RFP SOL-674-12-000008.pdf

Regional Acquisition and Assistance Office

Date Issued: December 3, 2011

Closing Date: January 16, 2012, 4 p.m. Pretoria local time

Question due date: December 12, 2011, 2 p.m. Pretoria local time

SUBJECT: Request For Proposals (RFP) No.: SOL-674-12-000008

The U.S. Agency for International Development (USAID) is seeking proposals from qualified organizations interested in providing the technical assistance and services as described in the attached solicitation. USAID plans to award a hybrid Firm Fixed Price (FFP Services) and Cost plus Fixed Fee (CPFF) term contract.

Implementation under this contract will occur over 18 months, with an option to increase quantity under the FFP line item. In order to understand the magnitude of USAID’s requirement, under the

FFP component of the contract, the Government has indicated in Section B the quantity required;

and under the CPFF term component, the Government estimates 3,885 Professional Staff person-days Level of Effort. All requirements are subject to availability of funds.

USAID/Southern Africa is competing this requirement among all interested local organizations in

South Africa; offerors must meet the specific criteria set out in Section L in order to be eligible to bid. Interested offerors may conduct site visits from December 12 to 15, 2011, as per the

Invitation to Site Visits for Interested Bidders, Attachment 8 to this RFP. Please do not visit sites outside the stipulated dates, and please adhere to the parameters set forth in the invitation.

Amendments to this solicitation will be made available through the Government homepage at http://www.fbo.gov. It is the offeror’s responsibility to check this site periodically for official updates and amendments to the solicitation. This solicitation in no way obligates USAID to award a contract, nor does it commit USAID to pay any cost incurred in the preparation and submission of a proposal in response hereto. Furthermore the Government reserves the right to reject any and all offers, if such action is considered to be in the best interest of the Government.

Offerors are encouraged to read the entire solicitation, which includes all pertinent technical sections and the terms, conditions and instructions required for submitting a proposal. Any blanks in Sections B through J will be completed by the Contracting Officer before award. By email only, please submit all questions about this RFP no later than the deadline above to proposals@usaid.gov; include the RFP number in the email subject line. Oral instructions, answers or guidance from any USAID source prior to the award of the contract shall not be binding.

Sincerely, Dana H. Rose

USAID/Southern Africa http://www.fbo.gov/ mailto:proposals@usaid.gov

1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

UNDER DPAS (15 CFR 700)

2. CONTRACT NUMBER 3. SOLICITATION NUMBER SOL-674-12-000008 4. TYPE OF SOLICITATION 5. DATE ISSUED

SEALED BID (IFB) December 3, 2011

NEGOTIATED (RFP)

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

9. Sealed offers in original and ______ _______ copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in

(Hour)

CAUTION - LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All Offers are subject to all terms and conditions contained in this solicitation.

A. NAME B. TELEPHONE (NO COLLECT CALLS) C. E-MAIL ADDRESS

AREA CODE NUMBER EXT.

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A I

B PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

C J

D PART IV - REPRESENTATIONS AND INSTRUCTIONS

E

F

G L

H M

K STATEMENTS OF OFFERORS

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ________ calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

(See Section I, Clause No. 52-232-8)

14. ACKNOWLEDGEMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

(The offeror acknowledges receipt of amendments to the

SOLICITATION for offerors and related documents numbered and dated:

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER 15A. NAME AND

ADDRESS

OF OFFEROR

(Type or print)

15B. TELEPHONE NUMBER 17. SIGNATURE 18. OFFER DATE

AREA CODE NUMBER EXT.

15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM

(4 copies unless otherwise specified) 10 U.S.C. 2304(a) ( ) 41 U.S.C. 253(c) ( )

24. ADMINISTERED BY (If other than Item 7) 25. PAYMENT WILL BE MADE BY CODE CODE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA 28. AWARD DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

(Signature of Contracting Officer)

(REV. 9-97)

10. FOR INFORMATION CALL:

11. TABLE OF CONTENTS

STANDARD FORM 33

SOLICITATION

OFFER (Must be fully completed by offeror)

AWARD (To be completed by Government)

N/A 1

X

See Attached Table of Contents

Martha Zhou +27 12 452 2000 mzhou@usaid.gov

X

X

X

X

X

X

X

X

X

X

X

X

X

SOLICITATION/CONTRACT FORM 1

SUPPLIES OR SERVICES AND PRICES/COSTS 2

DESCRIPTION/SPECS./WORK STATEMENT 9

PACKAGING AND MARKING 1

INSPECTION AND ACCEPTANCE 1

DELIVERIES OR PERFORMANCE 2

CONTRACT ADMINISTRATION DATA 6

SPECIAL CONTRACT REQUIREMENTS 14

CONTRACT CLAUSES 8

LIST OF ATTACHMENTS 1

INSTR., CONDS., AND NOTICES TO OFFERORS 18

EVALUATION FACTORS FOR AWARD 7

REPRESENTATIONS, CERTIFICATIONS AND OTHER 6

U.S. Agency for International Development/ Southern Africa

Office of Acquisition and Assistance

100 Totius Street Pretoria, South Africa

U.S. Agency for International Development/ Southern Africa

Office of Acquisition and Assistance

Pretoria, South Africa

RFP NO.: SOL-674-12-000008

Table of Contents

PART I – THE SCHEDULE ...................................................................................................................................... B-1

