1-cerf-application-template-jan2015.docx file · Web view01/08/2017 ·...

Application for Grant Funding[Country Name]

Sections I and II below should be completed only once for each application. Cluster or sector leads should contribute to the overall development of sections I and II and in particular each cluster/sector shall provide inputs for question 14c. Individual agencies participating in the application should complete project proposals (Section III). Please refer to Annex B: Example of a Results Framework and Project Implementation Plan, and Annex A: Budget Guidance including the budget tool.

I. APPLICANT INFORMATION

1. Country

2. Resident/Humanitarian Coordinator

3. Name and contact information of person to be contacted on this grant request and reporting

Name:Agency:

Telephone:Email:

II. OVERALL GRANT REQUEST

A. SUMMARY

4. CERF grant window Rapid Response Underfunded Emergencies

Fund

ing

5a. Total amount required for the humanitarian responseFor the rapid response window, this amount should reflect the humanitarian requirements for the new crisis that triggered the application to CERF. Include only funding requirements for the immediate emergency assistance to the new or increased caseload.For the underfunded emergencies window, this amount should correspond to the overall humanitarian requirement in the country.

US$

5b. Total amount received for the humanitarian responseIndicate the amount received against the total indicated in 5a above.

US$

5c. Total amount of CERF funding requestedInsert the total cost of this CERF submission. Please note that CERF rapid response normally only funds a portion of the total humanitarian requirement (i.e. amount in 5a) to jump-start operations.

US$

6. Geographical areas of implementation (by first and second level administrative divisions)1

Affe

cted

indi

vidu

als

7a. Total number of individuals directly affected by the current crisis

7b. Total number of individuals directly targeted with CERF funding by cluster or sector, based on the projects included in this application.Add or delete rows as necessary.

Cluster/Sector Female Male Total

Total

1 First administrative level can be provinces, states, governorates or regions. Second administrative level can be districts, prefectures, municipalities, cantons or townships.

| CERF Application for Grant Funding | [email protected] | cerf.un.org

8. Is this submission based on one or more needs assessments? Yes Please indicate the type (e.g., joint multi-sector assessments, Multi-Cluster/Sector Initial Rapid

Assessment (MIRA), etc.) and date of assessment(s) undertaken, and humanitarian partners involved:

No Explanation:

9. Do the requesting agencies have the capacity for immediate implementation and timely delivery of assistance (access, sufficient staff, clearance for imports, etc.) following the approval of funding by the ERC?

Yes NoIf ”No” or in case of expected limitations, please explain:

10. Strategic statement on the use of CERF funds: In about 100 words, please provide a brief summary of the grant request: What is the emergency? Who are you supporting? Where, and for what impact? What kind of activities will you implement?

[Insert text here]

B. Humanitarian Context and Response (2 pages max)

11. Humanitarian situation (1 page): What are the causes of the humanitarian situation? How has it deteriorated? Who is affected? Describe the humanitarian situation and the main humanitarian consequences informed by needs assessments. For the underfunded emergencies window, describe the overall humanitarian situation; for the rapid response window, describe the new crisis for which CERF support is requested. What are the causes of the humanitarian situation? How has it deteriorated? Who is affected?

GUIDANCE (delete when completed)- Describe the causes of the crisis and its humanitarian consequences. Include relevant political, socio-economic and

physical aspects. Refer to relevant needs assessments and summarize key humanitarian data (mortality rates, nutritional status, etc.), including those in a Humanitarian Needs Overview, if applicable.

- State the dates that the Government officially declared a disaster or requested international assistance, if applicable.- Highlight any sudden deterioration in the humanitarian situation that led to a CERF request, in particular, for the rapid

response window. - Describe the composition of the affected population highlighting the most vulnerable groups. State the number of people

affected by the crisis, as well as the number of people requiring humanitarian assistance, disaggregated by sex, age and other characteristics.

