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Indonesia Clean Energy Development (ICED) Program USAID Funded Project No. AID-497-TO-11-00004

Request for Applications (RFA) no: ICED-RFA-01-2013

RFA issuance date: March 12, 2013 Pre-application meeting: Jakarta, March 21, 2013, at 9:00 a.m. at Hotel Century Park Pekanbaru, March 22, 2013, at 9:00 a.m. location: Hotel Aryaduta

Medan, March 25, 2013, at 9:00 a.m. location: Hotel Aryaduta Banda Aceh, March 26, 2013, at 9:00 a.m. location: Hotel Grand Nangroe Clarification questions due: March 26, 2013 at 5 p.m. Response to clarifications due: March 28, 2013 Proposal due date and time: April 21, 2013 Application selection process: April 22 – May 3, 2013 Awardees selected May 8, 2013 Tetra Tech1, on behalf of the United States Agency for International Development (USAID), is seeking applications from indigenous organizations, national and international non-government organizations, universities and research institutes, community based organization, small and medium sized enterprises, faith-based organizations and other civil society partners in Indonesia that seek to address critical local energy concerns, with a marked focus on small scale (less than 1 MW) energy project implementation initiatives. Projects will be funded through the Indonesia Clean Energy Development (ICED) Grants Program. The overarching objectives of the ICED Grants Program are: 1. Stimulate greater participation of local entities, particularly local entrepreneurs, in developing

pilot activities that focus on providing access to clean energy in “off-grid” areas (rural electrification) in the most sustainable way and with a high degree of replicability in other similar areas.

2. Improve technologies and management applied to clean energy project implementation by leveraging resources from communities, private sector, and government.

3. Improve and strengthen the capacity of civil society, community-based and non-governmental organizations in raising awareness of the national and local efforts to reduce GHG emissions from energy use and the clean energy opportunities.

The ICED Grants Program will award grants on a competitive basis for the following key activity areas:

Improve energy sector policy and coordination

Increase development of clean energy projects

Increase institutional capacity and public outreach For this RFA, ICED is seeking project proposals for distributed renewable energy projects that provide electricity or other forms of energy in rural areas in Indonesia with capacity less than 1 MW. Proposed projects may cover the following types of renewable energy: hydropower, biomass, biogas, solar (thermal or electric), or wind, and should aim to meet the energy needs of households, community facilities and/or productive activities (such as agro-processing, manufacturing, telecommunications, etc). Proposed projects may be in the form of new installations and/or rehabilitation of existing clean energy production facilities.

1 Tetra Tech ES Inc. is the prime contractor for the USAID-funded Indonesia Clean Energy Development (ICED)

Project and is responsible for all grants under contract.

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The maximum award for each project is US$100,000 equivalent in local currency with a minimum of

10% cost-share of the total project amount (including cash, in-kind contributions and co-funding

from other sources). Cost-sharing above 10% is highly encouraged and is factored into the cost

criteria for applicant selection. ICED Grants Program will not reimburse any pre-award cost.

The Indonesian Small Grants Program is funded by the Foreign Assistance Act (Pub.L. 87-195, 75 Stat. 424, enacted September 4, 1961, 22 U.S.C. § 2151 et seq.) As the funding agency, USAID is substantially involved in the administration of the grants programs, including approval of grantee selection criteria, proposed grantees, the amount of grants, and the nature of grant activities. Issuance of this RFA does not constitute an award commitment on the part of either ICED program or USAID. USAID further reserves the right to fund any or none of the applications received. Please contact ICED Grants Manager by e-mail at grants@iced.or.id if you are interested in applying for this grant and would like to get further detail information on the grants application instruction and guidelines, eligibility criteria, selection criteria, as well as grants forms and templates. Your expression of interest letter should include the following information:

Subject: ICED-RFA-01-2013 Name of organization: Name: Mobile phone number: Fax number: Email address:

Any questions concerning this RFA must be submitted in writing to ICED Grants Manager or by calling the ICED office at +62 021-52964445. Completed applications must be submitted in English and no later than 5:00 p.m. April 12, 2013, by email to grants@iced.or.id. Each application will be reviewed for responsiveness to the specifications outlined in the guidelines and the application format. Applications to be submitted are technical application and cost/management application not exceeding a total of 30 pages. Late or incomplete applications will not be accepted or considered unless authorized by the Grants Manager.

