gov/content.asp?content_id=282&menu_id=101.

https://aoprals.state.gov/content.asp?content_id=282&menu_id=101 https://aoprals.state.gov/content.asp?content_id=239&menu_id=75 https://aoprals.state.gov/content.asp?content_id=241&menu_id=75 https://aoprals.state.gov/content.asp?content_id=245&menu_id=75 https://aoprals.state.gov/content.asp?content_id=215&menu_id=75 https://aoprals.state.gov/content.asp?content_id=249&menu_id=75 https://aoprals.state.gov/content.asp?content_id=250&menu_id=75 https://aoprals.state.gov/content.asp?content_id=260&menu_id=75 https://aoprals.state.gov/content.asp?content_id=266&menu_id=75 https://aoprals.state.gov/content.asp?content_id=271&menu_id=75

1. USAID Acquisition Regulation (AIDAR), Appendix D, “Direct USAID Contracts with a U.S. Citizen or a U.S. Resident Alien for Personal Services Abroad,” including contract clause “General Provisions,” available at https://www.usaid.gov/sites/default/files/documents/1868/aidar_0.pdf .

2. PART 52—SOLICITATION PROVISIONS AND CONTRACT CLAUSES

Subpart 52.2—Text of Provisions and Clauses

52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors, Alternate 70.

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL

CONTRACTORS (OCT 2021)-Alternate 70 (OCT 2021) (M/OAA-DEV-FAR22-01c)

(a) Definition. As used in this clause -

United States or its outlying areas means—

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

(4) The territories of American Samoa, Guam, and the United States Virgin

Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Personal Services Contracts with individuals. As a matter of policy, the contractor must comply with the USAID’s guidance applicable to direct-hire federal employees.

(End of clause) http://www.usaid.gov/sites/default/files/documents/1868/aidar_0.pdf

3. Contract Cover Page form AID 309-1 available at https://www.usaid.gov/forms Pricing by line item is to be determined upon contract award as described below:

4. Acquisition and Assistance Policy Directives/Contract Information Bulletins (AAPDs/CIBs) for Personal Services Contracts with Individuals available at http://www.usaid.gov/work-usaid/aapds-cibs .

5. Ethical Conduct. By the acceptance of a USAID personal services contract as an individual, the contractor will be acknowledging receipt of the “Standards of Ethical Conduct for Employees of the Executive Branch,” available from the U.S. Office of Government Ethics, in accordance with General Provision 2 and 5 CFR 2635. See https://www.oge.gov/web/oge.nsf/OGE%20Regulations.

6. PSC Ombudsman. The PSC Ombudsman serves as a resource for any Personal

Services Contractor who has entered into a contract with the United States Agency for International Development and is available to provide clarity on their specific contract with the agency. Please visit our page for additional information:

https://www.usaid.gov/workusaid/personal-service-contracts-ombudsman.

The PSC Ombudsman may be contacted via: PSCOmbudsman@usaid.gov.

END OF SOLICITATION

https://www.usaid.gov/forms http://www.usaid.gov/work-usaid/aapds-cibs https://www.oge.gov/web/oge.nsf/OGE%20Regulations https://www.usaid.gov/workusaid/personal-service-contracts-ombudsman mailto:PSCOmbudsman@usaid.gov

OMB No. 0412-0579 Expiration Date: 05/31/2021

AID 309-2 Page 1 of 3

OFFEROR INFORMATION FOR PERSONAL SERVICES CONTRACTS WITH INDIVIDUALS

The Privacy Act Statement is found at the end of this form.

Section A – Offeror Information

1. Title of Solicited Position

2. Offeror’s Proposed Base Salary

3. Solicitation Number

4a. Last Name

4b. First and Middle Names

5a. Mailing Address

6. Phone Numbers (include area code if within the United States of America)

6a. Daytime

5b. City

5c. State

5d. Zip Code

6b. Evening

5e. Country (If not within the United States of America)

7. Email Address (if available)

Section B – Work Experience Describe your paid and non-paid work experience related to this offer. Do not attach job descriptions.

Base Salary definition – basic compensation for services rendered, excluding bonuses, profit-sharing arrangements, commissions, consultant fees, extra or overtime work payments, overseas differential or quarters, cost of living or dependent education allowances.

1. Job Title (if Federal, include series and grade)

2. From (mm/yyyy)

3. To (mm/yyyy)

4.Base Salary per

5. Hours per week

6. Employer’s Name and Address

7. Supervisor’s Name and Phone Number 7a. Name

7b. Phone

8. May we contact your current supervisor? Yes No If we need to contact your current supervisor before making an offer, we will contact you first.

9. Describe your duties, accomplishments and related skills (if you need to attach additional pages, include your name, address, and solicitation number)

Section C – Additional Work Experience Continue on a separate page if required to list all employment relating to the duties of the position.

1. Job Title (if Federal, please include series and grade)

2. From (mm/yyyy)

3. To (mm/yyyy)

4.Base Salary per

5. Hours per week

6. Employer’s Name and Address

7. Supervisor’s Name and Phone Number 7a. Name

7b. Phone

8. May we contact your current supervisor? Yes No If we need to contact your current supervisor before making an offer, we will contact you first.

OMB No. 0412-0579 Expiration Date: 05/31/2021

AID 309-2 Page 1 of 3

9. Describe your duties, accomplishments and related skills (if you need to attach additional pages, include your name, address, and solicitation number)

AID 309-2 Page 2 of 3

Section D - Education

1. Last High School (HS)/GED school. Give the school’s name, city, state, Zip code (if known), and year of diploma or GED received:

2. Mark highest level completed: Some HS HS/GED Associate Bachelor Master Doctoral

3. Colleges and universities attended.

Do not attach a copy of your transcript unless requested.

Total Credits Earned Semester Quarter Major(s) Degree (if any), Year Received 3a. Name

City

State

Zip Code

3b. Name

3c. Name

Section E – Other Education Completed

Do not list degrees received solely on life experience or obtained from schools with little or no academic standards.

Section F – Other Qualifications License or Certificate Date of Latest License or Certificate State or Other Licensing Agency 1f.

2f.

Section G – Other Qualifications Offer-related training courses (give title and year). Offer-related skills (other languages, computer software/hardware, tools, machinery, typing speed, etc.). Offer-related honors, awards, and special accomplishments (publications, memberships in professional/honor societies, leadership activities, public speaking, and performance awards). Give dates, but do not send documents unless requested.

Section H - General 1a. Are you a U.S. citizen? Yes No 1b. If no, give the Country of your citizenship

1c. Are you a lawful permanent resident of the U.S.

(Green Card Holder)? ___Yes ___ No

2. Check this box if you are an adult male born on or after January 1st 1960, and you registered for Selective Service between the ages of 18 through 25 or have an exemption

3. Were you ever a Federal civilian employee? Yes No If yes, list highest civilian grade for the following:

3a. Series

3b. Grade

3c. From (mm/yyyy)

3d. To (mm/yyyy)

Section I – Offeror Certification

I certify that, to the best of my knowledge and belief, all of the information on and attached to this offer is true, correct, complete, and made in good faith. I understand that false or fraudulent information on or attached to this offer may be grounds for not awarding me the contract or for early contract termination after award, and may be punishable by fine or imprisonment. I understand that any information I give may be investigated.

1a. Signature 1b. Date (mm/dd/yyyy)

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