Tr59V

12 1981UNITED STATES INTERNATICNAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT WASHINGTON D C 20523

December 29JAJR 12 ss PH81 RI LIVED

CONTRACT SERVICES DIVISION

Mr R W o 1Fill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 3 to Grant AIDasha )12 Bandung Hospital

Dear Mr OFfill

This letter amends Grant AIDasha 171 dated August 29A48a toextend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1980 and insert in its place March 31 1981

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and five copies to this office

Sincerely yours

Dai ASantos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The General Conference of Seventh-Day Adventists

Title_

CT 10 1979 DEPARTMENT OF STATE

AGENCY FOR INTERNATIONAL DEVELOPMENT =L 1 -

WASHINGTON O C 20523

September 27 1979 OCT i i~liJ

SAWS Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue NW Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 172 for the Bangkok Adventist Hospital

Dear Mr OFfll

This letter amends Grant AIDacha 172 dated August 29 1978 by changing the language of the Authorized Expenditures and extending the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1981

Article II - Authorized Expenditures - In the second line of the last paragraph delete the phrase A two-story out-patient wing and insert in Its place A one-story out-patient wing

Except as expressly herein amended said grant is continued in full foice and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sincerely yours

Director Office of American Schools and Hospitals Abroad

ACCEPTED

The General Conference of Seventh-Day

Adventists

By-

Titl _

13 UTED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT

WASHINGTON D C 20523

December 10 1979

Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 1712 Bandung Hospital

Dear Mr OFfill

This letter amends grant AIDasha 171 dated August 29 1978 to extend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1980

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sinqrely-ours

Da Santos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The G eral Conference of Seventh-Day Adventists

By -z (

Title

CTNRIC

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

12 1981UNITED STATES INTERNATICNAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT WASHINGTON D C 20523

December 29JAJR 12 ss PH81 RI LIVED

CONTRACT SERVICES DIVISION

Mr R W o 1Fill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 3 to Grant AIDasha )12 Bandung Hospital

Dear Mr OFfill

This letter amends Grant AIDasha 171 dated August 29A48a toextend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1980 and insert in its place March 31 1981

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and five copies to this office

Sincerely yours

Dai ASantos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The General Conference of Seventh-Day Adventists

Title_

CT 10 1979 DEPARTMENT OF STATE

AGENCY FOR INTERNATIONAL DEVELOPMENT =L 1 -

WASHINGTON O C 20523

September 27 1979 OCT i i~liJ

SAWS Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue NW Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 172 for the Bangkok Adventist Hospital

Dear Mr OFfll

This letter amends Grant AIDacha 172 dated August 29 1978 by changing the language of the Authorized Expenditures and extending the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1981

Article II - Authorized Expenditures - In the second line of the last paragraph delete the phrase A two-story out-patient wing and insert in Its place A one-story out-patient wing

Except as expressly herein amended said grant is continued in full foice and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sincerely yours

Director Office of American Schools and Hospitals Abroad

ACCEPTED

The General Conference of Seventh-Day

Adventists

By-

Titl _

13 UTED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT

WASHINGTON D C 20523

December 10 1979

Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 1712 Bandung Hospital

Dear Mr OFfill

This letter amends grant AIDasha 171 dated August 29 1978 to extend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1980

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sinqrely-ours

Da Santos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The G eral Conference of Seventh-Day Adventists

By -z (

Title

CTNRIC

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

CT 10 1979 DEPARTMENT OF STATE

AGENCY FOR INTERNATIONAL DEVELOPMENT =L 1 -

WASHINGTON O C 20523

September 27 1979 OCT i i~liJ

SAWS Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue NW Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 172 for the Bangkok Adventist Hospital

Dear Mr OFfll

This letter amends Grant AIDacha 172 dated August 29 1978 by changing the language of the Authorized Expenditures and extending the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1981

Article II - Authorized Expenditures - In the second line of the last paragraph delete the phrase A two-story out-patient wing and insert in Its place A one-story out-patient wing

Except as expressly herein amended said grant is continued in full foice and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sincerely yours