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TABLE OF CONTENTS SECTION 1 – GRANTS PROGRAM INFO

A. ICED Program Summary B. Eligible Project Types C. Eligibility Criteria D. Award Cycle and Funding Level E. Grants Program Administration F. Reporting Requirements

SECTION 2 - GRANT APPLICATION INSTRUCTIONS

A. Preparation Guidelines B. Technical Application C. Cost/Management Application D. Explanation of RFA to Prospective Applicants E. Submission of Applications F. Notification

SECTION 3 – APPLICATION EVALUATION CRITERIA SECTION 4 – SUPPORTING DOCUMENTATIONS SECTION 5 – RECOMMENDED REFERENCES Attachment – Certifications and Assurances

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SECTION 1 – GRANTS PROGRAM INFO

A. ICED Program Summary The Indonesia Clean Energy Development (ICED) Program is a four year USAID funded program to support the government of Indonesia, private sector, and civil society in increasing the contribution of clean energy resources to reduce the growth of greenhouse gas emissions and providing rural communities the access to energy. The program is expected to help Indonesia make significant progress on a low-carbon development path through improved enabling environments for renewable energy, energy efficiency, conservation energy and clean transport. ICED is to be implemented from March 8, 2011 to September 30, 2014. The overall target results of the program are as follow:

• Four million tons of CO2 emission avoided from transport and energy sectors; • 120 MW of clean energy installed; • At least 20 small to medium scale renewable energy projects implemented; • At least $120 million of public and private funding leveraged; • 1.2 million people with increased access to clean energy; • A reduction of the electricity subsidy by at least US $250 million from the replacement of

diesel fuel and tariff increases from the 2009 level.

Tetra Tech ES, Inc. as the main contractor for ICED will award and administer a small grants fund that will be used strategically to support a process of constructive engagement and planning between various stakeholders to work collaboratively in implementing activities under the ICED scope of work. The grants program represents a key component of ICED’s strategy for ensuring both equitable and sustainable access to clean energy in rural areas in Indonesia through the participation and/or collaboration of local entities. All awards made under the ICED small grants program must contribute to one or more of the overall ICED target results (see above).

B. Eligible Project Types The ICED Grants Program will award grants on a competitive basis for the following key activity areas:

Improve energy sector policy and coordination

Increase development of clean energy projects

Increase institutional capacity and public outreach For this RFA, ICED is seeking project proposals for distributed renewable energy projects that provide electricity or other forms of energy in rural areas in Indonesia with capacity less than 1 MW. Proposed projects may cover the following types of renewable energy: hydropower, biomass, biogas, solar (thermal or electric), or wind, and should aim to meet the energy needs of households, community facilities and/or productive activities (such as agro-processing, manufacturing, or telecommunications). Proposed projects may be in the form of new installations and/or rehabilitation of existing clean energy production facilities. Projects proposals should include all equipment, management, technical and administrative services, travel and other direct costs using the budget template in Section 2.C. The budget should cover the entire project costs, including the share covered by the applicant and other partners. The maximum award is US$100,000 equivalent in local currency.

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Applicants should demonstrate their experience and capabilities relative to the proposed project, as well as any partners that are providing cash or in-kind contributions to the overall project. While the projects must be completed maximum in 12 months, the Applicant should indicate how they will ensure the long term operation or sustainability beyond project completion. Priority will be given to proposed projects that have a high potential for sustainability and replication in Indonesia (e.g., similar scale and application), open new markets for renewable energy technologies, and how the Applicant will use the proposed project as a demonstration that will result in additional projects based on the success of the “demonstration”.

C. Eligibility Criteria Applicants must meet the minimum eligibility criteria to be considered for funding. Following is the list of organizations/institutions eligible to apply:

Indigenous organizations

National and International non-government organizations

Universities and research institutes

Community based organization

Small and medium sized enterprises

Faith-based organizations

Other civil society partners Each Applicant must:

Be registered with the applicable local authorities or in the event of international organizations must demonstrate local presence and organization to deliver.

Be non-political, non-police and non-military in purpose and organization.

Be in existence for at least three (3) years.

Be responsible and accountable for all monies distributed under this activity.

Be organized to serve legitimate and socially desirable community functions, particularly those that promote socio-economic equity.

If a religious or church organization, the activity for which funds are requested must be a community-based activity that serves all people in the community disregard for membership in that religious organization (e.g., providing electricity for a school that is open to the all children or for a hospital or health clinic that serves all of community members).

While only one application per lead institution per round will be accepted, there is no limit on the number of applications the applicant could be included in as a partner.

Provide at least 10% cost sharing in cash or in-kind or a combination of both. The ICED Grants Program will NOT fund:

Organizations known to or believed to sponsor terrorism

Government agencies, or political organizations, or organizations that lobby the U.S. Government.

Purchases of unallowable and prohibited goods under USAID regulation.

Equipment that is not explicitly required to complete the work outlined in the RFA.

Expenses that are not related to the proposed project.

Activities that create profit for the organization or constitute income generating activities for its personnel.

Activities that are financed by other U.S. Government sources or that duplicate other USAID funding.