- Provide a gender analysis to describe the differential needs of women, girls, boys, and men, of different ages and to indicate gender inequalities and how these may worsen in the current context. Highlight information with regard to gender-based violence, if relevant.

[Insert text here]

12. Humanitarian response strategy (1 page): What is the overall humanitarian response plan? What are the strategic objectives of the response? How many people are targeted in total? Where? What are the priorities?

GUIDANCE (delete when completed)- Outline the overall humanitarian response strategy or plans developed in response to the recent crisis, such as a

Humanitarian Response Plan (HRP) or any other joint or Government-led response.- Highlight the priority humanitarian actions and immediate response gaps in relevant sectors or clusters.- Identify any constraints faced in the implementation of the humanitarian response strategy. These could be related to

security, access, capacity, data availability, etc.

[Insert text here]


C. Grant Request Justification (3 pages max)

13. Rationale for the CERF request (1 page): What is the trigger for the CERF request? What is the current funding situation? How can CERF funds make a difference in the humanitarian response at this stage?

13a. Rationale for the CERF request (only for rapid response requests)

GUIDANCE (delete when completed)- Explain the trigger that prompted this CERF application .highlighting the deterioration of the humanitarian situation.

Include any relevant data to demonstrate a deteriorating situation over the past weeks. Please refer to specific findings from needs assessments.

[Insert text here]

13b. Funding analysis (complete for both rapid response and underfunded emergencies requests)

GUIDANCE (delete when completed)- How much funding is required for the humanitarian response? Explain here the total amount noted in Question 5a. For

rapid response requests, estimate the total funds required to address the new or increased humanitarian needs. - Please provide a short analysis of the funding situation for this emergency, including funding by cluster, funding trends

and information on other donor resources available (including hard pledges and funding from pooled funds, if applicable).- Describe the fundraising strategy beyond CERF’s contribution and explain how a CERF allocation will be used to leverage

additional resources.

[Insert text here]

14. Proposed CERF response (2 pages): What are the strategic objectives of the CERF submission? What priorities will CERF support? Who is supported, with what and where? How will CERF funds complement other resources? How did humanitarian partners jointly prioritize the CERF request? How are the different activities interlinked under the strategic objectives?

14a. Outline of CERF strategy, priorities and complementarity

GUIDANCE (delete when completed)- State the key strategic objectives of the CERF request. - Briefly outline the particular needs to be addressed and the type of response activities that will be supported with CERF

funds.- Describe the population that will be assisted such as the particular target areas and populations (disaggregated by sex,

age and other relevant characteristics). - Provide a brief overview of the integrated CERF package and how the clusters/sectors and partners will complement one

another in carrying out the proposed interventions. - How will CERF funds complement other resources?- If a country-based humanitarian pooled funding (CBPF) mechanism exists, such as a Common Humanitarian Fund (CHF)

or an Emergency Response Fund (ERF), explain how it will be used to complement the funds requested from CERF. If the country-based pooled fund is not used for this crisis please explain why.

[Insert text here]

14b. How was the overall CERF strategy developed? How did the Humanitarian Country Team jointly prioritize the request? What criteria were used and which factors considered?

- Describe the consultation process for developing this CERF application and the stakeholders (including implementing partners) involved. How were clusters/sectors involved? If no cluster/sector system exists, explain how the country team has consulted humanitarian partners through other coordination mechanisms.2

2 The ‘Principles of Partnership,’ endorsed by the Global Humanitarian Platform in 2007 may provide some guidance. (www.globalhumanitarianplatform.org/doc00002628.doc)


- How were activities prioritized to be included in this CERF request? What factors were considered to strategically focus the CERF request (for example, severity of need, access, implementation capacity of UN agency and partners, current or projected funding, etc.)?

- Describe whether any existing frameworks were used during the prioritization, e.g. a Humanitarian Needs Overviews, Strategic or Preliminary Response Plans, or other strategic tools.