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS ......................................................................................... B-1 B.1 PURPOSE ............................................................................................................................................. B-1 B.2 CONTRACT TYPE ................................................................................................................................. B-1 B.3 PRICE/COST SCHEDULE, ESTIMATED COST PLUS FIXED FEE, AND OBLIGATED AMOUNT .................. B-1 B.4 INDIRECT COSTS.................................................................................................................................. B-2

SECTION C- DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK ..................................................................... C-1

C.1 OBJECTIVES ......................................................................................................................................... C-1 C.2 BACKGROUND ..................................................................................................................................... C-1 C.3 KEY RESULTS AND TASKS ..................................................................................................................... C-3 C.4 DESCRIPTION OF DELIVERABLES ......................................................................................................... C-4 C.5 INDICATORS ........................................................................................................................................ C-5 C.6 GEOGRAPHIC SCOPe ........................................................................................................................... C-5

SECTION D - PACKAGING AND MARKING .............................................................................................................. D-1

D.1 MARKING, AIDAR 752.7009 (JAN 1993) ............................................................................................. D-1 D.2 BRANDING AND MARKING ................................................................................................................. D-1

SECTION E - INSPECTION AND ACCEPTANCE ......................................................................................................... E-1

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE .............................................. E-1 E.2 INSPECTION AND ACCEPTANCE .......................................................................................................... E-1

SECTION F – DELIVERIES OR PERFORMANCE .......................................................................................................... F-1

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE ............................................... F-1 F.2 PERIOD OF PERFORMANCE ................................................................................................................. F-1 F.3 PLACE OF PERFORMANCE ................................................................................................................... F-1 F.4 PERFORMANCE STANDARDS ............................................................................................................... F-1 F.5 REPORTS AND DELIVERABLES OR OUTPUTS ........................................................................................ F-1 F.6 LEVEL OF EFFORT ................................................................................................................................. F-3 F.7 KEY PERSONNEL ................................................................................................................................... F-3

SECTION G - CONTRACT ADMINISTRATION DATA ................................................................................................. G-1

G.1 DOCUMENTATION FOR PAYMENT, AIDAR 752.7003 (NOV 1998) ...................................................... G-1 G.2 ADMINISTRATIVE CONTRACTING OFFICE ........................................................................................... G-2 G.3 CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (COTR) ....................................................... G-2 G.4 PAYING OFFICE ................................................................................................................................... G-3 G.5 ACCOUNTING AND APPROPRIATION DATA ........................................................................................ G-3 G.6 TECHNICAL DIRECTIONS/RELATIONSHIP WITH USAID ....................................................................... G-3

SECTION H - SPECIAL CONTRACT REQUIREMENTS ................................................................................................ H-1

H.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE .............................................. H-1 H.2 SOURCE, ORIGIN AND NATIONALITY REQUIREMENTS, AIDAR 752.225-70 (FEB 1997) ...................... H-1 H.3 AIDAR 752.228-70 MEDICAL EVACUATION (MEDEVAC) SERVICES (JULY 2007) ................................. H-2 H.4 SALARY SUPPLEMENTS FOR HG EMPLOYEES, AIDAR 752.231-71 (OCT 1998) ................................... H-2

H.5 TRAVEL AND TRANSPORTATION, AIDAR 752.7002, PERSONNEL, AIDAR 752.7027, AND

INTERNATIONAL TRAVEL APPROVAL AND NOTIFICATION REQUIREMENTS, AIDAR 752.7032 .......... H-3 H.6 PERSONNEL COMPENSATION, AIDAR 752.7007 (JUL 2007) ............................................................... H-3 H.7 EXECUTIVE ORDER ON TERRORISM FINANCING (FEB 2002) .............................................................. H-4

H.8 USAID DISABILITY POLICY – ACQUISITION (DEC 2004) ....................................................................... H-4 H.9 REPORTING OF FOREIGN TAXES (DOS Section 579 Rev 10/09/2003) ................................................. H-5 H.10 INSURANCE AND SERVICES ................................................................................................................. H-5 H.11 AUTHORIZED GEOGRAPHIC CODE ...................................................................................................... H-6 H.12 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL CONFERENCES (JAN 2002) ................. H-6 H.13 COMPLIANCE WITH SECTION 508 OF THE REHABILITATION ACT OF 1973, AS AMENDED ................. H-6 H.14 CONSENT TO SUBCONTRACT .............................................................................................................. H-7 H.15 NONEXPENDABLE PROPERTY PURCHASES AND INFORMATION TECHNOLOGY RESOURCES .............. H-7 H.16 LOGISTIC SUPPORT .............................................................................................................................. H-7 H.17 LANGUAGE REQUIREMENTS ............................................................................................................... H-7 H.18 ENVIRONMENTAL COMPLIANCE ........................................................................................................ H-7 H.19 ORGANIZATIONS ELIGIBLE FOR ASSISTANCE (ACQUISITION) (JUNE 2005) ......................................... H-9 H.20 CONDOMS (ACQUISITION) (JUNE 2005) ............................................................................................. H-9

