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1 UNDP/GHA/IC/2015/11 INDIVIDUAL CONSULTANT PROCUREMENT NOTICE Date: 30 th April, 2015 Description of the assignment: Terminal Evaluation Project: Promoting of Appliance of Energy Efficiency and Transformation of the Refrigerating Appliances Market in Ghana Contract modality: Individual Contract (international consultancy) Period of assignment/services: June-July 2015 Starting date: 10 June 2015 Expression of interest (details in provided in the Procurement Notice) shall be submitted to [email protected] no later than 15 May 2015. Any request for clarification must be sent by standard electronic communication to the [email protected] subject: (UNDP/GHA/IC/2015/11). Interested Consultants should submit an email request to the above email between 8:00am – 3:00pm from 30 th April –12 th May, 2015. Copy of the document can be downloaded from the link below: http://www.gh.undp.org/content/ghana/en/home/operations/procurement/ UNDP Ghana will respond in writing or by standard electronic mail and will send written copies of the response, including an explanation of the query without identifying the source of inquiry, to all consultants. To assist you in understanding the requirements of this assignment, we have attached hereto the following: a) The Terms of Reference for the assignment described above; b) The standard Letter of Confirmation of Interest and Availability, which you must accomplish and submit to UNDP; and c) The Individual Contract and its General Terms and Conditions, which you would be expected to sign in the event you are the selected Offeror in this procurement process. d) IC P11 Forms e) Copies of Educational Certificates

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Page 1: INDIVIDUAL CONSULTANT PROCUREMENT NOTICE...Period of assignment/services: June-July 2015 Starting date: 10 June 2015 Expression of interest (details in provided in the Procurement

1 UNDP/GHA/IC/2015/11

INDIVIDUAL CONSULTANT PROCUREMENT NOTICE

Date: 30th April, 2015

Description of the assignment: Terminal Evaluation Project: Promoting of Appliance of Energy Efficiency and Transformation of the Refrigerating Appliances Market in Ghana Contract modality: Individual Contract (international consultancy) Period of assignment/services: June-July 2015 Starting date: 10 June 2015 Expression of interest (details in provided in the Procurement Notice) shall be submitted to

[email protected] no later than 15 May 2015. Any request for clarification must be sent by standard electronic communication to the [email protected] subject: (UNDP/GHA/IC/2015/11). Interested Consultants should submit an email request to the above email between 8:00am – 3:00pm from 30th April –12th May, 2015. Copy of the document can be downloaded from the link below: http://www.gh.undp.org/content/ghana/en/home/operations/procurement/ UNDP Ghana will respond in writing or by standard electronic mail and will send written copies of the response, including an explanation of the query without identifying the source of inquiry, to all consultants. To assist you in understanding the requirements of this assignment, we have attached hereto the following: a) The Terms of Reference for the assignment described above; b) The standard Letter of Confirmation of Interest and Availability, which you must accomplish and submit to UNDP; and c) The Individual Contract and its General Terms and Conditions, which you would be expected to sign in the event you are the selected Offeror in this procurement process. d) IC P11 Forms e) Copies of Educational Certificates

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2 UNDP/GHA/IC/2015/11

1. BACKGROUND The “Promoting of Appliance of Energy Efficiency and Transformation of the Refrigerating

Appliances Market in Ghana” project, being implemented since 2011 by the Energy Commission with

funding from UNDP and GEF, seeks to promote energy efficiency standards for refrigeration

appliances in Ghana, and demonstrate replicable and scalable equipment turn-in and replacement

program that removes inefficient and environmentally damaging appliances from the market and

replaces them with more efficient and environmentally friendly models. By removing the barriers

that currently inhibit the adoption of efficient refrigeration appliances, the project aims to allow

Ghanaian households and businesses to reduce their energy expenditures while improving quality of

life. Potential annual energy savings range from 30 percent to 50 percent depending on the success

level of market transformation incentives and programs.

In line with the requirement of the project document, the project must be subjected to at least two

independent external evaluations, namely the Mid-Term and the Terminal Evaluations. The objective

of this assignment is to undertake an independent Terminal Evaluation of the project.

2. DUTIES AND RESPONSIBILITIES OF THE INTERNATIONAL CONSULTANT (more

details in the TOR – Annex I)

Duties and Responsibilities:

The international consultant will work under the oversight of UNDP CO Ghana, and in collaboration

with the Energy Commission.

The TE will be conducted according to the guidance, rules and procedures established by UNDP and

GEF as reflected in the UNDP Evaluation Guidance for GEF Financed Projects.

The objectives of the evaluation are to assess the achievement of project results, and to draw lessons

that can both improve the sustainability of benefits from this project, and aid in the overall

enhancement of UNDP programming.

Deliverables:

Deliverable Content Timing Responsibilities

Inception

Report

Evaluator provides

clarifications on timing

and method

No later than 2 weeks before

the evaluation mission.

Evaluator submits to UNDP CO

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3 UNDP/GHA/IC/2015/11

Presentation Initial Findings End of evaluation mission To project management, UNDP CO

Draft Final

Report

Full report, (per annexed

template) with annexes

Within 3 weeks of the

evaluation mission

Sent to CO, reviewed by RTA, PCU,

GEF OFPs

Final Report* Revised report Within 1 week of receiving

UNDP comments on draft

Sent to CO for uploading to UNDP

ERC.

3. REQUIREMENTS FOR EXPERIENCE AND QUALIFICATIONS (more details in the TOR –

Annex I)

At least a first degree in science or engineering with minimum six years of relevant energy

related M&E professional experience or related field

Demonstrated technical knowledge in energy efficiency, in particular of household appliances

Highly knowledgeable of GEF and UNDP-GEF monitoring and evaluation policies procedures an

advantage Previous experience with results‐based monitoring and evaluation methodologies;

Must have undertaken at least 3 Mid-Term and/or Final Evaluations, including one in the field of

Energy Efficiency, preferably for a similar UNDP/GEF project;

Demonstrated ability to assess complex situations, succinctly distils critical issues, and draw

forward-looking conclusions and recommendations;

Familiarity with Ghana or any Developing Countries is an advantage;

Excellent in human relations, coordination, planning and team work.

Have exemplary written and oral communication skills in English, be fully IT literate

4. DOCUMENTS TO BE INCLUDED WHEN SUBMITTING THE PROPOSAL

Interested individual lead consultants must submit the following documents/information on behalf

of the team to demonstrate their qualifications:

1. Letter of interest

Explaining why the consultant is the most suitable for the work

Provide a brief methodology on how the consultant will approach and conduct the work, and

comment on the TOR

Schedule for the project

2. Financial proposal

3. Personal CV including past experience in similar projects and at least three references. The CV of

eventual assistant consultants should be included.

5. FINANCIAL PROPOSAL

Lump sum contract

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4 UNDP/GHA/IC/2015/11

The financial proposal shall specify a total lump sum amount, and payment terms around specific

and measurable (qualitative and quantitative) deliverables (i.e. whether payments fall in

installments or upon completion of the entire contract). Payments are based upon output, i.e. upon

delivery of the services specified in the TOR. In order to assist the requesting unit in the comparison

of financial proposals, the financial proposal will include a breakdown of this lump sum amount

(including travel, perdiems, number of anticipated working days). Financial proposals should be

inclusive of all taxes.

6. EVALUATION

The weighted scoring method will be utilized.

The award of the contract should be made to the individual consultant whose offer has been

evaluated and determined as:

a) responsive/compliant/acceptable, and

b) Having received the highest score out of a pre-determined set of weighted technical and financial

criteria specific to the solicitation.

* Technical Criteria weight: 70%

* Financial Criteria weight: 30%

Criteria Weight Max. Point

1) Technical % Points

Qualifications of Consultant

Academic Qualification

Knowledge of Energy Efficiency

Knowledge of Household Refrigerating Appliances

Knowledge of UNDP/GEF policies

20%

20 8 7 3 2

Professional Experience of Consultant

Relevant experience in conducting project evaluations

Relevant experience in the energy efficiency field

Relevant experience in Ghana or developing countries

Relevant experience with UNDP/GEF

35% 35 15 12 5 3

Methodology /Approach 15% 15

2) Financial 30% 30

TOTAL 100% 100

7. ANNEXES

ANNEX I - TERMS OF REFERENCES (TOR)

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5 UNDP/GHA/IC/2015/11

ANNEX II - OFFEROR’S LETTER TO UNDP CONFIRMING INTEREST AND AVAILABILITY FOR THE INDIVIDUAL CONTRACTOR (IC) ASSIGNMENT ANNEX III - GENERAL CONDITIONS OF CONTRACT FOR THE SERVICES OF INDIVIDUAL CONTRACTORS ANNEX IV – P11 FORM

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6 UNDP/GHA/IC/2015/11

ANNEX I

TERMINAL EVALUATION TERMS OF REFERENCE

INTRODUCTION

In accordance with UNDP and GEF M&E policies and procedures, all full and medium-sized UNDP support GEF

financed projects are required to undergo a terminal evaluation upon completion of implementation. These terms

of reference (TOR) sets out the expectations for a Terminal Evaluation (TE) of the Promoting of Appliance of Energy

Efficiency and Transformation of the Refrigerating Appliances Market in Ghana project (PIMS 4003).