- Were gender experts involved in the prioritization process? How?- How were affected people involved in these assessments?- If a country-based humanitarian pooled fund mechanism exists, how did the CERF process complement the local pooled

fund process? Were the same procedures used?- What are the operational constraints in the emergency? Provide risk analysis and mitigating measures.

[Insert text here]

14c. How did the relevant clusters/sectors prioritize activities and projects? What methodology or criteria were used?

GUIDANCE (delete when completed)For each cluster/sector, please briefly describe the following (to be prepared by the cluster/sector leads):- The rationale and approach/methodology used to prioritize the cluster/sector response. This should include a description

of the criteria and parameters followed to select projects for inclusion in this CERF submission, and of how the cluster/sector was involved and consulted.

- If the supported projects are part of a Humanitarian Response Plan or similar document, describe how the supported activities in the grant request support the Cluster Objectives and Strategic Objectives of the SRP.

- Explain how agencies’ past performance and implementation capacity were considered during prioritization (including implementation of past CERF grants if relevant).

- If applicable, describe how the CERF prioritization process was complementary to prioritization processes for country-based pooled funds.

- If more than one project is proposed, provide a brief overview of the integrated CERF package and how the projects will complement one another in carrying out the proposed interventions.

- If applicable, describe how the activities funded by the CERF will contribute to building resilience of the affected populations and fit within longer-term vulnerability reduction strategies.

- Please also describe if and how cost effectiveness and value-for-money were considered when selecting projects and partners to address the identified and prioritized needs.

- Include information on any gender analysis undertaken by the sector/cluster for effective targeting of this CERF grant. Highlight the sector-specific vulnerabilities of any groups and geographic locations that require particular attention.

- Explain briefly how affected people were involved in the design of the cluster/sector response, in particular the most vulnerable people.3

[Insert text here]

3 As per the IASC’s five Commitments on Accountability to Affected People/Populations (CAAPs, details at: http://www.humanitarianinfo.org/iasc/).


D. CERF APPLICATION SUMMARY TABLE*

Date:

Country:

CERF window: Rapid Response Underfunded Emergencies

Requesting Agency Project Title

Humanitarian Response

Plan project code

(if applicable)

Cluster/Sector Total Project Requirement

(US$)

Amount received to date (US$)

Amount requested from

CERF (US$)

1

2

3

4

5

6

7

8

9

10TOTAL REQUESTED FROM CERF US$ 0

*Please fill out one table listing all projects submitted as part of this grant request. Add or delete rows from the table as required.


Agencies should submit individual project proposals per sector/cluster. For example, one agency would submit two separate individual proposals for WASH and for health. Joint sector/cluster proposals are acceptable only when agencies are jointly implementing the activities for the same caseload in the same location. Otherwise, please submit separate agency proposals.

III. AGENCY PROJECT PROPOSALS

1. Requesting agency or agencies

2. Project title

3. Cluster/sector

4. Geographic areas of implementation targeted with CERF funding (by first and second level administrative divisions – please be specific)4

5. Implementation start date of CERF-funded activities (rapid response projects only)For rapid response projects the implementation deadline is six months from the date of disbursement or, where specified, from the start date provided below (which must not be earlier than six weeks prior to the disbursement date).

a. Will implementation of the CERF-funded activities start prior to disbursement of funds? Yes Nob. If “Yes” please provide start date (day/month/year):

Fund

ing

(US

D)

6a. Total requirement for agency’s sector response to current emergencyFor rapid response requests, this refers to the funding requirements of the requesting agency in the prioritized sector for this specific emergency and the new emergency response phase only.For underfunded emergency requests, this refers to the agency’s funding requirements for the corresponding activities in the SRP. If SRP project exists, use the project requirement. Where no SRP exists, ‘total project requirement’ should reflect the funding requirements of the requesting agency for its humanitarian programme in the prioritized sector for the targeted geographical location.For joint projects, please break down by agency this and the following amounts (6b and 7).