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D. Award Cycle and Funding Level The USAID ICED Grants Program is planning to issue multiple RFAs. Applicants may submit more than one clean energy project proposal (under this or future RFAs) that vary in monetary size; however the maximum amount awarded to any individual organization is US$100,000. The ICED Grants Program requires cost-share from the recipient (and any partners) of at least 10% of the total proposed grant size. ICED will negotiate with applicants whose proposed project meets the minimum score (see Section 3). Following completion of negotiations, Applicants selected for award will receive a grant to implement proposed activities. Applicants selected for award are not permitted to sub-grant the work to other organizations unless they are identified in the application as a partner. Applicants have the discretion to design and propose the duration of time and commensurate levels of funding needed to carry out the project and achieve the most impact and results. However, under this RFA the maximum duration of any grant is twelve (12) months from the date of award.

E. Grants Program Administration

Award administration encompasses all dealings between Tetra Tech and the grantee from the time the award is made until the end of USAID ICED Project support. The specific nature and extent of administration will vary from award to award. It can range from reviewing and analyzing performance reports, to performing site visits, to a more technically developed involvement of project implementation. Post award orientation with the Recipient and USAID ICED project technical staff is encouraged to clarify the roles and responsibilities of the USAID ICED project officials who will administer the award. The Grants Manager shall serve as the mandatory control point of record for all official communication dealing with grant administration.

The Grants Manager shall provide for the continuing oversight by appropriate USAID ICED project staff of the financial management aspects of the award through reviews of reports, correspondence, site visits or other appropriate means. All grants are subject to audit.

Site visits are an important part of effective award management. Site visits by USAID technical staff are encouraged, since they can often be an effective means of review of the project. A brief report highlighting the findings will be completed and included in the grant file.

Grants are subject to the provisions established and included in each award. The Grants Manager or his/her designee shall determine that the award does not contain administrative approvals that are in conflict with the grant provisions, stated regulations and policies. The Grants Manager is responsible for processing all award agreements modifications, suspension and termination actions. All matters regarding grants administration are recorded on ICED database system.

The grants implementation plan has a number of purposes:

Execute the USAID ICED Grants Program in compliance with the USAID ADS [Automated Directive System] 302.3.4.8 and 302.3.5.6 and the grants awards will be administered in accordance with the requirements of 22 CFR 226, ADS 303, the provisions of the Contract, and applicable Federal law;

Adhere with the Grants Program all programmatic and administrative assurances and other administrative certification requirements;

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Establish a grants management task force to execute the grants program, how it will be managed, monitored and evaluated, and consolidate target results in the Project Monitoring Plan (PMP); and

Have clear distribution and allocation of grants funds and grants administration funds to manage ICED grants funds during the project implementation period. F. Reporting Requirements

Reporting of results is a mandatory requirement. The ICED Grants Program will require grantees to conduct data collection, processing, and analysis as a means to document experiences and lessons learned. Grantees will be required to track direct and indirect linkages to ICED objectives, identify their own project’s primary objective(s), identify indicators that relate directly to performance and success of the proposed project, and report on these briefly on a monthly basis. The application requires that each project budget include the resources to be used to collect the necessary data for progress reporting. Grantees will also be required to submit monthly technical reports and financial reports, and a final report following project completion. Further reporting guidelines will be provided to selected grantees upon award. End of Section-1

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SECTION 2 - GRANT APPLICATION INSTRUCTIONS

A. Preparation Guidelines All applications must be submitted in English and no later than the date and time indicated on the cover page of this RFA. Each application will be reviewed for responsiveness to the specifications outlined in these guidelines and the application format. Applications to be submitted are technical application and cost/management application not exceeding a total of 30 pages. Technical applications should be specific, complete and presented concisely. Applications should demonstrate the Applicant's capabilities and expertise with respect to achieving the goals of the project proposed. Applications should take into account the technical evaluation criteria contained in Section 3. Applicants should retain for their records, a copy of the application and all enclosures that accompany their application. Erasures or other changes must be initialed by the person signing the application. To facilitate the competitive review of the applications, ICED will consider only applications conforming to the format prescribed below.

B. Technical Application This technical component is designed to determine the ability of the institution to clearly articulate the scope of activities and budget of the proposed project. Applicants must follow the outline below in order to be considered. Applicants must demonstrate their ability to manage and implement the proposed project and how the proposed project contributes directly to the ICED program and Grants program objectives. The technical application shall contain the following parts: Part I – Coversheet (1 page) Part II – Application Document (max 15 pages)

a. Summary of Problem Statement and Background b. Statement of Goals and Project Objective(s) c. Target Beneficiaries d. Project Methodology and Technical Approach e. Work Plan Schedule f. Expected Results and Impacts g. Environmental Impact and Mitigation h. Gender Analyses

Part III – Attachments (max 10 pages)

a. Institutional Capacity/Past Performance b. Detailed Performance Monitoring Plan c. List of Team Members, including Scopes of Work and Brief Profiles Key Personnel

Page limitations are specified below for each section. Applications must be on A4 (210mm by 297mm), single spaced, Calibri 11 font, with one-inch margins on each sides.