The essentials of the project to be evaluated are as follows:

PROJECT SUMMARY TABLE

Project

Title:

Promoting of Appliance of Energy Efficiency and Transformation of the Refrigerating Appliances Market in Ghana

GEF Project ID: PIMS 4003

at endorsement

(Million US$)

at completion

(Million US$)

UNDP Project

ID:

00074729

GEF financing: 1,722,727

1,722,727

Country: Ghana IA/EA own: 200,000 (UNDP) 430,000

Region: Africa Government: 3,000,000 3,000,000

Focal Area: CCM Other: 1,198,388 (MLF) 1,198,388

FA Objectives,

(OP/SP): CC-SP1

Total co-financing:

Executing

Agency:

Energy

Commission

Total Project Cost:

Other Partners

involved:

ProDoc Signature (date project began): July 2011

(Operational) Closing Date: Proposed:

30 June 2014

Actual:

31 December 2014

OBJECTIVE AND SCOPE

The project was designed to promote energy efficiency standards for refrigeration appliances in Ghana, and

demonstrate replicable and scalable equipment turn-in and replacement program that removes inefficient and

environmentally damaging appliances from the market and replaces them with more efficient and environmentally

friendly models. By removing the barriers that inhibit the adoption of efficient refrigeration appliances, the project

aimed to allow Ghanaian households and businesses to reduce their energy expenditures while improving quality of

life. Potential annual energy savings range from 30 percent to 50 percent depending on the success level of market

transformation incentives and programs.

The project’s global objective was to reduce Ghana’s energy-related CO2 and ozone depleting substance (ODS)

emissions by mitigating the demand for energy in the country’s refrigeration and air conditioning sector and by

encouraging recovery, recycling and/or destruction of environmentally damaging refrigerants. This has been

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7 UNDP/GHA/IC/2015/11

accomplished through the implementation of energy efficiency measures and standards for refrigeration appliances

and also through the creation of a turn-in and replacement program for inefficient appliances and the ODS that they

contain.

This project has been implemented with budget support from the Global Environment Facility (GEF), the United

Nations Development Programme (UNDP) and the Government of Ghana, UNDP being the GEF Implementing

Agency and the lead executing agency is the Energy Commission.

The project has been executed through eight principal components:

i. Strengthening of regulatory and institutional framework

ii. Design of certification, labeling and enforcement systems

iii. Training and public outreach

iv. Establishment of refrigerating appliance test facility

v. Used appliance collection and disposal facilities

vi. Efficiency program evaluation and monitoring capacity development

vii. Conduct of refrigeration appliance rebate and exchange program

viii. Financial design of follow-up national market transformation programs

The project has the following outcomes:

i. Structures and mechanisms for implementation of appliance energy efficiency standards and labels (S&L)

strengthened

ii. National testing, certification, labeling and enforcement mechanisms adopted

iii. Increased consumer’s and retailer’s awareness and improved marketing of appliance energy efficiency standards

and labels

iv. Establishment of refrigerating appliance test facilities

v. Establishment of used appliance and ODS collection and disposal facilities

vi. Development of efficiency program evaluation and monitoring capacity

vii. Conduct of refrigeration appliance rebate and exchange program throughout Ghana that distribute at least 50,000

efficient appliances1

viii. Development of various feasible finance models for national scale follow-up of pilot rebate and exchange program

The TE will be conducted according to the guidance, rules and procedures established by UNDP and GEF as reflected

in the UNDP Evaluation Guidance for GEF Financed Projects.

The objectives of the evaluation are to assess the achievement of project results, and to draw lessons that can both

improve the sustainability of benefits from this project, and aid in the overall enhancement of UNDP programming.

EVALUATION APPROACH AND METHOD

An overall approach and method2 for conducting project terminal evaluations of UNDP supported GEF financed

projects has been developed over time. The evaluator is expected to frame the evaluation effort using the criteria of

1 The project Steering Committee decided to reduce this amount to 15,000 refrigerators to take into consideration the available

resources for the rebate scheme. Due to inflation and currency depreciation, the amount of the rebate had to be increased

substantially to make the scheme attractive. As the total amount committed by the Government did not change, the number of

refrigerators had therefore to be decreased to 15,000.

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8 UNDP/GHA/IC/2015/11

relevance, effectiveness, efficiency, sustainability, and impact, as defined and explained in the UNDP Guidance for

Conducting Terminal Evaluations of UNDP-supported, GEF-financed Projects. A set of questions covering each of

these criteria have been drafted and are included with this TOR (fill in Annex C) The evaluator is expected to amend,

complete and submit this matrix as part of an evaluation inception report, and shall include it as an annex to the

final report.

The evaluation must provide evidence‐based information that is credible, reliable and useful. The evaluator is

expected to follow a participatory and consultative approach ensuring close engagement with government

counterparts, in particular the GEF operational focal point, UNDP Country Office, project team, UNDP GEF Technical

Adviser based in the region and key stakeholders. The evaluator is expected to conduct a field mission to Accra

(Ghana) including some project sites in the Accra area, such as a refrigerator dismantling facility, a refrigerator test

facility, and some shops participating in the refrigerator turn-in and rebate scheme. Interviews will be held with the

following organizations at a minimum: Energy Commission (in particular: Executive Secretary, Head of Energy

Efficiency Division, Head of Inspectorate Division), Ministry of Energy and Petroleum, Ministry of Finance, Ghana

Standards Authority, Ministry of Trade and Industry, Ministry of Environment, Science, Technology and Innovation,

Energy Foundation, Environmental Protection Agency (National Ozone Unit), Ghana Revenue Authority (Customs

Division), Refrigeration and Air Conditioning Engineers Association of Ghana. The evaluator will also meet with City

Waste Management Company Limited (responsible for refrigerators dismantling) and some shops participating in

the rebate scheme.

The evaluator will review all relevant sources of information, such as the project document, project reports –

including Annual APR/PIR, project budget revisions, midterm review, progress reports, GEF focal area tracking tools,

project files, national strategic and legal documents, and any other materials that the evaluator considers useful for

this evidence-based assessment. A list of documents that the project team will provide to the evaluator for review is

included in Annex B of this Terms of Reference.

EVALUATION CRITERIA & RATINGS

An assessment of project performance will be carried out, based against expectations set out in the Project Logical

Framework/Results Framework (see Annex A), which provides performance and impact indicators for project

implementation along with their corresponding means of verification. The evaluation will at a minimum cover the

criteria of: relevance, effectiveness, efficiency, sustainability and impact. Ratings must be provided on the

following performance criteria. The completed table must be included in the evaluation executive summary. The

obligatory rating scales are included in Annex D.

Evaluation Ratings:

1. Monitoring and Evaluation rating 2. IA& EA Execution rating

M&E design at entry Quality of UNDP Implementation

M&E Plan Implementation Quality of Execution - Executing Agency

Overall quality of M&E Overall quality of Implementation / Execution

3. Assessment of Outcomes rating 4. Sustainability rating

Relevance Financial resources:

Effectiveness Socio-political:

Efficiency Institutional framework and governance:

2 For additional information on methods, see the Handbook on Planning, Monitoring and Evaluating for Development Results,

Chapter 7, pg. 163

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9 UNDP/GHA/IC/2015/11

Overall Project Outcome Rating Environmental :

Overall likelihood of sustainability:

PROJECT FINANCE / COFINANCE

The Evaluation will assess the key financial aspects of the project, including the extent of co-financing planned and

realized. Project cost and funding data will be required, including annual expenditures. Variances between planned

and actual expenditures will need to be assessed and explained. Results from recent financial audits, as available,

should be taken into consideration. The evaluator(s) will receive assistance from the Country Office (CO) and Project

Team to obtain financial data in order to complete the co-financing table below, which will be included in the

terminal evaluation report.

MAINSTREAMING

UNDP supported GEF financed projects are key components in UNDP country programming, as well as regional and

global programmes. The evaluation will assess the extent to which the project was successfully mainstreamed with

other UNDP priorities, including poverty alleviation, improved governance, the prevention and recovery from

natural disasters, and gender.

IMPACT

The evaluators will assess the extent to which the project is achieving impacts or progressing towards the

achievement of impacts. Key findings that should be brought out in the evaluations include whether the project has

demonstrated: a) verifiable improvements in ecological status (energy efficiency of refrigerating appliances), b)

verifiable reductions in stress on ecological systems (negative environmental impacts of end-of life equipment),

and/or c) demonstrated progress towards these impact achievements.3

CONCLUSIONS, RECOMMENDATIONS & LESSONS

The evaluation report must include a chapter providing a set of conclusions, recommendations and lessons.

IMPLEMENTATION ARRANGEMENTS

3 A useful tool for gauging progress to impact is the Review of Outcomes to Impacts (ROtI) method developed by the GEF

Evaluation Office: ROTI Handbook 2009

Co-financing

(type/source)

UNDP own financing

(mill. US$)

Government

(mill. US$)

Partner Agency

(mill. US$)

Total

(mill. US$)

Planned Actual Planned Actual Planned Actual Actual Actual

Grants

Loans/Concessions

In-kind support

Other

Totals

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10 UNDP/GHA/IC/2015/11

The principal responsibility for managing this evaluation resides with the UNDP CO in Ghana. The Project Team will

be responsible for liaising with the Evaluator’s team to set up stakeholder interviews, arrange field visits, coordinate

with the Government etc.