H.21 PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR PRACTICE OF

PROSTITUTION OR SEX TRAFFICKING (ACQUISITION) (October 2007) ............................................... H-9 H.22 AIDAR 752.7004 EMERGENCY LOCATOR INFORMATION (JULY 1997).............................................. H-10 H.23 AIDAR 752.7013 CONTRACTOR-MISSION RELATIONSHIPS (OCT 1989) ............................................ H-11 H.24 DISCLOSURE OF INFORMATION ....................................................................................................... H-11 H. 25 HOMELAND SECURITY PRESIDENTIAL DIRECTIVE-12 (HSPD-12) (SEPTEMBER 2006) ....................... H-12

PART II – CONTRACT CLAUSES .............................................................................................................................. I-1

SECTION I - CONTRACT CLAUSES ........................................................................................................................... I-1 I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE ............................................... I-1 I.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) ......................................................... I-4 I.3 52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY MATTERS I-4

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS ................................................................ J-1

SECTION J - LIST OF ATTACHMENTS ........................................................................................................................ J-1

PART IV - REPRESENTATIONS AND INSTRUCTIONS ............................................................................................ K-1

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS .............................. K-1 K.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE .............................................. K-1 K.2 ANNUAL REPRESENTATIONS AND CERTIFICATIONS, FAR 52.204-8 (May 2011) ................................ K-1 K.3 FAR 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (APR 2010) ........................... K-5 K.4 52.209-7 – INFORMATION REGARDING RESPONSIBILITY MATTERS (Jan 2011) ................................. K-8 K. 5 FAR 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2008) .............. K-9 K.6 52.230-7 PROPOSAL DISCLOSURE--COST ACCOUNTING PRACTICE CHANGES (APR 2005) ............... K-12 K.7 INSURANCE - IMMUNITY FROM TORT LIABILITY .............................................................................. K-12 K.8 COMPLIANCE WITH VETERANS EMPLOYMENT REPORTING REQUIREMENTS.................................. K-12 K.9 SIGNATURE ....................................................................................................................................... K-12

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS .............................................................. L-1

L.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE .................................... L-1 L.2 52.216-1 TYPE OF CONTRACT (APR 1984) ........................................................................................... L-1 L.3 52.233-2 SERVICE OF PROTEST (SEP 2006) .......................................................................................... L-1 L.4 GENERAL INSTRUCTIONS TO OFFERORS .............................................................................................. L-2 L.5 DELIVERY INSTRUCTIONS ..................................................................................................................... L-3 L.6 GENERAL INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL ............................. L-4 L.8 STAFFING AND MANAGEMENT (See Section M.5) .............................................................................. L-7 L.9 INSTITUTIONAL CAPABILITIES AND EXPERIENCE (See Section M.6) .................................................... L-8 L.10 CONTRACTOR PERFORMANCE INFORMATION (See Section M.7) ....................................................... L-9

L.11 INSTRUCTIONS FOR THE PREPARATION OF THE COST PROPOSAL .................................................... L-10 L. 12 INSTRUCTIONS FOR THE PREPARATION OF BRANDING AND MARKING PLANS ................................ L-16

SECTION M - EVALUATION FACTORS FOR AWARD ............................................................................................... M-1

M.1 52.217-5 EVALUATION OF OPTIONS (JUL 1990) ................................................................................ M-1 M.2 GENERAL INFORMATION ................................................................................................................... M-1 M.3 EVALUATION FACTORS ..................................................................................................................... M-1 M.4 TECHNICAL APPROACH FACTOR (45 points) ...................................................................................... M-2 M.5 STAFFING AND MANAGEMENT FACTOR (20 points) ......................................................................... M-2 M.6 INSTITUTIONAL CAPABILITIES AND EXPERIENCE FACTOR (30 points) ............................................... M-3 M.7 CONTRACTOR PERFORMANCE INFORMATION FACTOR (5 points) .................................................... M-3 M.8 PRICE/COST EVALUATION .................................................................................................................. M-4 M.9 DETERMINATION OF THE COMPETITIVE RANGE AND CONTRACT AWARD ....................................... M-5

SECTION ATTACHMENTS

ATTACHMENT 1 – VMMC and Adverse Events Data per USAID-Supported Site ATTACHMENT 2 – VMMC Site Information ATTACHMENT 3 – Relevant Website Links on VMMC ATTACHMENT 4 – SA National Implementation Guidelines for MMC, March 2011 ATTACHMENT 5 – SA National Guidelines for MMC under Local Anaesthesia, May2010 ATTACHMENT 6 – SANAC Communications Strategy on Male Circumcision March 2010 ATTACHMENT 7 – VMMC Service Assessment Report of USAID-Supported Sites in South Africa ATTACHMENT 8 – Invitation to Site Visits for Interested Bidders ATTACHMENT 9 – Identification Of Principal Geographic Code Numbers ATTACHMENT 10 - The Branding Strategy

Section B

B-1

PART I – THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

The purpose of this contract is to provide technical assistance and services to support high quality, high volume, Voluntary Medical Male Circumcision (VMMC) service delivery; and to provide technical assistance to provinces and districts to start up publically-funded high quality, high volume, VMMC sites, as described in detail in Section C, Statement of Work, for the implementation of the Voluntary Medical Male (VMMC) Circumcision Service Delivery and

Technical Assistance Project.