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Part I – Coversheet (1 page) The following cover sheet should be submitted for all applications:

ICED GRANTS APPLICATION SUBMISSION FORM

Date: FROM: <Name of Contact Person> <Name of Organization> <Street Address> <City> <Postal code> <Country> <Phone><Fax> <Website>

TO: ICED Grants Manager 5th Floor Tifa Building JL KUNINGAN BARAT 26 Jakarta Selatan 12710 Indonesia Grants@iced.or.id

Subject: Application titled “<title of Application>” under ICED Grants Program. We, the undersigned, offer to apply to undertake the Application titled “<title of Application>” in accordance with your Request for Application (RFA) no. ICED-RFA-01-2013 dated March 1, 2013. We are hereby submitting our Application. The primary objective of the Application is to <in two lines> The amount of funds requested from ICED Grants Program is <in local currency> and the cost share provided by applicant and other partners is <in local currency> Duration of the project is <months> Yours sincerely, (Signature & Organizational Stamp) Name and Title of Signatory Phone number and e-mail NOTE: Print the completed ICED grants application submission form, put signature and organizational stamp, then scan the document for submission.

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Part II – Application Document (max 15 pages) a. Summary of Problem Statement and Background – describe the current energy use patterns

(including lack of modern energy), summarize the key problems of the project area proposed and the associated social and economic challenges.

b. Statement of Goals and Project Objective(s) – describe how the proposed project will overcome the challenges above, and how the proposed project responds to the overall ICED and grants program objectives.

c. Target Beneficiaries – Describe the targeted group that will be benefited from this program, number of people affected and segregation by gender.

d. Project Methodology and Technical Approach – describe the innovative interventions to respond to these problems and series of activities to be undertaken for the proposed project. The elements of the Applicant’s strategy and approach should also be summarized here. Identify key personnel involved in each task, and list any resulting output. Also provide the overall roles and responsibilities of each individual working on the project.

e. Work plan schedule – Provide a timeline corresponding to the implementation schedule for the scope of work described in “Project Methodology”. The work plan schedule should show the start date, end date, and duration of each task or activity, including any critical milestones such as equipment procurement, commissioning.

f. Expected Results and Impacts – Expected impact of implementing the proposed project such as amount of energy produced annually and over the life of the project, the reduction in the use of traditional fuels (e.g., kerosene, firewood, charcoal), number of households or persons whose energy needs will be met, and any additional income earning activities. Applicants should describe how they plan to use the results of the proposed project to expand the proposed project and/or implement similar projects in other areas.

g. Environmental impact and mitigation – describe any possible environmental impact associated implementing the proposed project, and the actions planned to mitigate the impact.

h. Gender Analyses – Describe the existing gender relations of your target group/beneficiaries, the

division of labor between men and women (who does what work), and who has access to, and control over, resources. Recognize the ways women and men work and contribute to the economy, their family and society. Explain the identified barriers to women's participation in your propose program, and how it would address the issues in the planning, implementation, monitoring and evaluation process of your proposed project.

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Part III – Attachments (max 10 pages) a. Institutional Capacity and Performance Record – Applicants must offer evidence of their

technical and managerial resources and expertise (or their ability to obtain such) in program management, grants management and training, and their experience in managing similar programs in the past. Information in this section should include:

(a) A brief description of organizational history, years in existence, and expertise; (b) Past experience and examples of accomplishments in developing and implementing similar

programs; (c) Institutional strength as represented by breadth and depth of experienced personnel in

project-relevant disciplines/areas; (d) References for past work: name and address of organization(s) for which work of a similar

nature was performed; current telephone number of responsible representative of the organization(s) for which the work was performed; contract/grant name and number (if any), annual amount received for each of the last three years, and beginning and ending dates; brief description of the project/assistance activity.

This section should also include a Management Plan that defines: (a) The proposed organizational structure and staffing plan, which includes all personnel for

backstopping support, management and technical implementation of the program; (b) The proposed internal lines of responsibility, authority and communication through which

the grant agreement will be managed; (c) The procedures that will be established and maintained to ensure effectiveness, quality,

timeliness, responsiveness, early identification and resolution of problems, and cost control. b. Performance Monitoring and Evaluation Plan – This RFA contains objectives with illustrative

interventions and anticipated results. Applicants should provide a proposed Performance Monitoring and Evaluation Plan that emphasizes the anticipated methodology for monitoring the achievement of results and suggests specific impact indicators, including gender-related indicators.

c. List of Team Members, including Scopes of Work and Brief Profiles of Key Personnel- Applicants should provide summary job descriptions and qualifications of all local key professional staff to be funded under the grant agreement. Brief profiles for these staff should be provided together with recent references from persons familiar with the individual's work.

Applications should also include copies of letters from all key professional staff to the effect that they will accept the position in question for the entire project period of the grant agreement, should the Applicant receive an award. One long-term professional must be identified as Project Manager or Team Leader, who will be responsible for the management and coordination of all activities under the grant agreement. Applicants are encouraged to maximize the sustainability of the program and transfer of skills and technology by utilizing local communities to the greatest extent possible.