US$

6b. Total project funding received so farIndicate the amount received against the total indicated in 6a above.

US$

7. Total amount of CERF funding requestedThe total requested from the CERF should not be 100% of the total budget for this project, as CERF funding should be complemented by other funding sources. Normally, CERF contributes to a limited amount of the total project requirement to jump-start an emergency response.

US$

8a. Total number of individuals (girls, boys, women and men) directly targeted with CERF funding5

Female Male Total

< 18 years

≥ 18 years

Total

4 Please be specific with the target areas of this project. First administrative level can be provinces, states, governorates or regions. Second administrative level can be districts, prefectures, municipalities, cantons or townships.5 Please count only the individuals benefitting directly from this CERF grant. The population benefitting indirectly from this CERF funding should not be included, although the country team may choose to describe the additional benefits of the project in section 10 of the proposal.


8b. Beneficiary profileIn addition to the breakdown by girls, boys, women and men above, please provide a beneficiary profile by category. Totals must match. Please do not change the categories and do not add additional lines.“Other affected people” includes people affected by natural disaster or conflict who have not been displaced and are not hosting refugees or IDPs, or people affected in any other way.

Category Number of people

Refugees

IDPs6

Host population

Other affected people

Total (same as in 8a)

9. Humanitarian Response Plan project code, ranking, and objectivesMandatory to provide where an appeal with projects existsFor countries with an HRP: If applicable, please list the HRP cluster objectives and strategic objectives to which this CERF project will contribute.Where more than one HRP project code applies to a single CERF project proposal, please also specify the amount of CERF funding requested against each HRP project code (add lines as required).For joint projects, please indicate the agency for each HRP project.

HRP Project Code HRP Priority Ranking CERF funding for project

US$

US$

HRP Cluster Objectives (if applicable, please specify the cluster):

HRP Strategic Objectives (if applicable):

10. Priority humanitarian needs in the sector: What are the time-critical needs in the sector? For rapid response, what are the new or increased humanitarian needs? Why is this sector prioritized in the CERF application?

GUIDANCE (delete when completed)- For rapid response, highlight the new or increased needs directly resulting from the current crisis.- What are the different needs of girls, women, boys and men from different ages?- Reference the dates and types of needs assessments used to develop the project, including the Multi-Cluster/Sector

Initial Rapid Assessment (MIRA), sector-specific technical assessments and others as applicable.

[Insert text here]

11. Overall sectoral response: How is your agency (or the sector/cluster) responding to the needs? What is the target population? What are the overall outputs?

GUIDANCE (delete when completed)- For underfunded emergencies, describe the overall project, e.g., as included in a Humanitarian Response Plan. - For rapid response, describe the agency or sector/cluster’s overall response to the new or increased needs. What

additional activities are planned to respond to the new needs? What increase in humanitarian programme is proposed?

- Explain how the project contributes to the sector/cluster priorities.- Explain briefly how affected people were involved in the design of the project and how they will be consulted

throughout the implementation of the project.7Provide information on the individuals targeted by the overall project/programme, and explain how identified gender issues will be addressed in project/programme design and implementation, to ensure that the needs of women, girls, boys and men are met equally.

[Insert text here]

6 IDPs are defined as “persons […] who have been forced or obliged to flee or to leave their homes or places of habitual residence, in particular as a result of or in order to avoid the effects of armed conflict, situations of generalized violence, violations of human rights or natural or human-made disasters, and who have not crossed an internationally recognized state border” (UN Guiding Principles on Internal Displacement).7 As per the IASC five Commitments on Accountability to Affected People/Populations (CAAPs) (http://www.humanitarianinfo.org/iasc/).


12. CERF project (1 page text plus results framework): What will your agency accomplish with CERF funds? Who is the target population? What are the specific outputs?