B.2 CONTRACT TYPE

This is a hybrid Firm Fixed Price (FFP Services) and Cost-Plus-Fixed-Fee (CPFF) term contract.

For the consideration set forth below, the Contractor shall deliver the following:

FFP deliverables listed in the delivery schedule below and further described in Section C and F.5, and

Level of Effort as described in Section F.6 to accomplish the tasks and results set forth in

Section C.

B.3 PRICE/COST SCHEDULE, ESTIMATED COST PLUS FIXED FEE, AND

OBLIGATED AMOUNT

(a) Contract Line Items Numbers (CLIN) 1, 2, and 3:

Price/Cost Deliverable Schedule for the FFP contract line items numbers (CLIN) 1 and 2 is as follows:

Deliverable Quantity Total Unit

Price

Due Date Total Price

CLIN 1

The comprehensive package of VMMC services

95,000 [18 months from award]

CLIN 2

Option for additional quantity of comprehensive package of VMMC services

30,000 [18 months from award]

Note: Payments for partial deliveries (per unit) are authorized under CLINs 1 and 2.

The Estimated Cost Plus Fixed Fee For CLIN 3 is as follows:

Section B

B-2

CLIN 3: The Total Estimated Cost Plus Fixed Fee for the performance of the work required is as follows:

Total Estimated Cost: $

Fixed Fee: $

Total Estimated Cost plus Fixed Fee: $

(b) The Obligated Amount is as follows:

The amount currently obligated and available for payment in CLIN 1 is $xxxxx.

Within the estimated cost plus fixed fee in CLIN 3, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor for performance hereunder is $xxx. Funds obligated hereunder are anticipated to be sufficient through xxx.

(c) Total Contract Amount

CLIN 1: Total Fixed Price: $

CLIN 2: Total Fixed Price Option Quantity: $

CLIN 3: Total Estimated Cost, exclusive of fee: $

Total Fixed Fee: $

Total Estimated Cost Plus Fixed Fee: $

TOTAL AMOUNT OF THIS CONTRACT: $

B.4 INDIRECT COSTS

Pending the establishment of a revised provisional or final indirect cost rates, allowable indirect costs shall be reimbursed under CLIN 3 on the basis of the following negotiated provisional or predetermined rates and the appropriate bases:

Description* Period** Rate Base***

* Description or type of rate indicated as a percentage, e.g., G&A

** Period, e.g., CY 2009

*** Base, e.g., Direct Labor for Labor Overhead

B.5 COST REIMBURSABLE

For CLIN 3, the U.S. dollar costs allowable shall be limited to reasonable, allocable and necessary costs determined in accordance with FAR 52.216-7, Allowable Cost and Payment, FAR 52.216-8, Fixed Fee, if applicable, and AIDAR 752.7003, Documentation for Payment.

END OF SECTION B

Section C

C-1

SECTION C- DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 Objectives

USAID/South Africa’s key strategic objective is to assist the South African Government (SAG) to reduce the impact of HIV/AIDS and to provide better health care for historically disadvantaged South Africans through the targeted provision of voluntary medical male circumcision (VMMC). The Voluntary Medical Male Circumcision Service Delivery and

Technical Assistance Project, in line with the overall national HIV/AIDS Strategic Plan for

South Africa, 2007-2011, has the following strategic objectives:

1. To provide high quality, high volume, high efficiency VMMC services in KwaZulu Natal, Gauteng, Mpumalanga, and Free State provinces to males aged 15-49 through existing

USAID-supported VMMC sites and one new site; and

2. To provide technical assistance to provinces and districts to ensure successful start-up of well placed, high volume, high quality government VMMC sites that can be sustained through public funding.

C.2 Background

South Africa has the largest number of people infected with HIV in the world: an estimated 5.7 million South Africans are living with HIV.

An average of 1,000 South African adults acquires

HIV each day, and nearly 1,000 South Africans die each day from AIDS-related illness.

As a result, there is an urgent need to scale up the HIV prevention response in South Africa, including the expansion of safe voluntary medical male circumcision (VMMC).

VMMC has been proven to reduce direct heterosexual HIV transmission from females to males and may indirectly reduce infection in women; it is one of the interventions shown to be most effective in preventing new infections. Three recent randomized, controlled trials (RCTs) resulted in an average 53% reduction in HIV acquisition. In addition to effectively reducing the risk of heterosexual transmission of HIV from females to males, VMMC has also been shown to reduce the risk of other sexually transmitted infections (STIs) that enhance the risk of HIV infection acquisition or cause morbidity. Although circumcision of HIV infected men has not been found to reduce HIV transmission to their female partners, the number of new infections in women is also reduced by reducing women’s exposure to HIV-infected men. As HIV incidence decreases in men following VMMC scale-up, the probability of women encountering infected male partners decreases, thereby reducing HIV incidence among women. Modeling shows that if enough men are circumcised, the number of new infections overall can be reduced by as much as 30%. In South Africa alone, 1.2 million new HIV infections (20%) could be averted by scaling up VMMC, with a savings of $6.6 billion in antiretroviral therapy (ART) costs.