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C. Cost/Management Application (max 4 pages) The Cost/Management Application will include detailed budget with matching funds and budget notes/narrative describing the cost line items as needed. Budget must be broken down by partner institution, showing the overall project amount and the amount, per line item, allocated for each partner institution. Certain additional documents might later be required to be submitted by an Applicant in order for ICED Finance Officer and Grants Manager to make a pre-award responsibility determination. The following notes describe the cost/management application to be submitted: 1. Cost Application – Should include a budget for the entire proposed program with an accompanying budget narrative which details the total cost of implementing the program being proposed. The following information should be taken into consideration when developing the budget: Activity Cost – Direct activities associated with the program to achieve the direct outcome. Costs should be listed in the order that activities will be performed. Direct Labor Cost – Direct salaries and wages for the entire program period of the Grant shall be in accordance with the organization's established personnel policies. To be considered adequate, these policies must be in writing, applicable to all employees of the organization, is subject to review and approval at a high enough organizational level to assure uniform enforcement, and result in costs which are reasonable and allowable in accordance with applicable cost principles. The budget note/narrative should include a level of effort analysis specifying personnel, rate of compensation, and amount of time proposed. Fringe Benefits – If accounted for as a separate item of cost, fringe benefits should be based on the host country prevailing practice and should include a detailed breakdown of all fringe benefits (e.g., health and life insurance, Lebaran bonus). Supplies and Equipment – Differentiate between expendable supplies and nonexpendable equipment (NOTE: Equipment is defined as tangible nonexpendable property charged directly to the award having a useful life of more than one year and an acquisition cost of $5,000 or more per unit, unless the Applicant's established policy for nonexpendable equipment anticipated to be required to implement the program, specifying quantities and unit cost). The Applicants should consider the level of local content for any equipment needed for the project purposed, such as for civil work facilities, mechanical-electrical equipment, power/energy transmission system, gasification engine, gas engine, etc. Travel and Per Diem – The narrative should indicate number of trips (domestic), and the estimated unit cost. Specify the origin and destination for each proposed trip, duration of travel and number of individuals traveling. Other Direct Costs – This could include any miscellaneous costs such as communications, report preparation costs, etc. The narrative, or supporting schedule, should provide a complete breakdown and support for each item in Other Direct Costs. 2. Cost Sharing or Match Funding Policies and Procedures – Applicants are required to indicate the amount of cost sharing towards this activity and show all non-ICED funds immediately available for this purpose in their cost/management application. A minimum cost sharing level of ten percent (10%) of the total program budget is required for this program. Applicants are, however, encouraged to contribute higher levels of cost share toward this activity.

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Since the ICED Grants Program is funded by the U.S. Government, it is subject to its financial rules under the Code of Federal Regulations (CFR). Cost Sharing or matching is referred to as that portion of project or program costs not borne by the U.S. Federal Government. There are several types of match that can be provided including volunteer services furnished by professional and technical personnel, consultants and other skilled and unskilled labor, office space, equipment, staff-time, telephone, electricity, etc. may be counted as cost sharing or matching if the service is an integral and necessary part of an approved project or program. Furthermore, in accordance with 22 CFR 226.24, program income may be used to finance the required cost-share portion of the grant award. The nature and amount of the cost-sharing/matching contribution must be clearly defined. Applicants should distinguish between co-funding that is already committed and co-funding that is only anticipated. Basic requirements, all of which must be met, in order for contributions, including cash and third party in-kind, to be considered a cost share or match:

Are verifiable from the recipient’s records.

Are not included as contributions for any other U.S. federally-assisted project or program.

Are necessary and reasonable for proper and efficient accomplishment of project or program objectives.

Are allowable under the applicable cost principles.

Are not paid by the U.S. Federal Government under another award, except where authorized by Federal statute to be used for cost sharing or matching.

Are provided for in the approved budget.

Conform to other provisions of CFR Section 226.23 Cost Sharing or Matching, as applicable.2

2 Please see the following website under the section titled, Cost Sharing or Matching, for the full text of all

required conditions. <http://www.access.gpo.gov/nara/cfr/waisidx_00/22cfr226_00.html>.

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SAMPLE APPLICATION BUDGET Please note this is a sample budget and you may add or delete items that do not relate to the operations of your organization.