12a. Summary of CERF project

GUIDANCE (delete when completed)- Of the overall response (question 11), what portion will be supported with CERF funds? - Describe the individuals to be targeted by the CERF project and their locations. Highlight any particular groups of

concern.- Explain how the CERF project adheres to the CERF life-saving criteria.8

[Insert text here]

12b. CERF project results framework

GUIDANCE (delete when completed)- The project results framework should provide a brief overview of key deliverables and results expected for the CERF

component of the project. It is not meant to serve as or replace agencies’ own fully developed project log-frames.- Please use the table below and add lines as necessary to capture the key deliverables of the CERF Project.- The framework below is also an opportunity for elaborating and illustrating aspects of the project related to gender

and accountability to affected people (as outlined under Point 10 above).- Please break down target population figures in the results framework by sex, age and other relevant characteristics.- If activities are implemented by project partners please indicate the name of the implementing partner. - The results framework should represent the CERF portion of the project only. If activities and outputs cannot be

directly linked to CERF funding please estimate or prorate as best possible.- The example below should be deleted before submitting the proposal to the CERF. For additional guidance and a

larger example of a results framework, see Annex B.

EXAMPLE (complete the empty table below and delete this example)

8 The CERF Life-Saving Criteria, which specify activities by sector that the CERF can fund, are available at http://cerf.un.org


CERF Project Results Framework

Project objectiveOutcome statement

Output 1

Output 1 Indicators Description Baseline Target

Indicator 1.1

Indicator 1.2

Indicator 1.3

Output 1 Activities Description Implemented by9

Activity 1.1

Activity 1.2

Activity 1.3

Output 2


Indicator 2.1

Indicator 2.2

Indicator 2.3

Output 2 Activities Description Implemented by

Activity 2.1

Activity 2.2

Activity 2.3

Output 3


Indicator 3.1

Indicator 3.2

Indicator 3.3


Activity 3.1

Activity 3.2

Activity 3.3

9 For joint projects, please indicate for each activity, which agency is responsible, even if the activity is to be implemented by a partner.


Gender Marker (as in HRP) Description and Justification

NA – Not applicable 0 – Gender Not Reflected 1 – Limited Gender Consideration 2a – Gender Mainstreaming 2b – Targeted Gender Action

Gender-based violence Description and Justification

Does this project consider gender-based violence (GBV) in its design?

Yes, its main objective focuses on GBV Yes, it has a GBV component No

12. Implementation Plan: When will the activities be carried out? By whom? How will the project be coordinated with other projects or sector/clusters? How will the activities be monitored?

12a. Implementation timeframe

GUIDANCE (delete when completed)- Specify the duration of the CERF project and provide an activity timeline, as per below suggested format.10 CERF

allows up to six months for rapid response grants, and about nine months for underfunded grants.- Briefly describe how the activities funded by CERF will be sustained beyond this CERF project. - Please complete the workplan below by highlighting the cells (each cell represents one week). Outputs and activities

must be the same as in the Results Framework above. Insert the actual calendar months instead of “Month 1”, etc.

CERF Project Implementation PlanProject duration

Month 1 Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Month 8 Month 9

Rapid Response Implementation Period

Underfunded Implementation Period

Output 1Activity 1.1

Activity 1.2

Activity 1.3


Activity 2.2

Activity 2.3


Activity 3.2

Activity 3.3

10 Requesting agencies can also choose to use their own format but it must demonstrate the time schedule for the CERF project period to complete the outputs and activities as outlined.


12b. What are the implementation arrangements? Who are the implementing partners? What is the coordination structure?

GUIDANCE (delete when completed)- Who are the implementing partners? Please provide names.- Describe roles and responsibilities of your agency and implementing partners to deliver the CERF-funded

assistance. Who is responsible for what activities? In what locations?- When will funds or in-kind support be transferred to implementing partners? When will the partners begin activities?- How will this project be coordinated with other projects in the same area or targeting the same affected people?