EVALUATION TIMEFRAME

The total duration of the evaluation will be 25 days according to the following plan:

Activity Timing Completion Date

Preparation 4 days 17 June 2015

Evaluation Mission 10 days 28 June 2015

Draft Evaluation Report 10 days 17 July 2015

Final Report 1 day 28 July 2015

EVALUATION DELIVERABLES

The evaluation team is expected to deliver the following:

Deliverable Content Timing Responsibilities

Inception

Report

Evaluator provides

clarifications on timing

and method

No later than 2 weeks before

the evaluation mission.

Evaluator submits to UNDP CO

Presentation Initial Findings End of evaluation mission To project management, UNDP CO

Draft Final

Report

Full report, (per annexed

template) with annexes

Within 3 weeks of the

evaluation mission

Sent to CO, reviewed by RTA, PCU,

GEF OFPs

Final Report* Revised report Within 1 week of receiving

UNDP comments on draft

Sent to CO for uploading to UNDP

ERC.

*When submitting the final evaluation report, the evaluator is required also to provide an 'audit trail', detailing how

all received comments have (and have not) been addressed in the final evaluation report.

TEAM COMPOSITION

The evaluation team will be composed of 1 international evaluator. The consultant shall have prior experience in

project evaluation. Experience with GEF financed projects is an advantage. The evaluator selected should not have

participated in the project preparation and/or implementation and should not have conflict of interest with project

related activities.

The evaluator must present the following qualifications:

At least a first degree in science or engineering with minimum six years of relevant energy related M&E professional experience or related field

Demonstrated technical knowledge in energy efficiency, in particular of household appliances

Highly knowledgeable of GEF and UNDP-GEF monitoring and evaluation policies procedures an advantage Previous experience with results‐based monitoring and evaluation methodologies;

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11 UNDP/GHA/IC/2015/11

Must have undertaken at least 3 Mid-Term and/or Final Evaluations, including one in the field of Energy Efficiency, preferably for a similar UNDP/GEF project;

Demonstrated ability to assess complex situations, succinctly distils critical issues, and draw forward-looking conclusions and recommendations;

Familiarity with Ghana or any Developing Countries is an advantage;

Excellent in human relations, coordination, planning and team work.

Have exemplary written and oral communication skills in English, be fully IT literate

EVALUATOR ETHICS

Evaluation consultants will be held to the highest ethical standards and are required to sign a Code of Conduct

(Annex E) upon acceptance of the assignment. UNDP evaluations are conducted in accordance with the principles

outlined in the UNEG 'Ethical Guidelines for Evaluations'

PAYMENT MODALITIES AND SPECIFICATIONS

% Milestone

20% At contract signing

40% Following submission and approval of the 1st draft terminal evaluation report

40% Following submission and approval (UNDP-CO and UNDP RTA) of the final terminal evaluation report

APPLICATION PROCESS

As indicated in the Procurement Notice.

UNDP applies a fair and transparent selection process that will take into account the competencies/skills of the

applicants as well as their financial proposals. Qualified women and members of social minorities are encouraged to

apply.

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12 UNDP/GHA/IC/2015/11

ANNEX A: PROJECT LOGICAL FRAMEWORK

Strategy Indicators Baseline (Year 0) Target Sources of

Verification Risks and Assumptions

GOAL:

To reduce Ghana’s energy-

related CO2 and ozone

depleting substance (ODS)

emissions

Cumulative amount of GHG

reduced in kilotons of CO2

None

CO2 reduction- 251.6

kilotons comprising:

- 129.6 kilotons CO24

abated from energy

savings

- 122.0 kilotons CO25

abated from CFCs (ODS)

removal

Project implementation

reports

GHG inventories and

reports to UNFCCC

The policy/ institutional/

regulatory framework in

Ghana is fully supportive of

the project objectives

PROJECT OBJECTIVE:

To improve the energy

efficiency of refrigeration

appliances in Ghana through

the introduction of energy

efficiency standards, and

demonstration of equipment

turn-in and replacement

program

Reduced consumption of

electricity by households,

institutions and commercial firms

for refrigeration

Tons of CO2 emissions

reduction

Large number

of refrigeration

appliances with

poor energy

efficiency and

ozone depleting

substances in

Ghana

Purchase of 50,000 energy

efficient refrigeration

appliances by year 3 of

project implementation6

Energy savings – 216,000 MWh7

CO2 reduction- 251.6

kilotons

Refrigeration

appliances imports /

retailers survey

Project

implementation reports

The policy/ institutional/

regulatory framework in

Ghana is fully supportive of

the project objectives

Strong involvement for

project from retailers and

consumers of refrigeration

appliances

Project is implemented as

per plan

OUTCOME 1:

Structures and mechanisms

for appliance energy

efficiency standards and

labels (S&L) strengthened

Policy/ institutional/ regulatory

framework on energy efficient

refrigeration appliances

Poor

policy/

institutional/

regulatory

framework

Policy/ institutional/

regulatory framework on

energy efficient

refrigeration appliances is

fully operational

Survey of major

stakeholders

Major stakeholders are

willing to support the project

objectives

Strategy Indicators Baseline (Year 0) Target Sources of Risks and Assumptions

4 38.9 kiltons based on the revision to 15,000 by the Steering Committee (if including only refrigerators purchased through the rebate scheme) 5 36.6 kilotons based on the revision to 15,000 by the Steering Committee (if including only refrigerators purchased through the rebate scheme) 6 15,000 based on the revision to 15,000 by the Steering Committee (if including only refrigerators purchased through the rebate scheme) 7 64,000 MWh based on the revision to 15,000 by the Steering Committee (if including only refrigerators purchased through the rebate scheme)

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13 UNDP/GHA/IC/2015/11

Verification

Output 1.1: S&L

implementation regulations

reviewed through stakeholder

consultations

Stakeholders engaged in

consultations

None Majority of

stakeholders fully review

S&L implementation

regulations

Stakeholder

consultation reports

Stakeholders actively

participate in the review of

S&L implementation

regulations

Output 1.2: Consulting and

advising provided to

enforcement authority staff

and government ministries,

departments and agencies

(MDAs), involved in S&L

program

Enforcement authority staff

and provided with consultancy

and advisory services

None Enforcement authority

staff and MDAs involved

in the S&L program build

adequate capacity to

implement the program

Performance

Reports on

enforcement authority

staff and MDAs

involved in the S&L

Enforcement authority staff

and MDAs involved in the

S&L are willing to support the

project objectives

Output 1.3: Monitoring and

data collection studies

performed for end-use sales

and appliance energy use

Launching of monitoring and

data collection studies

None Detailed database on

end-use sales and energy

use of refrigeration

appliances

Report on end-use

sales and energy use of

refrigeration appliances

published

Consumers and retailers of

refrigeration appliances, and

MDAs involved in the S&L

are willing to cooperate in data

collection

OUTCOME 2:

National testing, certification,

labeling and enforcement

mechanisms and

infrastructure adopted

Framework for national testing,

certification, labeling and

enforcement mechanisms and

infrastructure

None

Framework for national

testing, certification,

labeling and enforcement

mechanisms and

infrastructure is fully

operational

Survey of retailers

and consumers of

refrigeration appliances

Retailers and consumers

of refrigeration appliances

support the project objectives

Output 2.1: National testing

and certification procedures

defined

Framework for testing and

certification procedures on

refrigeration appliances

None National testing and

certification procedures are

published

National testing and

certification procedures

documents

Key stakeholders involved

in testing and certification

procedures cooperate in

project

Output 2.2: Verification and

enforcement procedures

developed and state

inspectors trained

Number of state inspectors

trained on verification and

enforcement procedures

None At least 150 state

inspectors trained

nationwide on verification

and enforcement

procedures by Year 3 of

project

Project

implementation reports

State inspectors cooperate to

be trained on verification and

enforcement procedures

OUTCOME 3:

Increased consumer’s and

retailer’s awareness and

improved marketing of

Consumers and retailers who

become more aware of appliance

energy efficiency standards and

None

Majority of consumers and

retailers become more

aware of appliance energy

Consumers and

retailers survey

Project

Retailers and consumers of

refrigeration appliances

support the project objectives

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14 UNDP/GHA/IC/2015/11

appliance energy efficiency

standards and labels

labels and retailers who improve

their marketing

efficiency standards and

labels and retailers

improve their marketing

implementation reports

Strategy Indicators Baseline (Year 0) Target Sources of

Verification Risks and Assumptions

Output 3.1. Enhanced

awareness and knowledge of

retailers’ management and

retail staff trained in

appliance energy efficiency

issues and sales rationales

Number of awareness sessions

offered to retailers’ management

Number of training sessions

offered to retail staff

Attendance rate

None 3 awareness sessions / year

5 training sessions / year

75% attendance rate

Program

implementation reports

Retail companies of

refrigeration appliances

participate in awareness and

training sessions

Output 3.2. Enhanced

consumers’ awareness of

appliance energy efficiency

characteristics, standards and

labels, and of costs and

benefits of more efficient

products

Number of dissemination

activities offered to consumers

Number of consumers covered

by dissemination activities

None.