ICED Partner

1.1 /month %

1.2 /month %

1.3

1.4

2.1 /month %

2.2

2.3

3.1 /day %

3.2

4.1 /day %

4.2 /ride

4.3

4.4

5.1 /unit %

5.2

5.3

5.4

6.1 /month %

6.2

6.3

6.4

7.1

7.1.a

7.1.b

7.1.c

7.2

7.2.a

7.2.b

Subtotal

6. OTHER DIRECT COSTS (ODC)

TOTAL BUDGET

Line ItemCost Sharing

1. PERSONNEL/LABOR

Subtotal

Subtotal

3. CONSULTANTS

Subtotal

4. TRAVEL

Subtotal

7. PROGRAM ACTIVITIES

Subtotal

2. FRINGE BENEFITS

Subtotal

5. EQUIPMENT

Program Budget (Name of Partner Organization)

LOE Duration # of

units Unit

Unit

Costs

Total

Budget

Notes: 1. Item “Costs used in the Project” includes direct materials & goods costs, spare parts costs,

inventory costs used for grant project implementation. 2. Travel costs to the sites and back, which are incurred as a direct result of project-related

activities, are reimbursed in amount of and vehicle costs (except taxi expenses) 3. Communication costs shall include telephone, fax, express mail, postage, etc. 4. Technical Expertise payments are based on a monthly rate supported by invoices/contracts for

the specific service.

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D. Explanation of RFA to Prospective Applicants Any prospective Applicant desiring an explanation or interpretation of this RFA must request it in writing soon enough to allow a reply to reach all prospective Applicants before submission deadline. For this purpose, written inquiries may be submitted by e-mail to the Grant Manager, identifying this RFA by number, to grants@iced.or.id. Any inquiries must be submitted no later than 10 (ten) calendar days after the issuance date of the RFA. Oral explanations or instructions given before award of the Grant will not be binding. Any information given to a prospective Applicant concerning this RFA will be furnished promptly to all other prospective Applicants as an amendment of this RFA, if that information is necessary in submitting applications or if the lack of it would be prejudicial to any other prospective Applicants.

E. Submission of Applications Completed applications must be received by April 21, 2013, by email (preferable) to grants@iced.or.id. The applications must be considered valid for a period of 40 (thirty) days from the closing date. If the submission is not being made electronically, the applicant is required to submit three identical hard copies and soft copy on a CD/DVD/flash disc by mail or by courier to the ICED Grants Manager before the deadline at the following address:

ICED Program c/o Grants Manager 5th Floor Tifa Building, Suite 504 JL. KUNINGAN BARAT 26 Jakarta Selatan, Indonesia 12710

Late or incomplete applications may only be reviewed if authorized by the Grants Manager and only if all such submissions are treated the same and are evaluated prior to award of any other agreements under this RFA.

F. Notification Applicants will be notified whether or not their application has met the minimum evaluation score. Applicants with score of 70 points or higher may be asked to submit further information at that time to help the Selection Committee make a final decision on whether or not the application will be selected. Following is the timetable for the RFA selection process: RFA issuance date: March 12, 2013 Pre-application meeting: Jakarta, March 21, 2013, at 9:00 a.m. at Hotel Century Park Pekanbaru, March 22, 2013, at 9:00 a.m. location: Hotel Aryaduta

Medan, March 25, 2013, at 9:00 a.m. location: Hotel Aryaduta Banda Aceh, March 26, 2013, at 9:00 a.m. location: Hotel Grand Nangroe Clarification questions due: March 26, 2013 at 5 p.m. Response to clarifications due: March 28, 2013 Proposal due date and time: April 21, 2013 Application selection process: April 22 – May 3, 2013 Awardees selected May 8, 2013 End of Section-2

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SECTION 3 – EVALUATION CRITERIA, REVIEW AND SELECTION PROCESS The applications will be evaluated by a Grants Evaluation Committee (GEC) in accordance with the evaluation criteria set forth below. The criteria presented have been tailored to the requirements of this particular RFA. Applicants should note that these criteria serve to (a) identify the significant matters which Applicants should address in their applications, and (b) set the standard against which all applications will be evaluated. Selection to award the Grant Agreement is structured so that program quality criteria will be the primary basis for awarding the agreement. The total of 100 (a hundred) points is allocated to 5 (five) components. Specific point values are assigned to each component but are not broken down across the sub-elements and key concepts. If an Applicant fails to include information on any of the required areas, the proposal’s overall rating will be decreased. Given the constraints of length, Applicants are encouraged to be concise in the discussion. Award(s) will be made to the responsible Applicant(s) whose responsive application offers the greatest value, based on technical and cost factors set forth below. 1. Strategic fit with ICED Program (35 Point) – Contribution toward ICED Program Results and

Grants Objectives, sustainability of project results, benefits and impacts for the target groups.

2. Feasibility of design & technical approach (25 point) – Clearly defined problem statement/project rational, clearly outlined goals & objectives, innovative technical approach, potential obstacles identified and solutions provided are clearly structured timeline/schedule.

3. Organizational capabilities (20 point) – Past performance on similar projects, relevance of staff

skills to the proposed program, experience in geographic region, capacity to adhere to USAID financial guidelines.

4. Financial self-reliance (10 point) – Cost reasonableness, cost effectiveness, capacity to leverage

funding for cost-share contribution, funding and plan for project continuation.