[Insert text here]

12c. How will implementation be monitored, evaluated and reported on?

GUIDANCE (delete when completed)- Describe the monitoring and evaluation arrangements for the CERF project. On monitoring, please describe plans

for tracking project progress, including site visits, data collection, reporting and other arrangements, as relevant.- Describe any evaluations planned for the CERF project or overall programme of which CERF is part. Explain how

and who will carry out the evaluation.- Describe any other accountability mechanisms set in place for this project.

[Insert text here]


13a. CERF Project BudgetPlease use the template below without modifying the section headings. Wherever possible and relevant please provide a detailed breakdown of items (unit, quantity, unit costs) and costs for each budget line for the CERF component of the project. Where breakdown of unit, quantity and unit cost is not available or irrelevant, please provide total amount of the item along with sufficient description of cost content. Please add additional rows, as needed. For joint project, each agency has to develop a separate budget (tables 13a and 13b). Please refer to the CERF application budget guidelines in Annex A of this document or available at http://cerf.un.org

Budget LinesCost Breakdown

Unit Quantity Unit Cost Total (USD)

A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the agency for project implementation

Sub-Total A:

B. Supplies, Commodities, Materials (please itemize direct and indirect costs of consumables to be purchased under the project, including associated transportation, freight, storage and distribution costs)

Sub-Total B:

C. Equipment (please itemize costs of non-consumables to be purchased under the project)

Sub-Total C:

D. Contractual Services (please list works and services to be contracted under the project)

Sub-Total D:

E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)

Sub-Total E:

F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners


http://cerf.un.org/

Budget LinesCost Breakdown

Unit Quantity Unit Cost Total (USD)

Sub-Total F:G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project implementation)

Sub-Total G:Total Project Direct Costs

Total project direct costs

Indirect Project Support Costs (PSC) (must not exceed 7% of total project costs)PSC ratePSC amount

Total CERF Project Budget

13b. Breakdown of CERF Budget by Implementing Partner TypePlease provide the total amount planned for partner implementation and include an estimate of the planned breakdown of funds by implementing partner type. Total amounts should match budget Category F.

Amount (USD)

a. Direct implementation by UN/IOMb. Total International NGO partners

c. Total National NGO partners

d. Total Red Cross/Red Crescent partners

f. Total Government partners

g. PSC amount

Total


Annex A: Budget Guidance

Each CERF project proposal must include a budget which details the costs to be funded by CERF and which strictly adheres to the CERF budget template and CERF budget guidelines (see below). The CERF budget template is in line with the UNDG budget categories.The budget should reflect activities described in the project narrative, and include sufficient detail to provide a transparent overview of how CERF funds will be spent. Budgets should be designed taking into consideration the CERF-approved implementation period of the project (maximum six months for rapid response grants and around nine months for underfunded grants).If more than one agency will implement a project, a joint narrative can be presented but separate budgets must be completed for each agency. There will be a separate disbursement to each agency, as CERF funds cannot be passed from one agency to another.

Budget Line Guidance on Cost Breakdown A. Staff and Other Personnel Costs Unit Quantity Unit Cost Total Staff costs should usually not exceed 10% of the Total Project

Direct Costs; Costs and entitlements of national and international staff

directly involved in the implementation of the project Itemize each national and international staff by function and

grade/level National and international consultants contracted directly by

the agency. Describe the function and expertise of the consultants hired for the project

Other project personnel such as temporary staff and daily workers directly contracted by the agency

Do not include consultancies with firms (which go under budget category D) or agreements with implementing partners (budget category F)

CERF does not fund Government staff salaries Keep staff and other personnel costs to the essentials for

emergency response

Provide unit, quantity and unit cost by monthly or daily rates for each position

Specify whether the rate is monthly or daily If a position is cost-shared, budget the portion of

monthly cost that the person will dedicate to the CERF project.