500,000 households

become aware of

characteristics of more

efficient refrigeration

appliances in Year 3

Consumer surveys

Program

implementation reports

Effective awareness activities

are offered to consumers of

refrigeration appliances

OUTCOME 4:

Establishment of

refrigerating appliance test

facility

Appliance test facility

None

Commissioned test

facility

Operational

test facility

Pre-construction processes

proceed as per plan

Output 4.1. Refrigeration

appliance test facility

designed and budgeted

Design drawings and budget on

refrigeration appliance test

facility

None Design drawings and

budget on refrigeration

appliance test facility

completed

Technical and

financial proposal from

a firm for the design

and cost estimates of

refrigeration appliance

test facility

Bid documents for design

and cost estimates of

refrigeration appliance test

facility are appropriately

prepared in good time

Output 4.2. Refrigeration

appliance test facility built

and commissioned

Refrigeration appliance test

facility

None Commissioned

refrigeration appliance test

facility

Fully operational

refrigeration appliance

test facility

Building and

commissioning of

refrigeration appliance test

facility are undertaken within

time and budget limits

OUTCOME 5:

Establishment of used

appliance and ODS collection

and disposal facilities

Collection and disposal

facilities

None

Commissioned

collection and disposal

facilities

Operational

collection and disposal

facilities

Pre-construction processes

proceed as per plan

Output 5.1. Ghana

refrigeration appliance

Number of capacity building

sessions offered to refrigeration

None. 500 refrigeration

technicians undergo Consumer surveys

Project

Refrigeration technicians

are interested in building

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15 UNDP/GHA/IC/2015/11

industry understands

environmentally friendly

technologies and procedures

for the collection and

disposal of appliances and

ODSs

technicians

Attendance rate

capacity building by year 3

of program implementation

implementation reports

capacity on the collection and

disposal of appliances and

ODSs

Strategy Indicators Baseline (Year 0) Target Sources of

Verification Risks and Assumptions

Output 5.2. Bid documents

formulated for Used

Appliances Collection and

Disposal Facilities

(UACDFs)

Bid documents for ODS and

used refrigerator collection and

disposal

None. Completed bid documents

for ODS and used

refrigerator collection and

disposal

Completed bid

documents

Bid documents are

appropriately prepared in good

time

Output 5.3. Contract signed

for UACDFs

Contract document None Contract documents

signed with firm with

winning bid

Signed contract

document Contract documents are

appropriately prepared in good

time

Output 5.4. ODS Disposal

Centre designed and

implemented

ODS Disposal Centre None Commissioned ODS

Destruction Centre

Fully operational ODS

Disposal Centre Building and

commissioning of ODS

Disposal Centre are

undertaken within time and

budget limits

OUTCOME 6:

Development of efficiency

program evaluation and

monitoring capacity

Skilled Ghanaian professionals

in efficiency program evaluation

and monitoring

None

Adequate no. of skilled

Ghanaian professionals

Project

implementation reports

Full commitment of

Ghanaian professionals

Output 6.1. Professionals are

trained in energy efficiency

program monitoring and

evaluation study design,

methods, technologies and

procedures

Number of professionals trained

in energy efficiency program

monitoring and evaluation

None 30 professionals trained by

year 3 of program

implementation

Project

implementation reports

Ghanaian professionals are

interested to be trained

Output 6.2. Promising

monitoring technologies and

metering equipment are

tested and well-known in

Ghana

Monitoring technologies and

metering equipment

None. Good awareness and

availability of proven

monitoring technologies

and metering equipment

Project

implementation reports

Experts adequately review

monitoring technologies and

metering equipment and make

recommendations

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16 UNDP/GHA/IC/2015/11

Output 6.3. Pilot rebate and

turn-in program evaluation

and monitoring services are

bid and contracted to

qualified local professionals

Number of local professionals

contracted for program evaluation

and monitoring services

None Contractors’

evaluation and

monitoring services

reports

Selected contractors have

appropriate skills in evaluation

and monitoring services

Strategy Indicators Baseline (Year 0) Target Sources of

Verification Risks and Assumptions

OUTCOME 7:

Conduct of refrigeration

appliance rebate and

exchange program

throughout Ghana that

distribute at least 50,000

efficient appliances8

Framework for refrigeration

appliance rebate and exchange

program

None

Large no. of households

exchange for efficient

refrigerators

Refrigerator

consumers and retailers

survey

Refrigerator consumers and

retailers support project

objectives

Output 7.1. Carbon finance

options for Pilot Rebate and

Exchange Program are

accurately estimated and well

known

Number of evaluated carbon

finance options for Pilot Rebate

and Exchange Program

None Sustainable carbon

finance options for Pilot

Rebate and Exchange

Program are well-

documented

Project

implementation reports

Business Plan on

sustainable carbon

finance options

Experts adequately review

carbon finance options for

Pilot Rebate and Exchange

Program and make

recommendations

Output 7.2. Designs for loan

guarantee and capital

financing programs that can

facilitate implementation of

Pilot Rebate and Exchange

Program are known and

available

Number of loan guarantee and

capital financing schemes that

facilitate Pilot Rebate and

Exchange Program

None Sustainable loan

guarantee and capital

financing schemes are

well-documented and

adequately disseminated

Project

implementation reports

Business Plan on

sustainable loan

guarantee and capital

financing schemes

Experts adequately review

loan guarantee and capital

financing schemes and make

recommendations

Output 7.3. The refrigeration

appliance rebate and turn in

program is documented and

available

Comprehensive document on

refrigeration appliance rebate and

turn in program

None Document on

refrigeration appliance

rebate and turn in program

is well-documented and

adequately disseminated

Project

implementation reports

Progress of the S&L

program is well-monitored and

documented

Output 7.4. The

organizational and logistical

Operational appliance rebate

and turn-in program

None The appliance rebate and

turn-in program is feasible Project

implementation reports

Progress of the S&L

program is well-monitored and

8 15,000 based on the revision to 15,000 by the Steering Committee (if including only refrigerators purchased through the rebate scheme)

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17 UNDP/GHA/IC/2015/11

feasibility of the appliance

rebate and turn-in program is

demonstrated

in organizational and

logistical terms

documented

Strategy Indicators Baseline (Year 0) Target Sources of

Verification Risks and Assumptions

OUTCOME 8:

Development of various

feasible finance models for

national scale follow-up of

pilot rebate and exchange

program

Finance models for national

scale follow-up

None

Finance models for

national scale follow-up

ready for implementation

Documents on

finance models for

national scale follow-up

Finance models are feasible

Output 8.1. Business plans

are available for several

program follow-up scenarios

Business plan None Comprehensive

business plans prepared by

the end of third year of

program

Business plan

documents

Project

implementation reports

Adequate data for business

plans becomes available from

program implementation

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18 UNDP/GHA/IC/2015/11

ANNEX B: LIST OF DOCUMENTS TO BE REVIEWED BY THE EVALUATORS

PROJECT DOCUMENT

REQUEST FOR CEO ENDORSEMENT/APPROVAL

REQUEST FOR PROJECT PREPARATION GRANT (PPG)

PROJECT IDENTIFICATION FORM (PIF)

REPORT ON LOCAL PROJECT APPRAISAL COMMITTEE (LPAC) MEETING

INCEPTION REPORT

PRESENTATIONS AT INCEPTION MEETING

MINUTES OF STEERING COMMITTEE MEETINGS

MINUTES OF 2014 PROJECT RETREAT

ANNUAL BUDGETS FOR 2012, 2013, 2014

WORKPLAN FOR 2012, 2013, 2014

COMPILED QUARTERLY REPORTS FOR 2011/2012/2013/2014

MID-TERM EVALUATION REPORT

GEF PROJECT IMPLEMENTATION REPORTS (PIR) 2011-2012, 2012-2013, 2013-2014

GEF TRACKING TOOL

MANAGEMENT RESPONSE TO THE MID-TERM EVALUATION REPORT

AUDIT REPORTS FOR 2012 AND 2013 (PWC)

LI 1958 – REFRIGERATING APPLIANCES STANDARDS REGULATION

ACTION PLAN ON CARBON FINANCING FOR THE PROJECT – STUDY REPORT

QUICK DESK REVIEW AS PART OF THE STUDY REPORT ON CARBON FINANCING

VARIOUS COMPLIANCE MONITORING MISSION REPORTS

2013 MONITORING REPORT ON DISMANTLING FACILITY

ANALYSIS OF IMPORTED REFRIGERATING APPLIANCES SINCE 2005

IMPACT EVALUATION METHODOLOGY AND STRATEGY

VARIOUS TRAINING REPORTS

FEASIBILITY STUDY ON LOCAL MANUFACTURING OF REFRIGERATING APPLIANCES IN GHANA

CONSUMER AWARENESS SURVEY

REPORT ON BASELINE SURVEY ON REFRIGERATORS IN SELECTED HOTELS IN ACCRA AND TEMA

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19 UNDP/GHA/IC/2015/11

ANNEX C: EVALUATION QUESTIONS

This is a generic list, to be further detailed with more specific questions by CO and UNDP GEF Technical Adviser based on the particulars of the

project.

Evaluative Criteria Questions Indicators Sources Methodology

Relevance: How does the project relate to the main objectives of the GEF focal area, and to the environment and development priorities at the national level?

Effectiveness: To what extent have the expected outcomes and objectives of the project been achieved?

Efficiency: Was the project implemented efficiently, in-line with international and national norms and standards?

Sustainability: To what extent are there financial, institutional, social-economic, and/or environmental risks to sustaining long-term project results?

Impact: Are there indications that the project has contributed to, or enabled progress toward, reduced environmental stress and/or improved ecological status?

