individual consultant procurement notice...period of assignment/services: june-july 2015 starting...
TRANSCRIPT
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
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
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
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)
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
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
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.
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
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
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;
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.
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)
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
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
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
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)
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
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
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?
20
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
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
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.
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
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: _________________________________
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]:
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)
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)
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
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
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
31
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.
32
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.
33
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.
34
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
35
Shorthand
36
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
37
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
38
39
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
40
41
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.
42
Approved By: __________________________________
Operations Analyst