1 Epidemiological Fact Sheet on HIV and AIDS: South Africa. Geneva: World Health

Organization, UNAIDS, UNICEF, 2008/2009, p. 4.

2 UNAIDS Outlook Report 2010. Geneva: UNAIDS, p. 77.

3 Health Policy Initiative. The Potential Cost and Impact of Expanding Male Circumcision in South Africa (Draft).

C-2

Recognizing the important potential of VMMC to dramatically reduce the number of new HIV infections in the country, South African President Jacob Zuma and the National Department of

Health (NDOH) prioritized the scale up of high volume safe VMMC for HIV prevention and set a goal of 4.3 million VMMCs (80% coverage of men aged 15-49) over 5 years. SAG launched a national scale-up VMMC in South Africa in mid-2010. A national meeting was held in March

2010 to vet the VMMC implementation and clinical guidelines with provinces and to engage them in the planning process for national VMMC project scale-up. In May 2010, South Africa’s

Deputy President Kgalema Motlanthe and Minister of Health Dr. Aaron Motsoaledi gave the green light to launch the roll-out of VMMC. Additional support for the effort was given by the

Zulu King, Goodwill, who declared that all men in the largest province of South Africa, KwaZulu Natal should be medically circumcised as a measure to prevent HIV.

Initially, the SAG set a target to circumcise 100,000 South African men by March 31, 2011 with funding of US$5.8 million to initiate scale-up of VMMC across South Africa’s nine provinces.

With combined PEPFAR and SAG efforts, this target has been met. The SAGs VMMC target for their current fiscal year (April 2011 - March 2012) is 500,000 VMMCs with a budget approximately US $38 million; however substantially greater resources will be required to achieve this target and establish a strong foundation to reach the SAG goal by the end of 2016.

Furthermore, provinces and districts need targeted technical assistance to effectively use the

SAG treasury funding to reach MMC targets

During the PEPFAR Annual Meeting held in South Africa in May 2011, USAID Administrator

Rajiv Shah, CDC Director Thomas Frieden, OGAC Ambassador Eric Goosby, and the U.S.

Ambassador to South Africa, Donald Gips, all expressed the urgent need to scale up HIV prevention efforts in South Africa and emphasized VMMC as an important strategy to decrease the rate of HIV infection. This activity will support the SAG to safely and effectively meet this goal.

USAID/South Africa has been engaged in the roll out of VMMC since the beginning. The mission worked closely with the SAG to change policy, vet VMMC implementation guidelines with the provinces, and engage provinces in planning for VMMC scale-up. South Africa began scaling up VMMC services in mid-2010 in close collaboration with USAID. Currently, USAID is supporting 16 high volume VMMC sites in KZN, Gauteng, Mpumalanga, and Free State.

Sites in those provinces were identified due to low rates of MC and high HIV prevalence. To date, USAID-supported VMMC services have been managed through existing cooperative agreements with facility-based partners, including Right to Care, Anova, and MaTcH.

In order to achieve national scale-up of VMMC, both the SAG and PEPFAR/SA are implementing operational efficiency through high-volume VMMC sites based on the World

Health Organization’s (WHOs) MOVE VMMC implementation approach. The MOVE approach is essential for the catch-up phase of VMMC as it enables approximately 50 men per day to be circumcised by one small team of service providers. Several USAID-supported sites

See list of USAID supported sites in attachment 2.

C-3 have more than one team and are thus able to perform 100 VMMCs per day or more. The

MOVE approach was developed at the Orange Farm VMMC RCT study site in South Africa, where high-volume VMMC services and training for MOVE providers is funded by USAID/SA.

The MOVE model requires significant commodities to ensure swift and safe procedures and many high volume sites lack the space, staff bandwidth and/or autoclave capability to sterilize hundreds of instruments per day. To circumvent this issue, disposable, single-use kits are currently used by the majority of PEPFAR implementing partners and remain critical to the success of daily site operations. In addition to PEPFAR (CDC, USAID, and DoD), the Global

Fund is also investing in the scale-up of high volume VMMC sites through Round 9.

C.3 Key Results and Tasks

The key results and tasks to be achieved are built around the activity’s objectives:

Objective One: Build on and from existing USAID VMMC sites and one new site in

Zululand to provide VMMC services to males aged 15-49 to improve VMMC coverage in specific geographic areas surrounding sites; and

Objective Two: Provide technical assistance to provinces and districts (nationally) to ensure successful start-up and sustainability of well placed, high volume, high quality government VMMC sites that can be sustained through public funding.

C.3.1 Key Results to be achieved under the Firm Fixed Price (FFP) Element (CLINs 1 and 2)

The key results that are anticipated to be achieved are those that will result from the successful delivery of the comprehensive package of VMMC services, described in Section C.4.1 below.