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ANNEX D: RATING SCALES

Ratings for Outcomes, Effectiveness, Efficiency, M&E, I&E Execution

Sustainability ratings:

Relevance ratings

6: Highly Satisfactory (HS): no shortcomings 5: Satisfactory (S): minor shortcomings 4: Moderately Satisfactory (MS) 3. Moderately Unsatisfactory (MU): significant shortcomings 2. Unsatisfactory (U): major problems 1. Highly Unsatisfactory (HU): severe problems

4. Likely (L): negligible risks to sustainability 2. Relevant (R)

3. Moderately Likely (ML):moderate risks 1.. Not relevant (NR)

2. Moderately Unlikely (MU): significant risks 1. Unlikely (U): severe risks

Impact Ratings: 3. Significant (S) 2. Minimal (M) 1. Negligible (N)

Additional ratings where relevant: Not Applicable (N/A) Unable to Assess (U/A

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21

ANNEX E: EVALUATION CONSULTANT CODE OF CONDUCT AND AGREEMENT FORM

Evaluators: 1. Must present information that is complete and fair in its assessment of strengths and weaknesses so that

decisions or actions taken are well founded.

2. Must disclose the full set of evaluation findings along with information on their limitations and have this

accessible to all affected by the evaluation with expressed legal rights to receive results.

3. Should protect the anonymity and confidentiality of individual informants. They should provide maximum

notice, minimize demands on time, and respect people’s right not to engage. Evaluators must respect

people’s right to provide information in confidence, and must ensure that sensitive information cannot be

traced to its source. Evaluators are not expected to evaluate individuals, and must balance an evaluation

of management functions with this general principle.

4. Sometimes uncover evidence of wrongdoing while conducting evaluations. Such cases must be reported

discreetly to the appropriate investigative body. Evaluators should consult with other relevant oversight

entities when there is any doubt about if and how issues should be reported.

5. Should be sensitive to beliefs, manners and customs and act with integrity and honesty in their relations

with all stakeholders. In line with the UN Universal Declaration of Human Rights, evaluators must be

sensitive to and address issues of discrimination and gender equality. They should avoid offending the

dignity and self-respect of those persons with whom they come in contact in the course of the evaluation.

Knowing that evaluation might negatively affect the interests of some stakeholders, evaluators should

conduct the evaluation and communicate its purpose and results in a way that clearly respects the

stakeholders’ dignity and self-worth.

6. Are responsible for their performance and their product(s). They are responsible for the clear, accurate

and fair written and/or oral presentation of study imitations, findings and recommendations.

7. Should reflect sound accounting procedures and be prudent in using the resources of the evaluation.

Evaluation Consultant Agreement Form9

Agreement to abide by the Code of Conduct for Evaluation in the UN System

Name of Consultant: __ _________________________________________________

Name of Consultancy Organization (where relevant): ________________________

I confirm that I have received and understood and will abide by the United Nations Code of Conduct

for Evaluation.

Signed at place on date

Signature: ________________________________________

9www.unevaluation.org/unegcodeofconduct

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22

ANNEX F: EVALUATION REPORT OUTLINE10

i. Opening page:

Title of UNDP supported GEF financed project

UNDP and GEF project ID#s.

Evaluation time frame and date of evaluation report

Region and countries included in the project

GEF Operational Program/Strategic Program

Implementing Partner and other project partners

Evaluation team members

Acknowledgements ii. Executive Summary

Project Summary Table

Project Description (brief)

Evaluation Rating Table

Summary of conclusions, recommendations and lessons iii. Acronyms and Abbreviations

(See: UNDP Editorial Manual11

)

1. Introduction

Purpose of the evaluation

Scope & Methodology

Structure of the evaluation report 2. Project description and development context

Project start and duration

Problems that the project sought to address

Immediate and development objectives of the project

Baseline Indicators established

Main stakeholders

Expected Results 3. Findings

(In addition to a descriptive assessment, all criteria marked with (*) must be rated12

)

3.1 Project Design / Formulation

Analysis of LFA/Results Framework (Project logic /strategy; Indicators)

Assumptions and Risks

Lessons from other relevant projects (e.g., same focal area) incorporated into project design

Planned stakeholder participation

Replication approach

UNDP comparative advantage

Linkages between project and other interventions within the sector

Management arrangements 3.2 Project Implementation

Adaptive management (changes to the project design and project outputs during implementation)

Partnership arrangements (with relevant stakeholders involved in the country/region)

Feedback from M&E activities used for adaptive management

Project Finance:

Monitoring and evaluation: design at entry and implementation (*)

UNDP and Implementing Partner implementation / execution (*) coordination, and operational issues

3.3 Project Results

Overall results (attainment of objectives) (*)

10

The Report length should not exceed 40 pages in total (not including annexes). 11 UNDP Style Manual, Office of Communications, Partnerships Bureau, updated November 2008 12 Using a six-point rating scale: 6: Highly Satisfactory, 5: Satisfactory, 4: Marginally Satisfactory, 3: Marginally Unsatisfactory,

2: Unsatisfactory and 1: Highly Unsatisfactory, see section 3.5, page 37 for ratings explanations.

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23

Relevance(*)

Effectiveness & Efficiency (*)

Country ownership

Mainstreaming

Sustainability (*)

Impact 4. Conclusions, Recommendations & Lessons

Corrective actions for the design, implementation, monitoring and evaluation of the project

Actions to follow up or reinforce initial benefits from the project

Proposals for future directions underlining main objectives

Best and worst practices in addressing issues relating to relevance, performance and success 5. Annexes

ToR

Itinerary

List of persons interviewed

Summary of field visits

List of documents reviewed

Evaluation Question Matrix

Questionnaire used and summary of results

Evaluation Consultant Agreement Form

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24

ANNEX G: EVALUATION REPORT CLEARANCE FORM

(to be completed by CO and UNDP GEF Technical Adviser based in the region and included in the final document)

Evaluation Report Reviewed and Cleared by

UNDP Country Office

Name: ___________________________________________________

Signature: ______________________________ Date: _________________________________

UNDP GEF RTA

Name: ___________________________________________________

Signature: ______________________________ Date: _________________________________

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25

ANNEX II

OFFEROR’S LETTER TO UNDP CONFIRMING INTEREST AND AVAILABILITY

FOR THE INDIVIDUAL CONTRACTOR (IC) ASSIGNMENT

Date Rene da Silva United Nations Development Programme P.o. Box 1423 Accra Dear Sir/Madam : I hereby declare that :

a) I have read, understood and hereby accept the Terms of Reference describing the duties and responsibilities of [ indicate title of assignment] under the [state project title];

b) I have also read, understood and hereby accept UNDP’s General Conditions of Contract for the

Services of the Individual Contractors; c) I hereby propose my services and I confirm my interest in performing the assignment through the

submission of my CV or Personal History Form (P11) which I have duly signed and attached hereto as Annex 1;

d) In compliance with the requirements of the Terms of Reference, I hereby confirm that I am

available for the entire duration of the assignment, and I shall perform the services in the manner described in my proposed approach/methodology which I have attached hereto as Annex 3 [delete this item if the TOR does not require submission of this document];

e) I hereby propose to complete the services based on the following payment rate :

A total lump sum of [state amount in words and in numbers, indicating exact

currency], payable in the manner described in the Terms of Reference.

f) F

or your evaluation, the breakdown of the abovementioned all-inclusive amount is attached hereto as Annex 2;

g) I

recognize that the payment of the abovementioned amounts due to me shall be based on my delivery of outputs within the timeframe specified in the TOR, which shall be subject to UNDP's review, acceptance and payment certification procedures;

h) This offer shall remain valid for a total period of ___________ days [minimum of 90 days] after the submission deadline;

i) I

confirm that I have no first degree relative (mother, father, son, daughter, spouse/partner, brother or sister) currently employed with any UN agency or office [disclose the name of the relative, the UN office employing the relative, and the relationship if, any such relationship exists];

j) If I am selected for this assignment, I shall [pls. check the appropriate box]:

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26

Sign an Individual Contract with UNDP;

Request my employer [state name of company/organization/institution] to sign

with UNDP a Reimbursable Loan Agreement (RLA), for and on my behalf. The contact

person and details of my employer for this purpose are as follows:

k) I hereby confirm that [check all that applies]:

At the time of this submission, I have no active Individual Contract or any form of engagement with any Business Unit of UNDP;

I am currently engaged with UNDP and/or other entities for the following work :

Assignment

Contract Type

UNDP Business Unit / Name of

Institution/Company

Contract Duration

Contract Amount

I am also anticipating conclusion of the following work from UNDP and/or other entities for which I have submitted a proposal :

Assignment

Contract Type

Name of Institution/ Company

Contract Duration

Contract Amount

l) I

fully understand and recognize that UNDP is not bound to accept this proposal, and I also understand and accept that I shall bear all costs associated with its preparation and submission and that UNDP will in no case be responsible or liable for those costs, regardless of the conduct or outcome of the selection process.

m) I

f you are a former staff member of the United Nations recently separated, pls. add this section to your letter: I hereby confirm that I have complied with the minimum break in service required before I can be eligible for an Individual Contract.

n) I also fully understand that, if I am engaged as an Individual Contractor, I have no expectations nor entitlements whatsoever to be re-instated or re-employed as a staff member.