5. Other considerations (10 points) Inclusion of women, under-served segments of community and indigenous people

The ICED Grants Program has a minimum threshold of 70 points for projects to be considered for further deliberation. Applications that not achieve a score of 70 points will be informed. Applicants may resubmit their proposal in response to future solicitations. Primary consideration will be awarded to applications that address conservation of non-renewable sources of energy and associated greenhouse gas emissions. Applications should provide a baseline (or methodology for calculating current energy use). ICED anticipates three types of grant including Standard Grant, Simplified Grant and Fixed Obligation Grant. The type of award will be determined by considering the results of pre-award assessment and negotiation with the selected Applicant(s). End of Section-3

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SECTION 4 – SUPPORTING DOCUMENTATIONS Applicants are required to complete and attached the following certifications and assurances to the application submitted. Applications without these certifications and assurances will be considered incomplete. 1. Assurance of Compliance with Laws and Regulations Governing Non-Discrimination in Federally Assisted Programs 2. Certification Regarding Lobbying 3. Prohibition on Assistance to Drug Traffickers for Covered Countries and Individuals (ADS 206) 4. Certification Regarding Terrorist Financing, Implementing Executive Order 13224

Complete copies of these Certifications may be downloaded from the following website:

http://transition.usaid.gov/policy/ads/300/303mav.pdf

Please attach the following documents to the application to be submitted:

A copy of Applicant’s organization or corporate registration.

Taxpayer Identification Number.

Letter of commitment from any partners or funding sources to provide support described in the proposal.

Memorandum of Understanding between the applicant and the host community and/or target beneficiaries.

End of Section-4

SECTION 5 – RECOMMENDED REFERENCES

Mandatory Standard Provisions for U.S. Nongovernmental Recipients

http://www.usaid.gov/policy/ads/300/303maa.pdf

Mandatory Standard Provisions for Non‐U.S. Nongovernmental Recipients

http://www.usaid.gov/policy/ads/300/303mab.pdf

Automated Directives System (ADS) Chapter 303, Grants and Cooperative Agreements to

Non‐Governmental Organizations,

http://www.usaid.gov/policy/ads/300/303.pdf

Certifications, Assurances, and Other Statements of the Recipient (May 2006); An Additional

Help for ADS Chapter 303

http://www.usaid.gov/policy/ads/300/303sad.pdf

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Certifications and Assurances

1. Assurance of Compliance with Laws and Regulations Governing Non-Discrimination in Federally Assisted Programs Note: This certification applies to Non-U.S. organizations if any part of the program will be undertaken in the United States. (a) The recipient hereby assures that no person in the United States will, on the bases set forth below, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under, any program or activity receiving financial assistance from USAID, and that with respect to the Cooperative Agreement for which application is being made, it will comply with the requirements of: (1) Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352, 42 U.S.C. 2000-d), which prohibits discrimination on the basis of race, color or national origin, in programs and activities receiving Federal financial assistance; (2) Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), which prohibits discrimination on the basis of handicap in programs and activities receiving Federal financial assistance; (3) The Age Discrimination Act of 1975, as amended (Pub. L. 95-478), which prohibits discrimination based on age in the delivery of services and benefits supported with Federal funds; (4) Title IX of the Education Amendments of 1972 (20 U.S.C. 1681, et seq.), which prohibits discrimination on the basis of sex in education programs and activities receiving Federal financial assistance (whether or not the programs or activities are offered or sponsored by an educational institution); and (5) USAID regulations implementing the above nondiscrimination law, set forth in Chapter II of Title 22 of the Code of Federal Regulations. (b) If the recipient is an institution of higher education, the Assurances given herein extend to admission practices and to all other practices relating to the treatment of students or clients of the institution, or relating to the opportunity to participate in the provision of services or other benefits to such individuals, and must be applicable to the entire institution unless the recipient establishes to the satisfaction of the USAID Administrator that the institution's practices in designated parts or programs of the institution will in no way affect its practices in the program of the institution for which financial assistance is sought, or the beneficiaries of, or participants in, such programs. 2. Certification Regarding Lobbying The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal Cooperative Agreement, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned must

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complete and submit Standard Form-LLL, “Disclosure of Lobbying Activities,” in accordance with its instructions. (3) The undersigned must require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients must certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, United States Code. Any person who fails to file the required certification will be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance “The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned must complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement will be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.” 3. Prohibition on Assistance to Drug Traffickers for Covered Countries and Individuals (ADS 206) USAID reserves the right to terminate this Agreement, to demand a refund or take other appropriate measures if the Grantee is found to have been convicted of a narcotics offense or to have been engaged in drug trafficking as defined in 22 CFR Part 140. The undersigned must review USAID ADS 206 to determine if any certifications are required for Key Individuals or Covered Participants. If there are COVERED PARTICIPANTS: USAID reserves the right to terminate assistance to or take other appropriate measures with respect to, any participant approved by USAID who is found to have been convicted of a narcotics offense or to have been engaged in drug trafficking as defined in 22 CFR Part 140. 4. Certification Regarding Terrorist Financing, Implementing Executive Order 13224 By signing and submitting this application, the prospective recipient provides the certification set out below:

1. The Recipient, to the best of its current knowledge, did not provide, within the previous ten years, and will take all reasonable steps to ensure that it does not and will not knowingly provide, material support or resources to any individual or entity that commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated, or participated in terrorist acts, as that term is defined in paragraph 3

2. The following steps may enable the Recipient to comply with its obligations under paragraph 1: a. Before providing any material support or resources to an individual or entity, the Recipient will verify that the individual or entity does not (i) appear on the master list of Specially Designated Nationals and Blocked Persons, which is maintained by the U.S. Treasury’s Office of

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Foreign Assets Control (OFAC), or (ii) is not included in any supplementary information concerning prohibited individuals or entities that may be provided by USAID to the Recipient. b. Before providing any material support or resources to an individual or entity, the Recipient also will verify that the individual or entity has not been designated by the United Nations Security (UNSC) sanctions committee established under UNSC Resolution 1267 (1999) (the “1267 Committee”) *individuals and entities linked to the Taliban, Usama bin Laden, or the Al-Qaida Organization]. To determine whether there has been a published designation of an individual or entity by the 1267 Committee, the Recipient should refer to the consolidated list available online at the Committee’s Web site: http://www.un.org/Docs/sc/committees/1267/1267ListEng.htm. c. Before providing any material support or resources to an individual or entity, the Recipient will consider all information about that individual or entity of which it is aware and all public information that is reasonably available to it or of which it should be aware. d. The Recipient also will implement reasonable monitoring and oversight procedures to safeguard against assistance being diverted to support terrorist activity.

3. For purposes of this Certification -

a. “Material support and resources” means currency or monetary instruments or financial securities, financial services, lodging, training, expert advice or assistance, safehouses, false documentation or identification, communications equipment, facilities, weapons, lethal substances, explosives, personnel, transportation, and other physical assets, except medicine or religious materials.” b. “Terrorist act” means - (i) an act prohibited pursuant to one of the 12 United Nations Conventions and Protocols related to terrorism (see UN terrorism conventions Internet site: http://untreaty.un.org/English/Terrorism.asp); (ii) an act of premeditated, politically motivated violence perpetrated against noncombatant targets by subnational groups or clandestine agents; or (iii) any other act intended to cause death or serious bodily injury to a civilian, or to any other person not taking an active part in hostilities in a situation of armed conflict, when the purpose of such act, by its nature or context, is to intimidate a population, or to compel a government or an international organization to do or to abstain from doing any act. c. “Entity” means a partnership, association, corporation, or other organization, group or subgroup. d. References in this Certification to the provision of material support and resources must not be deemed to include the furnishing of USAID funds or USAID-financed commodities to the ultimate beneficiaries of USAID assistance, such as recipients of food, medical care, micro-enterprise loans, shelter, etc., unless the Recipient has reason to believe that one or more of these beneficiaries commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated or participated in terrorist acts. e. The Recipient’s obligations under paragraph 1 are not applicable to the procurement of goods and/or services by the Recipient that are acquired in the ordinary course of business through contract or purchase, e.g., utilities, rents, office supplies, gasoline, etc., unless the Recipient has reason to believe that a vendor or supplier of such goods and services commits, attempts to commit, advocates, facilitates, or participates in terrorist acts, or has committed, attempted to commit, facilitated or participated in terrorist acts.

This Certification is an express term and condition of any agreement issued as a result of this application, and any violation of it will be grounds for unilateral termination of the agreement by USAID prior to the end of its term.

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5. Certification of Recipient By signing below the recipient provides certifications and assurances for (1) the Assurance of Compliance with Laws and Regulations Governing Non-Discrimination in Federally Assisted Programs, (2) the Certification Regarding Lobbying, (3) the Prohibition on Assistance to Drug Traffickers for Covered Countries and Individuals (ADS 206) and (4) the Certification Regarding Terrorist Financing Implementing Executive Order 13224 above. These certifications and assurances are given in consideration of and for the purpose of obtaining any and all Federal grants, loans, contracts, property, discounts, or other Federal financial assistance extended after the date hereof to the recipient by the Agency, including installment payments after such date on account of applications for Federal financial assistance which was approved before such date. The recipient recognizes and agrees that such Federal financial assistance will be extended in reliance on the representations and agreements made in these assurances, and that the United States will have the right to seek judicial enforcement of these assurances. These assurances are binding on the recipient, its successors, transferees, and assignees, and the person or persons whose signatures appear below are authorized to sign these assurances on behalf of the recipient. Request for Application No. ICED-RFA-01-2013 Application No. ________________________________________ Date of Application _____________________________________ Name of Recipient ______________________________________ Typed Name and Title ___________________________________ Signature _____________________________________________ Date _________________________________________________