B. Supplies, Commodities, Materials Unit Quantity Unit Cost Total Procurement of consumable supplies for project

implementation (e.g., drugs, food, non-food items, tents, seeds, tools, etc.)

Costs associated with the delivery, storage and distribution of consumable supplies procured by the project, such as transportation, freight, customs, insurance, warehousing and other logistical requirements

Provide details on medicines or the contents of kits in an annex

Communications materials for training and awareness raising, such as posters, pamphlets, etc., as well as the reproduction of these items

CERF does not fund agency-specific visibility materials

Provide unit, quantity and unit cost for each type of consumables to be purchased

If a consumable is in the form of a kit, provide an itemized list of the content of the kit in an annex or refer to the standard kit descriptions agreed with CERF

C. Equipment Unit Quantity Unit Cost Total Procurement of non-consumable items for the benefit of

project recipients (e.g., IT equipment for registration, medical equipment, etc.). Low value items should be budgeted in budget category B.

CERF generally does not fund the purchase of vehicles Only equipment directly related to project implementation will

be considered. Equipment for agency regular operations will not be accepted

Provide unit, quantity and unit cost for each type of equipment to be purchased

D. Contractual Services List and describe the works and services – normally of a

commercial nature – contracted directly by the agency following procurement procedures

Provide the names of contractors if possibleBudgets for implementing partners (NGOs or Government partners) should be included in budget category F.

Provide unit, quantity and unit cost for each contract

E. Travel Unit Quantity Unit Cost TOTAL


Budget Line Guidance on Cost Breakdown Travel costs of staff, consultants and other project personnel,

such as daily subsistence allowance, international and local flights, hazard pay and other travel entitlements, as applicable

Itemize by international and internal/national travel and indicate for whom the travel cost is

For all travel, provide the number of travellers, number of days, destination and DSA rate

Include fuel and vehicle or boat rental costs for staff, consultants and other project personnel

The inclusion of international travel is discouraged. If included, a strong justification is required

For staff, consultant and other personnel travel, provide details on the number of days, DSA rates and national and international flight costs (round or single trip)

Provide unit, quantity and unit cost for vehicle or boat rental, including fuel for internal travel

F. Transfers and Grants to Counterparts Unit Quantity Unit Cost TOTAL For partners– normally of a non-commercial nature –

contracted by the agency through sub-granting procedures for project implementation. Entities receiving sub-grants could be NGOs, Government or other non-commercial entities

For each implementing partner, provide the name of the partner (NGO or government), amount of funds to be transferred. Please provide a description of the partner’s outputs and a general breakdown of the budget. For example:

Distribution of 800 MT of food commodities to ABCD beneficiaries in XX, YY and ZZ locations. 800 MT x $150/MT = $120,000 Deployment of two mobile health clinics to XX and YY locations for a five-month period. $25,000/month x 5 months = $125,000.

Costs allowed to be incurred by partner include:1. Staffing: cost of personnel recruited by the implementing

partner to carry out the services sub-contracted by the agency

2. Direct operational cost: all costs of direct operational inputs (equipment, supplies, transport, etc.) for delivery of services

3. Other direct costs: general operating and office running costs for the partner to carry out the services/works for this project

Lump sum cost per partner

G. General Operating and Other Direct Costs Unit Quantity Unit Cost TOTAL General operating costs, including office running costs, office

stationary and supplies, and utilities such as telecommunications, internet, and office rents for project implementation. For office rents, provide office locations

Other costs that cannot be mapped to the expense categories above, such as agency-specific standard provisions such as technical supervisory support, monitoring and evaluation, reporting, and others as agreed with CERF

CERF does not fund recurrent costs for regular agency operations including regular agency security costs.