Full Name and Signature: Date Signed : Annexes [pls. check all that applies]:

CV and Duly signed P11 Form

Breakdown of Costs Supporting the Final All-Inclusive Price as per Template

Brief Description of Approach to Work (if required by the TOR)

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27

BREAKDOWN OF COSTS

SUPPORTING THE ALL-INCLUSIVE FINANCIAL PROPOSAL

A. Breakdown of Cost by Components:

Cost Components

Unit Cost

Quantity

Total Rate for the

Contract Duration

I. Personnel Costs

Professional Fees

Life Insurance

Medical Insurance

Communications

Land Transportation

Others (pls. specify)

II. Travel Expenses to Join duty station

Round Trip Airfares to and from duty station

Living Allowance

Travel Insurance

Terminal Expenses

Others (pls. specify)

III. Duty Travel

Round Trip Airfares

Living Allowance

Travel Insurance

Terminal Expenses

Others (pls. specify)

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28

B. Breakdown of Cost by Deliverables*

Deliverables

[list them as referred to in the TOR]

Percentage of Total Price

(Weight for payment)

Amount

Deliverable 1

Deliverable 2

….

Total 100% GHS…… *Basis for payment tranches

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29

ANNEX III

GENERAL C ONDITIONS OF C ONTRACT FOR THE SERVICES OF INDIVIDUAL CONTRACTORS

1 February 2012

1. LEGAL STATUS: The Individual contractor shall have the legal status of an independent contractor vis-à-vis the

United Nations Development Programme (UNDP), and shall not be regarded, for any purposes, as being either a

“staff member” of UNDP, under the UN Staff Regulations and Rules, or an “official” of UNDP, for purposes of the

Convention on the Privileges and Immunities of the United Nations, adopted by the General Assembly of the United

Nations on 13 February 1946. Accordingly, nothing within or relating to the Contract shall establish the relationship

of employer and employee, or of principal and agent, between UNDP and the Individual contractor. The officials,

representatives, employees or subcontractors of UNDP and of the Individual contractor, if any, shall not be

considered in any respect as being the employees or agents of the other, and UNDP and the Individual contractor

shall be solely responsible for all claims arising out of or relating to their engagement of such persons or entities.

2. STANDARDS OF CONDUCT: In General: The Individual contractor shall neither seek nor accept instructions

from any authority external to UNDP in connection with the performance of his or her obligations under the

Contract. Should any authority external to UNDP seek to impose any instructions regarding the Individual

contractor’s performance under the Contract, the Individual contractor shall promptly notify UNDP and shall

provide all reasonable assistance required by UNDP. The Individual contractor shall not take any action in respect of

his or her performance of the Contract or otherwise related to his or her obligations under the Contract that may

adversely affect the interests of UNDP. The Individual contractor shall perform his or her obligations under the

Contract with the fullest regard to the interests of UNDP. The Individual contractor warrants that she or he has not

and shall not offer any direct or indirect benefit arising from or related to the performance of the Contract or the

award thereof to any representative, official, employee or other agent of UNDP. The Individual contractor shall

comply with all laws, ordinances, rules and regulations bearing upon the performance of his or her obligations under

the Contract. In the performance of the Contract the Individual contractor shall comply with the standards of

conduct set in the Secretary General’s Bulletin ST/SGB/2002/9 of 18 June 2002, entitled “Regulations Governing

the Status, Basic Rights and Duties of Officials other than Secretariat Officials, and Expert on Mission”. The

Individual contractor must comply with all security directives issued by UNDP.

Prohibition of Sexual Exploitation and Abuse: In the performance of the Contract, the Individual contractor shall

comply with the standards of conduct set forth in the Secretary-General’s bulletin ST/SGB/2003/13 of 9 October

2003, concerning “Special measures for protection from sexual exploitation and sexual abuse”. In particular, the

Individual contractor shall not engage in any conduct that would constitute sexual exploitation or sexual abuse, as

defined in that bulletin.

The Individual contractor acknowledges and agrees that any breach of any of the provisions hereof shall constitute a

breach of an essential term of the Contract, and, in addition to any other legal rights or remedies available to any

person, shall give rise to grounds for suspension or termination of the Contract. In addition, nothing herein shall

limit the right of UNDP to refer any alleged breach of the foregoing standards of conduct or any other terms of the

Contract to the relevant national authorities for appropriate legal action.

3. TITLE RIGHTS, COPYRIGHTS, PATENTS AND OTHER PROPRIETARY RIGHTS: Title to any

equipment and supplies that may be furnished by UNDP to the Individual contractor for the performance of any

obligations under the Contract shall rest with UNDP, and any such equipment and supplies shall be returned to

UNDP at the conclusion of the Contract or when no longer needed by the Individual contractor. Such equipment and

supplies, when returned to UNDP, shall be in the same condition as when delivered to the Individual contractor,

subject to normal wear and tear, and the Individual contractor shall be liable to compensate UNDP for any damage

or degradation of the equipment and supplies that is beyond normal wear and tear.

UNDP shall be entitled to all intellectual property and other proprietary rights, including, but not limited to, patents,

copyrights and trademarks, with regard to products, processes, inventions, ideas, know-how or documents and other

materials which the Individual contractor has developed for UNDP under the Contract and which bear a direct

relation to, or are produced or prepared or collected in consequence of, or during the course of, the performance of

the Contract, and the Individual contractor acknowledges and agrees that such products, documents and other

materials constitute works made for hire for UNDP. However, to the extent that any such intellectual property or

other proprietary rights consist of any intellectual property or other proprietary rights of the Individual contractor:

(a) that pre-existed the performance by the Individual contractor of his or her obligations under the Contract, or (b)

that the Individual contractor may develop or acquire, or may have developed or acquired, independently of the

performance of his or her obligations under the Contract, UNDP does not and shall not claim any ownership interest

thereto, and the Individual contractor grants to UNDP a perpetual license to use such intellectual property or other

proprietary right solely for the purposes of and in accordance with the requirements of the Contract. At the request

of UNDP, the Individual contractor shall take all necessary steps, execute all necessary documents and generally

assist in securing such proprietary rights and transferring or licensing them to UNDP in compliance with the

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30

requirements of the applicable law and of the Contract. Subject to the foregoing provisions, all maps, drawings,

photographs, mosaics, plans, reports, estimates, recommendations, documents and all other data compiled by or

received by the Individual contractor under the Contract shall be the property of UNDP, shall be made available for

use or inspection by UNDP at reasonable times and in reasonable places, shall be treated as confidential and shall be

delivered only to UNDP authorized officials on completion of services under the Contract

4. CONFIDENTIAL NATURE OF DOCUMENTS AND INFORMATION: Information and data that are

considered proprietary by either UNDP or the Individual contractor or that are delivered or disclosed by one of them

(“Discloser”) to the other (“Recipient”) during the course of performance of the Contract, and that are designated as

confidential (“Information”), shall be held in confidence and shall be handled as follows. The Recipient of such

Information shall use the same care and discretion to avoid disclosure, publication or dissemination of the

Discloser’s Information as it uses with its own similar information that it does not wish to disclose, publish or

disseminate, and the Recipient may otherwise use the Discloser’s Information solely for the purpose for which it

was disclosed. The Recipient may disclose confidential Information to any other party with the Discloser’s prior

written consent, as well as to the Recipient’s officials, representatives, employees, subcontractors and agents who

have a need to know such confidential Information solely for purposes of performing obligations under the Contract.

Subject to and without any waiver of the privileges and immunities of UNDP, the Individual contractor may disclose

Information to the extent required by law, provided that the Individual contractor will give UNDP sufficient prior

notice of a request for the disclosure of Information in order to allow UNDP to have a reasonable opportunity to take

protective measures or such other action as may be appropriate before any such disclosure is made. UNDP may

disclose Information to the extent required pursuant to the Charter of the United Nations, resolutions or regulations

of the General Assembly or its other governing bodies, or rules promulgated by the Secretary-General. The

Recipient shall not be precluded from disclosing Information that is obtained by the Recipient from a third party

without restriction, is disclosed by the Discloser to a third party without any obligation of confidentiality, is

previously known by the Recipient, or at any time is developed by the Recipient completely independently of any

disclosures hereunder. These obligations and restrictions of confidentiality shall be effective during the term of the

Contract, including any extension thereof, and, unless otherwise provided in the Contract, shall remain effective

following any termination of the Contract. Notwithstanding the foregoing, the Individual contractor acknowledges

that UNDP may, in its sole discretion, disclose the purpose, type, scope, duration and value of the Contract, the

name of the Individual contractor, and any relevant information related to the award of the Contract.

5. TRAVEL, MEDICAL CLEARANCE AND SERVICE INCURRED DEATH, INJURY OR ILLNESS: If

the Individual contractor is required by UNDP to travel beyond commuting distance from the Individual contractor’s

usual place of residence, and upon prior written agreement, such travel shall be at the expense of UNDP. Such travel

shall be at economy fare when by air.

UNDP may require the Individual contractor to submit a “statement of good health” from a recognized physician

prior to commencement of services in any offices or premises of UNDP, or before engaging in any travel required

by UNDP, or connected with the performance of the Contract. The Individual contractor shall provide such a

statement as soon as practicable following such request, and prior to engaging in any such travel, and the Individual

contractor warrants the accuracy of any such statement, including, but not limited to, confirmation that the

Individual contractor has been fully informed regarding the requirements for inoculations for the country or

countries to which travel may be authorized.

In the event of death, injury or illness of the Individual contractor which is attributable to the performance of

services on behalf of UNDP under the terms of the Contract while the Individual contractor is traveling at UNDP

expense or is 2 February 2012

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performing any services under the Contract in any offices or premises of UNDP, the Individual contractor or the

Individual contractor’s dependents, as appropriate, shall be entitled to compensation equivalent to that provided

under the UNDP insurance policy, available upon request.