These results are the process and quality standards of VMMC services provided at each of the contractor’s VMMC sites. That is, all services associated with operating a high quality high volume VMMC site consistent with the quality standards outlined by SAG, WHO, and PEPFAR in their clinical and operational guidelines for the provision of VMMC services. Services may include, among others, maintaining trained staff, quality assurance, appropriate reporting and management of adverse events, site operation, equipment and commodity procurement such as disposable kits, supply chain management, waste management, record keeping, social mobilization, demand creation, and effective integration of gender (e.g. in demand creation, counseling, and other relevant aspects of VMMC service delivery).

C.3.2 Key Results and Tasks to be achieved under the Cost Plus Fixed Fee (CPFF) Element

(CLIN 3)

The following key results and tasks will be achieved under the cost plus fixed fee line item:

1. Management of overall implementation through provision of non-Professional Technical

Assistance (TA);

2. Refurbishments and equipment (not including kits) incidental to achieving Objective One;

Men under 15 may be circumcised when they are in compliance with SAG regulations. The client must have proper informed consent forms (these must be kept on file at the site), understand the procedure, and be able to tolerate the procedure under local anesthesia.

C-4

3. Achievement of Objective Two through provision of professional TA. Illustrative tasks may include:

Assist provinces and districts in identifying appropriate, accessible, well placed, dedicated high volume VMMC sites that can be sustained through SAG funding (this may include TA to determine the most appropriate location for a site, develop a plan and budget for the site set-up, plan for equipment and commodity procurement, staffing, demand creation, and operating a high volume site with the provincial/district funding ;

Provide TA for site readiness, leveraging provincial and district resources necessary for the site;

Leverage provincial VMMC resources to train staff at new sites in the MOVE approach and provide site start-up support to initiate new, dedicated high volume VMMC sites;

Ensure the site has standard operating procedures, quality assurance, appropriate registers and reporting procedures, and waste management guidelines per SAG requirements;

Ensure the site operators understand the importance of, and have a plan for demand creation; and

Ensure that these new SAG sites offer the comprehensive package of services and counseling for VMMC.

C.4 Description of Deliverables

C.4.1 FFP CLINS 1 and 2

The deliverable under the FFP component of this contract (CLINs 1 and 2) are the comprehensive package of VMMC services, broken down by the unit of a single voluntary medical male circumcision that meets the process and quality standards set forth below:

VMMC successfully performed on males aged 15 to 49 years old , according to the quality standards expressed in the WHO MOVE approach, OGAC VMMC guidance, and the SA VMMC implementation and clinical guidelines;

Increased coverage of VMMC of the target population in the geographic areas surrounding USAID VMMC sites (coverage area may cross municipality, subdistrict, district or region borders);

Properly managed and staffed sites, i.e. all staff received quality training in VMMC and are adequately supervised;

100% of VMMC clients offered voluntary HIV Counseling and Testing (HCT) and were referred to other services as appropriate;

Universal pre- and post- VMMC counseling provided including informed consent for

VMMC, abstinence during the healing period, and risk reduction;

All adverse events properly managed and accurately reported according to SA VMMC clinical guidelines and the WHO AE Guide once it is finalized and published. AEs should remain below 2%;

Commodities and equipment procured as required for high volume, high quality VMMC sites

Informed demand for VMMC services increased among the population surrounding the sites;

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Health care waste managed according to WHO and SA guidelines;

Gender considerations included in demand creation, counseling, and service delivery:

Robust monitoring and evaluation and quality assurance provided for all aspects of

VMMC service delivery to ensure continuous service improvement so that high quality services are maintained and targets are met;

Coverage expanded to maximize the number of voluntary, high quality VMMCs that are performed using innovative approaches such as mobile and/or outreach services, satellite sites, seasonal surges, or other strategies; and

Productive relationships with SAG and other partners fostered and maintained to facilitate reaching objectives and avoiding duplication.

All VMMC services provided under the Contract must be consistent in all aspects with all quality, health and safety standards outlined by SAG, WHO, and PEPFAR in their clinical and operational guidelines for the provision of VMMC services.

C.4.2 CPFF CLIN 3

Technical assistance required under the CPFF portion of this contract shall be provided to provinces and districts to ensure successful start-up of well placed, high quality government

VMMC sites that can be sustained through public funding. These sites shall not overlap with the

FFP component sites, or sites that are funded through CDC, the Global Fund, or other donors unless approved in writing by the Contracting Officer.

C.5 Indicators

The Contractor is required to track and report on the following indicators. Each indicator must be tracked by site.

# of males (disaggregated by age) circumcised according to WHO,PEPFAR, and SAG guidelines

% coverage of target population in a given geographic area (estimated)

# of men tested and counseled for HIV and received their test results

# of HIV+ individuals referred to care and treatment services

% of cases with moderate/severe adverse events

# of individuals lost to follow-up

# of appropriate public health facilities that have used SAG funding to establish high volume high efficiency VMMC sites

# of appropriate public health facilities that have fully operational teams and are conducting at least 30 VMMCs/day after 6 months

C.6 Geographic Scope

C.6.1 Implementation of CLINs 1 and 2

VMMC service delivery will be provided in and from existing USAID supported sites in

KwaZulu Natal, Gauteng, Mpumalanga, and Free State provinces assuring coverage in their

C-6 respective areas. The contractor must provide services in or from a minimum of ten of the existing high volume, high quality VMMC sites. A new VMMC site must be initiated in

Zululand, KZN. In addition, there must be at least one site in the following districts:

Gauteng: at least one of the Johannesburg Metropolitan Regions

Mpumalanga: Ehlanzeni and Gert Sibande

Zululand and eThekwini Metropolitan Municipality

Free State: Lejwe Leputswa

Note that the exact locations will be specified in the final contract based on the successful offeror’s proposal.