Itemize the other direct costs by unit, quantity and unit cost

Lump sum costs can be accepted provided satisfactory description on what the lump sum covers and how it is estimated

Total project direct costs This is the sum of budget lines A to G.Indirect project support costsTo cover PSC at HQ/regional and country level. Must not exceed 7% of total project direct costs

TOTAL PROJECT BUDGET Sum up total project direct costs and indirect project support costs

a) Please use a comma “,” rather than space or “.” as thousands separator, e.g. “$1,234”b) Subtotal, PSC and total amount is rounded to the nearest dollar.


Annex B: Example of a Results Framework and Project Implementation Plan

Terminology- The project objective describes the overall objective to which the project will contribute.- Outcomes are longer-term changes resulting from outputs in one or more sectors. For single-sector projects, one

outcome statement is recommended. The outcome statement should have a direct linkage to the overall project or programme of which the CERF project is part.

- Outputs are direct and measurable products and results of activities. Indicate the output(s) to be expected upon completion of the CERF project, which should contribute to the outcome. There can be multiple outputs (no more than five is recommended) but they should be specific and achievable within the CERF project timeframe.

- Indicators and Activities are assigned to a specific output. Indicators should be SMART. SMART indicators are: Specific, to avoid differing interpretations; Measurable, to allow monitoring and evaluation; Appropriate to the problem statement; Realistic and achievable; Time-bound, indicating a specific period of time during which the results will be achieved, which must fall within the CERF implementation period. Use the agreed cluster indicators in a Humanitarian Response Plan if possible.11 Each indicator shall have a measurable target assigned.

- Activities are actions performed to achieve the outputs and outcome, such as the delivery of goods and services. Describe the activities for each output to be carried out under this CERF grant.

Below is a fictional example of a results framework and project implementation plan to be used as a reference.

CERF Project Results Framework

Project objective

Improving the health of 2.6 million children and mothers at risk through MMR vaccination and primary health care in Zutaji and Lilango governorates in a six-month timeframe.

Outcome statement Displaced and conflict-affected children and mothers protected against communicable diseases

Output 1 2.5 million vulnerable children in Zutaji and Lilango governorates have access to MMR vaccine


Indicator 1.1 Coverage of measles vaccination in per cent (among IDP children under five in the two governorates) 0

100% (485,000 girls, 515,000 boys)

Indicator 1.2 Coverage of measles vaccination in per cent (among non-IDP school children in grades 1-4 in the two governorates) 0

100% (800,000 girls, 700,000 boys)


Activity 1.1 Procurement of 2.5 million MMR vaccine doses UN Agency

Activity 1.2 Distribution of MMR vaccines to implementing partners UN Agency

Activity 1.3 Implement vaccination campaign in cooperation with local NGOs and with community representation groups in each governorate

UN Agency, NGO1, NGO2, Ministry of Health

Output 2 100,000 IDP mothers and children have access to health services for waterborne diseases


Indicator 2.1Number of additional IDP mothers and children in all governorates provided with access to medical services for the control of waterborne diseases

0

100,000 (30,000 mothers, 35,000 girls, 35,000 boys)

Indicator 2.2 Number of functional health facilities providing selected relevant services (treatment of waterborne diseases)

1 health facility

5 health facilities (1 hospital and 4 health centres)


Activity 2.1Procurement of medical kits and supplies for the prevention and control of waterborne diseases (100 IEHK, 14 diarrhoea kits, 200,000 ORS)

UN Agency

11 If there is no HRP, use indicators from the Indicators Registry, which is maintained by the global clusters and available at https://ir.humanitarianresponse.info/


https://ir.humanitarianresponse.info/

Activity 2.2 Distribution of medical kits and supplies to health facilities for 100,000 IDP mothers and children NGO3

Activity 2.3 Provision of medical services to 100,000 IDP mothers and children Ministry of Health

CERF Project Implementation PlanProject duration

Sep 2015 Oct 2015 Nov 2015 Dec 2015 Jan 2016 Feb 2016

Rapid Response Implementation Period

Underfunded Implementation Period


Activity 1.2

Activity 1.3


Activity 2.2

Activity 2.3


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