6. PROHIBITION ON ASSIGNMENT; MODIFICATIONS: The Individual contractor may not assign, delegate,

transfer, pledge or make any other disposition of the Contract, of any part thereof, or of any of the rights, claims or

obligations under the Contract except with the prior written authorization of UNDP, and any attempt to do so shall

be null and void. The terms or conditions of any supplemental undertakings, licenses or other forms of Contract

concerning any goods or services to be provided under the Contract shall not be valid and enforceable against

UNDP nor in any way shall constitute a contract by UNDP thereto, unless any such undertakings, licenses or other

forms of contract are the subject of a valid written undertaking by UNDP. No modification or change in the Contract

shall be valid and enforceable against UNDP unless provided by means of a valid written amendment to the

Contract signed by the Individual contractor and an authorized official or appropriate contracting authority of

UNDP.

7. SUBCONTRACTORS: In the event that the Individual contractor requires the services of subcontractors to

perform any obligations under the Contract, the Individual contractor shall obtain the prior written approval of

UNDP for any such subcontractors. UNDP may, in its sole discretion, reject any proposed subcontractor or require

such subcontractor’s removal without having to give any justification therefore, and such rejection shall not entitle

the Individual contractor to claim any delays in the performance, or to assert any excuses for the non-performance,

of any of his or her obligations under the Contract. The Individual contractor shall be solely responsible for all

services and obligations performed by his or her subcontractors. The terms of any subcontract shall be subject to,

and shall be construed in a manner that is fully in accordance with, all of the terms and conditions of the Contract.

8. USE OF NAME, EMBLEM OR OFFICIAL SEAL OF THE UNITED NATIONS: The Individual contractor

shall not advertise or otherwise make public for purposes of commercial advantage or goodwill that it has a

contractual relationship with UNDP, nor shall the Individual contractor, in any manner whatsoever, use the name,

emblem or official seal of UNDP, or any abbreviation of the name of UNDP, in connection with his or her business

or otherwise without the written permission of UNDP.

9. INDEMNIFICATION: The Individual contractor shall indemnify, defend, and hold and save harmless UNDP,

and its officials, agents and employees, from and against all suits, proceedings, claims, demands, losses and liability

of any kind or nature, including, but not limited to, all litigation costs and expenses, attorney’s fees, settlement

payments and damages, based on, arising from, or relating to: (a) allegations or claims that the use by UNDP of any

patented device, any copyrighted material or any other goods or services provided to UNDP for its use under the

terms of the Contract, in whole or in part, separately or in combination, constitutes an infringement of any patent,

copyright, trademark or other intellectual property right of any third party; or (b) any acts or omissions of the

Individual contractor, or of any subcontractor or anyone directly or indirectly employed by them in the performance

of the Contract, which give rise to legal liability to anyone not a party to the Contract, including, without limitation,

claims and liability in the nature of a claim for workers’ compensation.

10. INSURANCE: The Individual contractor shall pay UNDP promptly for all loss, destruction or damage to the

property of UNDP caused by the Individual contractor, or of any subcontractor, or anyone directly or indirectly

employed by them in the performance of the Contract. The Individual contractor shall be solely responsible for

taking out and for maintaining adequate insurance required to meet any of his or her obligations under the Contract,

as well as for arranging, at the Individual contractor’s sole expense, such life, health and other forms of insurance as

the Individual contractor may consider to be appropriate to cover the period during which the Individual contractor

provides services under the Contract. The Individual contractor acknowledges and agrees that none of the insurance

arrangements the Individual contractor shall, in any way, be construed to limit the Individual contractor’s liability

arising under or relating to the Contract.

11. ENCUMBRANCES AND LIENS: The Individual contractor shall not cause or permit any lien, attachment or

other encumbrance by any person to be placed on file or to remain on file in any public office or on file with UNDP

against any monies due to the Individual contractor or to become due for any work donor or against any goods

supplied or materials furnished under the Contract, or by reason of any other claim or demand against the Individual

contractor.

12. FORCE MAJEURE; OTHER CHANGES IN CONDITIONS: In the event of and as soon as possible after

the occurrence of any cause constituting force majeure, the Individual contractor shall give notice and full

particulars in writing to UNDP of such occurrence or cause if the Individual contractor is thereby rendered unable,

wholly or in part, to perform his or her obligations and meet his or her responsibilities under the Contract. The

Individual contractor shall also notify UNDP of any other changes in conditions or the occurrence of any

event, which interferes or threatens to interfere with the performance of the Contract. Not more than fifteen (15)

days following the provision of such notice of force majeure or other changes in conditions or occurrence, the

Individual contractor shall also submit a statement to UNDP of estimated expenditures that will likely be incurred

for the duration of the change in conditions or the event. On receipt of the notice or notices required hereunder,

UNDP shall take such action as it considers, in its sole discretion, to be appropriate or necessary in the

circumstances, including the granting to the Individual contractor of a reasonable extension of time in which to

perform any obligations under the Contract or suspension thereof.

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Force majeure as used herein means any unforeseeable and irresistible act of nature, any act of war (whether

declared or not), invasion, revolution, insurrection, or any other acts of a similar nature or force, provided that such

acts arise from causes beyond the control and without the fault or negligence of the Individual contractor. The

Individual contractor acknowledges and agrees that, with respect to any obligations under the Contract that the

Individual contractor must perform in or for any areas in which UNDP is engaged in, preparing to engage in, or

disengaging from any peacekeeping, humanitarian or similar operations, any delay or failure to perform such

obligations arising from or relating to harsh conditions within such areas or to any incidents of civil unrest occurring

in such areas shall not, in and of itself, constitute force majeure under the Contract

13. TERMINATION: Either party may terminate the Contract, in whole or in part, upon giving written notice to the

other party. The period of notice shall be five (5) days in the case of contracts for a total period of less than two (2)

months and fourteen (14) days in the case of contracts for a longer period. The initiation of conciliation or arbitral

proceedings, as provided below, shall not be deemed to be a “cause” for or otherwise to be in itself a termination of

the Contract. UNDP may, without prejudice to any other right or remedy available to it, terminate the Contract

forthwith in the event that: (a) the Individual contractor is adjudged bankrupt, or is liquidated, or becomes insolvent,

applies for moratorium or stay on any payment or repayment obligations, or applies to be declared insolvent; (b) the

Individual contractor is granted a moratorium or a stay or is declared insolvent; (c) the Individual contractor makes

an assignment for the benefit of one or more of his or her creditors; (d) a Receiver is appointed on account of the

insolvency of the Individual contractor; (e) the Individual contractor offers a settlement in lieu of bankruptcy or

receivership; or (f) UNDP reasonably determines that the Individual contractor has become subject to a materially

adverse change in financial condition that threatens to endanger or otherwise substantially affect the ability of the

Individual contractor to perform any of the obligations under the Contract.

In the event of any termination of the Contract, upon receipt of notice of termination by UNDP, the Individual

contractor shall, except as may be directed by UNDP in the notice of termination or otherwise in writing: (a) take

immediate steps to bring the performance of any obligations under the Contract to a close in a prompt and orderly

manner, and in doing so, reduce expenses to a minimum; (b) refrain from undertaking any further or additional

commitments under the Contract as of and following the date of receipt of such notice; (c) deliver all completed or

partially completed plans, drawings, information and other property that, if the Contract had been completed, would

be required to be furnished to UNDP thereunder; (d) complete performance of the services not terminated; and (e)

take any other action that may be necessary, or that UNDP may direct in writing, for the protection and preservation

of any property, whether tangible or intangible, related to the Contract that is in the possession of the Individual

contractor and in which UNDP has or may be reasonably expected to acquire an interest.

In the event of any termination of the Contract, UNDP shall only be liable to pay the Individual contractor

compensation on a pro rata basis for no more than the actual amount of work performed to the satisfaction of UNDP

in accordance with the requirements of the Contract. Additional costs incurred by UNDP as a result of termination

of the Contract by the Individual contractor may be withheld from any amount otherwise due to the Individual

contractor by UNDP.

14. NON-EXCLUSIVITY: UNDP shall have no obligation respecting, and no limitations on, its right to obtain

goods of the same kind, quality and quantity, or to obtain any services of the kind described in the Contract, from

any other source at any time.

15. TAXATION: Article II, section 7, of the Convention on the Privileges and Immunities of the United Nations

provides, inter alia, that the United Nations, including its subsidiary organs, is exempt from all direct taxes, except

charges for public utility services, and is exempt from customs restrictions, duties and charges of a similar nature in

respect of articles imported or exported for its official use. In the event any governmental authority refuses to

recognize the exemptions of the United Nations from such taxes, restrictions, duties or charges, the Individual

contractor shall immediately consult with UNDP to determine a mutually acceptable procedure. UNDP shall have

no liability for taxes, duties or other similar charges payable by the Individual contractor in respect of any amounts

paid to the Individual contractor under this Contract, and the Individual contractor acknowledges that UNDP will

not issue any statements of earnings to the Individual contractor in respect of any such payments.

16. AUDITS AND INVESTIGATIONS: Each invoice paid by UNDP shall be subject to a post-payment audit by

auditors, whether internal or external, of UNDP or by other authorized and qualified agents of UNDP. The

Individual contractor acknowledges and agrees that UNDP may conduct investigations relating to any aspect of the

Contract or the award thereof, and the obligations performed thereunder.