C.6.2 Implementation of Professional TA component of CLIN 3

The TA for site set up and training will be provided in select sites in any or all provinces, as approved by USAID through the work plan. USAID’s approval in determining priority districts and sites will take into account the priorities of the NDOH, provinces, and districts.

END OF SECTION C

Section D

D-1

SECTION D - PACKAGING AND MARKING

D.1 MARKING, AIDAR 752.7009 (JAN 1993)

(a) It is USAID policy that USAID-financed commodities and shipping containers, and project construction sites and other project locations be suitably marked with the USAID emblem.

Shipping containers are also to be marked with the last five digits of the USAID financing document number. As a general rule, marking is not required for raw materials shipped in bulk

(such as coal, grain, etc.), or for semi finished products which are not packaged.

(b) Specific guidance on marking requirements should be obtained prior to procurement of commodities to be shipped, and as early as possible for project construction sites and other project locations. This guidance will be provided through the cognizant technical office indicated on the cover page of this contract, or by the Mission Director in the Cooperating Country to which commodities are being shipped, or in which the project site is located.

(c) Authority to waive marking requirements is vested with the Regional Assistant

Administrators, and with Mission Directors.

(d) A copy of any specific marking instructions or waivers from marking requirements is to be sent to the Contracting Officer; the original should be retained by the Contractor.

D.2 BRANDING AND MARKING

The Contractor shall comply with the requirements of the policy directives and required procedures outlined in USAID Automated Directive System (ADS) 320.3.2 ―Branding and

Marking in USAID Direct Contracting‖ (version from January 10, 2007) at http://www.usaid.gov/policy/ads/300/320.pdf; and USAID "Graphic Standards Manual" available at www.usaid.gov/branding, or any successor branding policy.

END OF SECTION D

http://www.usaid.gov/policy/ads/300/320.pdf http://www.usaid.gov/branding

Section E

E-1

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

The following contract clauses pertinent to this section are hereby incorporated by reference (by

Citation Number, Title, and Date) in accordance with the clause at FAR "52.252-2 CLAUSES

INCORPORATED BY REFERENCE" in Section I of this contract. See FAR 52.252-2 for an internet address (if specified) for electronic access to the full text of a clause.

FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)

NUMBER TITLE DATE

52.246-4 INSPECTION OF SERVICES -- FIXED-PRICE AUG 1996

52.246-5 INSPECTION OF SERVICES--COST-REIMBURSEMENT APR 1984

52.246-15 CERTIFICATE OF CONFORMANCE APR 1984

52.246-16 RESPONSIBILITY FOR SUPPLIES APR 1984

E.2 INSPECTION AND ACCEPTANCE

USAID inspection and acceptance of services, reports and other required deliverables or outputs shall take place at the principle place of performance or at any other location where the services are performed and reports and deliverables or outputs are produced or submitted. The method of inspection may include, but will not be limited to, review of documentation at the contractor’s principle place of performance, review of documentation and processes at the locations where services are performed, review of deliverables submitted to USAID, and informal or formal client satisfaction assessments or surveys. The COTR listed in Section G has been delegated authority to inspect and accept all services, reports and required deliverables or output.

Consistent with FAR 52.246-4, the Contractor shall provide and maintain an inspection system acceptable to the Government, and perform all inspections and tests required to ensure its services conform to contract quality requirements. The complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires. The technical requirements for quality of services associated with CLINs 1 and 2 are specified in Section

C.4.1.

Quality assurance will be conducted before acceptance by the COTR. Nonconforming services will be rejected.

END OF SECTION E

Section F

F-1

SECTION F – DELIVERIES OR PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)

52.211-16 VARIATION IN QUANTITY APR 1984

52.242-15 STOP-WORK ORDER AUG 1989

52.242-15 STOP-WORK ORDER ALTERNATE I APR 1984

52.242-17 GOVERNMENT DELAY OF WORK APR 1984

52.247-34 F.O.B. DESTINATION NOV 1991

F.2 PERIOD OF PERFORMANCE

The period of performance for this contract is from the effective date of the contract through

____________. Deliverables under CLINs 1 and 2 shall be delivered within eighteen (18) months from the effective date of the contract.

F.3 PLACE OF PERFORMANCE

The Contractor shall perform the services described in Section C in South Africa.

F.4 PERFORMANCE STANDARDS

Evaluation of the Contractor’s overall performance shall be conducted jointly by the COTR and the Contracting Officer, and shall form the basis of the Contractor's permanent performance record with regard to this contract.

F.5 REPORTS AND DELIVERABLES OR OUTPUTS

The Contractor shall submit the following deliverables or outputs to the COTR specified:

(a) Deliverable Schedule under CLINs 1 and 2:

The comprehensive package of VMMC services

95,000 [18 months from award]

Option for additional quantity of comprehensive package of VMMC services

30,000 [18 months from award]

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Note that partial deliveries (per unit) are acceptable within the 18-month timeframe.

(b) Eighteen-month Work Plan: The Work plan covering anticipated activities is due within two months after the start date of the contract and should be presented by result and task.

The work plan shall be reviewed semi-annually (or as mutually agreed between the Chief of

Party and the COTR, based on project implementation needs) and any changes proposed by the

Contractor must be approved by USAID.

(c) Monthly Site Reports: The Contractor shall submit to USAID a monthly site specific report 7 days after the end of each month that details the following, disaggregated by age:

1. Number of VMMCs completed;

2. Number of clients receiving HCT prior to VMMC (referred from other sites, those testing positive, and those testing negative;

3. Number of clients receiving VMMC-specific counseling;

4. Number of clients referred to other specific services;

5. Number of AE’s disaggregated by type (moderate or severe), a description of the AE and how it was treated; and

6. Number of clients seen for follow-up at 7 and 21 days.

(d) Quarterly Progress Reports The Contractor shall submit to USAID a quarterly report within

30 days after the end of the period, with the first such report due three months after contract signing. This report shall include the following sections:

1. Description and analysis of all activities conducted during the reporting period such as provision of technical assistance, institutional strengthening, assessments, manual reviews, implementation of new procedures, and milestones reached. For training courses conducted by the Contractor, the report should include the training objectives, a description of training materials developed, along with the number and gender of participants, and the organization that they represent and participant positions if noteworthy. The contractor must comply with USAID TRAINET (See ADS Chapter

253).

2. Brief summary of any assessments or analytical studies conducted during the reporting period.

3. Nature and amount of direct procurements made to project activities.

4. The Contractor's assessment of the current status of progress under the contract, including analysis of lessons learned and recommendations for any corrections to the project design.

5. Progress made in achieving Performance Results and Indicators.

6. Financial reports tracking expenditures billed to CLIN 3 and summary of deliverables billed under CLINs 1 and 2.

(e) Final Report: A final report is due within 45 days of the Contract completion date. This report shall summarize the monthly and quarterly reports and add:

1. Successful methodologies employed during the life of project that produced desired results.

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2. General lessons learned in relation to the full project and recommendations for future programming.

F.6 LEVEL OF EFFORT

(a) For CLIN 3, the contractor shall devote 3,885 Professional Technical Labor person-days

Level of Effort for the period specified in the section, Period of Performance, above.

(b) The number of person-days for any labor category may be used in any other labor category, subject to the prior written approval or direction of the COTR. Once the level of effort has been fully expended, the Professional Technical Labor (Professional TA) component of CLIN 3 is complete.

(c) The level of effort by labor category is set forth in Attachment _____.

F.7 KEY PERSONNEL

(a) The Contractor shall furnish key personnel as stated below.

• Chief of Party (COP);

• Head Administrative/Financial Officer; and

• MMC Technical Expert.

(b) The three key personnel specified above are considered to be essential to the work being performed hereunder. Prior to replacing any of the specified individuals, the Contractor shall immediately notify both the Contracting Officer and USAID Contracting Officer’s Technical

Representative reasonably in advance and shall submit written justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on the project. No replacement of personnel shall be made by the Contractor without the written consent of the

Contracting Officer.

F.8 752.7005 SUBMISSION REQUIREMENTS FOR DEVELOPMENT EXPERIENCE

DOCUMENTS (JAN 2004) (ACQUISITION AND ASSISTANCE POLICY

DIRECTIVE 04-06, ISSUED FEB. 26, 2004)

(a) Contract Reports and information/Intellectual Products.

(1) The Contractor shall submit to USAID's Development Experience Clearinghouse

(DEC) copies of reports and information products which describe, communicate or organize program/project development assistance activities , methods, technologies, management, research, results and experience as outlined in the Agency's ADS Chapter 540. Information may be obtained from the COTR. These reports include: assessments, evaluations, studies, development experience documents, technical reports and annual reports. The Contractor shall also submit copies of information products including training materials, publications, databases, computer programs, videos and other intellectual deliverable materials required under the

Contract Schedule. Time-sensitive materials such as newsletters, brochures, bulletins or periodic reports covering periods of less than a year are not to be submitted.

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(2) Upon contract completion, the contractor shall submit to DEC an index of all reports and information/intellectual products referenced in paragraph (a)(1) of this clause.

(b) Submission requirements.

(1) Distribution. (i) At the same time submission is made to the COTR, the contractor shall submit contract reports and information/ intellectual products (referenced in paragraph (a)(1) of this clause) in either electronic (preferred) or paper form to the

Development Experience Clearinghouse as follows:

USAID Development Experience Clearinghouse

M/CIO/KM, RRB M.01

U.S. Agency for International Development

Washington DC 20523

Fax: (202) 216-3515

Phone: (202) 712-0579

E-mail: docsubmit@usaid.gov

Online: http://dec.usaid.gov/index.cfm

(ii) The contractor shall submit the reports index referenced in paragraph (a)(2) of this clause and any reports referenced in paragraph (a)(1) of this clause that have…