The Individual contractor shall provide full and timely cooperation with any post-payment audits or investigations

hereunder. Such cooperation shall include, but shall not be limited to, the Individual contractor’s obligation to make

available any relevant documentation and information for the purposes of a post-payment audit or an investigation at

reasonable times and on reasonable conditions. The Individual contractor shall require his or her employees,

subcontractors and agents, if any, including, but not limited to, the Individual contractor’s attorneys, accountants or

other advisers, to reasonably cooperate with any post-payment audits or investigations carried out by UNDP

hereunder.

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If the findings or circumstances of a post-payment audit or investigation so warrant, UNDP may, in its sole

discretion, take any measures that may be appropriate or necessary, including, but not limited to, suspension of the

Contract, with no liability whatsoever to UNDP.

The Individual contractor shall refund to UNDP any amounts shown by a post-payment audit or investigation to

have been paid by UNDP other than in accordance with the terms and conditions of the Contract. Such amount may

be deducted by UNDP from any payment due to the Individual contractor under the Contract.

The right of UNDP to conduct a post-payment audit or an investigation and the Individual contractor’s obligation to

comply with such shall not lapse upon expiration or prior termination of the Contract.

17. SETTLEMENT OF DISPUTES:

AMICABLE SETTLEMENT: UNDP and the Individual contractor shall use their best efforts to amicably settle

any dispute, controversy or claim arising out of the Contract or the breach, termination or invalidity thereof. Where

the parties wish to seek such an amicable settlement through conciliation, the conciliation shall take place in

accordance with the Conciliation Rules then obtaining of the United Nations Commission on International Trade

Law (“UNCITRAL”), or according to such other procedure as may be agreed between the parties in writing.

ARBITRATION: Any dispute, controversy or claim between the parties arising out of the Contract, or the breach,

termination, or invalidity thereof, unless settled amicably, as provided above, shall be referred by either of the

parties to arbitration in accordance with the UNCITRAL Arbitration Rules then obtaining. The decisions of the

arbitral tribunal shall be based on general principles of international commercial law. For all evidentiary questions,

the arbitral tribunal shall be guided by the Supplementary Rules Governing the Presentation and Reception of

Evidence in International Commercial Arbitration of the International Bar Association, 28 May 1983 edition. The

arbitral tribunal shall be empowered to order the return or destruction of goods or any property, whether tangible or

intangible, or of any confidential information provided under the Contract, order the termination of the Contract, or

order that any other protective measures be taken with respect to the goods, services or any other property, whether

tangible or intangible, or of any confidential information provided under the Contract, as appropriate, all in

accordance with the authority of the arbitral tribunal pursuant to Article 26 (“Interim Measures of Protection”) and

Article 32 (“Form and Effect of the Award”) of the UNCITRAL Arbitration Rules. The arbitral tribunal shall have

no authority to award punitive damages. In addition, unless otherwise expressly provided in the Contract, the arbitral

tribunal shall have no authority to award interest in excess of the London Inter-Bank Offered Rate (“LIBOR”) then

prevailing, and any such interest shall be simple interest only. The parties shall be bound by any arbitration award

rendered as a result of such arbitration as the final adjudication of any such dispute, controversy or claim.

18. LIMITATION ON ACTIONS: Except with respect to any indemnification obligations in Article 9, above, or

as are otherwise set forth in the Contract, any arbitral proceedings in accordance with Article 17, above, arising out

of the Contract must be commenced within three (3) years after the cause of action has accrued.

The Parties further acknowledge and agree that, for these purposes, a cause of action shall accrue when the breach

actually occurs, or, in the case of latent defects, when the injured Party knew or should have known all of the

essential elements of the cause of action, or in the case of a breach of warranty, when tender of delivery is made,

except that, if a warranty extends to future performance of the goods or any process or system and the discovery of

the breach consequently must await the time when such goods or other process or system is ready to perform in

accordance with the requirements of the Contract, the cause of action accrues when such time of future performance

actually begins,

19. PRIVILEGES AND IMMUNITIES: Nothing in or relating to the Contract shall be deemed a waiver, express

or implied, of any of the privileges and immunities of the United Nations, including its subsidiary organs.

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ANNEX IV

INSTRUCTIONS

Please answer each question clearly

and completely. Type or print in ink.

Read carefully and follow all directions.

UNITED NATIONS DEVELOPMENT

PROGRAMME

PERSONAL HISTORY FORM

(for Service Contracts and Individual Contracts)

1. Family Name

First Name

Middle name

Maiden name, if any

2. Date

of Birth

Da

Mo

Yr

3. Place of Birth

4. Nationality (ies) at birth

5. Present nationality (ies)

6. Sexe

7. Height

8. Weight

9. Marital status

Single Married Separated Widow Divorced

10. Permanent address

Telephone No.

Fax No.

11. Present Address (if different)

Telephone No.

Fax No.

12. Office Telephone No.

Office Fax No.

Office E-mail No.

13. Do you have a spouse and/or children? YES NO if the answer is "yes", give the following information:

NAME Date of birth Relationship NAME Date of birth Relationship

14. Have you taken up any legal permanent status in any country other than that of your nationality? YES NO

If the answer is "yes", which country?

15. Have you taken any legal steps towards changing your present nationality? YES NO

If answer is "yes", explain fully:

16. Are any of your relatives employed by UNDP, any other UN organization or any other public international organization? YES NO

If the answer is "yes", give the following information:

NAME Relationship Name of International Organization

17. What is your preferred field of work?

18. KNOWLEDGE OF LANGUAGES. What is your mother tongue?

READ WRITE SPEAK UNDERSTAND

OTHER LANGUAGES Easily Not Easily Easily Not Easily Fluently Not Fluently Easily Not Easily

19. For clerical grades only Indicate speed in words per minute

List any office machines or equipment you can use

English French Other languages

Typing

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Shorthand

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PAGE 2

20. EDUCATIONAL. Give full details - N.B. Please give exact titles or degree in original language.

A. UNIVERSITY OR EQUIVALENT Please do not translate or equate to other degrees.

NAME, PLACE AND COUNTRY ATTENDED FROM/TO DEGREES and ACADEMIC MAIN COURSE

Mo./Year Mo./Year DISTINCTIONS OBTAINED OF STUDY

B. SCHOOLS OR OTHER FORMAL TRAINING OR EDUCATION FROM AGE 14 (e.g. high school, technical school or apprenticeship)

NAME, PLACE AND COUNTRY TYPE ATTENDED FROM/TO CERTIFICATES OR

Mo./Year Mo./Year DIPLOMAS OBTAINED

21. LIST PROFESSIONAL SOCIETIES AND ACTIVITIES IN CIVIC, PUBLIC OR INTERNATIONAL AFFAIRS

22. LIST ANY SIGNIFICANT PUBLICATIONS YOU HAVE WRITTEN (Do not attach)

23. EMPLOYMENT RECORD: Starting with your present function, list in reverse order every employment you have had. Use a separate block for each FUNCTION. Include also service in the armed forces and note any period during which you were not gainfully employed. If you need more space, attach

additional pages of the same size. Give both gross and net salaries per annum for your last and present FUNCTION.

A. PRESENT FUNCTION (LAST FUNCTION, IF NOT PRESENTLY IN EMPLOYMENT)

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

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B. PREVIOUS FUNCTION (IN REVERSE ORDER) PAGE 3

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

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PAGE 4

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES

SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

FROM TO SALARY PER ANNUM EXACT TITLE OF YOUR FUNCTION:

MONTH/YEAR MONTH/YEAR STARTING FINAL

NAME OF EMPLOYER:

TYPE OF BUSINESS:

ADDRESS OF EMPLOYER:

NAME OF SUPERVISOR:

NO AND KIND OF EMPLOYEES SUPERVISED BY YOU:

REASON FOR LEAVING:

DESCRIPTION OF YOUR DUTIES

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PAGE 5

24. DO YOU HAVE ANY OBJECTIONS TO OUR MAKING ENQUIRIES OF YOUR PRESENT EMPLOYER? YES NO

25. ARE YOU NOW, OR HAVE YOU EVER BEEN A PERMANENT CIVIL SERVANT IN YOUR GOVERNMENT’S EMPLOY? YES NO

If answer if "yes", WHEN?

26. REFERENCES: List three persons, not related to you, who are familiar with your character and qualifications.

Do not repeat names of supervisors listed in item 24.

FULL NAME FULL ADDRESS BUSINESS OR OCCUPATION

27. STATE ANY OTHER RELEVANT FACTS IN SUPPORT OF YOUR APPLICATION. INCLUDE INFORMATION REGARDING ANY

RESIDENCE OUTSIDE THE COUNTRY OF YOUR NATIONALITY.

28. HAVE YOU BEEN ARRESTED, INDICTED, OR SUMMONED INTO COURT AS A DEFENDANT IN A CRIMINAL PROCEEDING, OR CONVICTED, FINED OR IMPRISONED FOR THE VIOLATION OF ANY LAW (excluding minor traffic violations)? YES NO

If "yes", give full particulars of each case in an attached statement.

29. I certify that the statements made by me in answer to the foregoing questions are true, complete and correct to the best of my knowledge and belief. I understand that any misrepresentation or material omission made on a Personal History form or other document requested by the Organization may result

in the termination of the service contract or special services agreement without notice.

DATE: SIGNATURE:

NB. You will be requested to supply documentary evidence which support the statements you have made above. Do not, however, send any documentary

evidence until you have been asked to do so and, in any event, do not submit the original texts of references or testimonials unless they have been obtained for the sole use of UNDP.

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Approved By: __________________________________

Operations Analyst