Director Office of American Schools and Hospitals Abroad

ACCEPTED

The General Conference of Seventh-Day

Adventists

By-

Titl _

13 UTED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT

WASHINGTON D C 20523

December 10 1979

Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 1712 Bandung Hospital

Dear Mr OFfill

This letter amends grant AIDasha 171 dated August 29 1978 to extend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1980

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sinqrely-ours

Da Santos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The G eral Conference of Seventh-Day Adventists

By -z (

Title

CTNRIC

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

13 UTED STATES INTERNATIONAL DEVELOPMENT COOPERATION AGENCY

AGENCY FOR INTERNATIONAL DEVELOPMENT

WASHINGTON D C 20523

December 10 1979

Mr R W OFfill Assistant Executive Director Seventh-Day Adventist World Services Inc 6840 Eastern Avenue N W Washington D C 20012

Subject Amendment No 1 to Grant AIDasha 1712 Bandung Hospital

Dear Mr OFfill

This letter amends grant AIDasha 171 dated August 29 1978 to extend the termination date The grant is amended as follows

Cover Page - In the second paragraph delete December 31 1979 and insert in its place June 30 1980

Except as expressly herein amended said grant is continued in full force and effect in accordance with its terms and conditions

Please indicate your acceptance of this amendment by signing the original and all copies and returning the original and 5 copies to this office

Sinqrely-ours

Da Santos Director Office of American Schools and Hospitals Abroad

ACCEPTED

The G eral Conference of Seventh-Day Adventists

By -z (

Title

CTNRIC

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

CTNRIC

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

ISERCMSDjP Action SERCMSDSUP Action CONTRACTGRANTCOOPERATIVE AGREEMENT DATA SHEET [Mon ior Offe

INSTRUCTIONS AINf- Complete 4 copies of ihe form Original SFRCMSDSUP Statistical Section Copy Copy 2 SERCMSDSUP Administrative Copy Copy 3 Contracting Officers Copy Copy 4 SERCMSDSUP Admin (Suspensc) Copy _ h___ -_r__Comphte 2 copies of he form Original SERCMSDSUP Statistical Section Copy and Copy 2 sollbe retained in the Missions

PART IA

ContractorGrantee Nam__ _ _ _Numb

P10(1 Number Albir Prject NumbcrAprpito ilotment Nuiojber

Projcctle

Amount of thisPIOT fProjct Managers Name and Office Symbol Contractors D-U-N-S Number

Negotiators Typed Name

ContractGrant Officer s Typed Name Signature Date

PART IIB

C0ntracGrant Number type Ordcr Order Number iAmrcndnntModification 1Date PIOT Received by CMSDSUP or Mission Contract Office1 N eNumber 1

ta a 61- O

PARI If

Fffective Date of Document Signature Date of Document rstimated Corsplktion Date ContractGrant funded through

Ilost Lountr Insitutiun (Umiersrgt Campus Loor-hnalor (Unitersty Amount ObigatedDeoligaled ICumulative Ob igation thru this contract OL Y) contractONL Subhnattdby this Action Action

PART Ill )L Lriptiin Of Coiitractrant Please X ONLI ONE item under each heading IFOTHER pleast specify (Complete both pages I aid 2) NOTF Not to be issnpletid for AmctodmLnl orModification Actions

1(3 fY1 ACTION 0G Unsolicited Proposal (AIDIR D C Individual (Non personal strsice)

0 Coritract(GrantLCuupcrafive Agreement 7-3 101-50(b)(6)) 0 D Individual (lersonalSerILe)

L I Task Order (IOA) 0 H Procurement tobe Performed by the Con 0 E UniversityOther rducationa Institutions

O 2 ork Order (IQC)l tratorii Person (AIDPR I Non ProfitOrganiation Institutions (other

U 3 Delivery Ordr (Rtquirements) 7 3 101-50(b)()) than Fd or IVO)

U 4 Purchase OrJer I Sole Source (AIDPR 7 3 10t 50(b)(4)) 0 6 Private Voluntary Organization (tVO)

If 1 2 or3 have an X complete 12 ONLY j Impaurment of Foreign Policy Objectives H tinternational Agricultural Research Organi

M04 CONTRACTGRANT TYPE (AIDPR 7 3 t01 50(b)(7)) zation

3 o MOA (BOA BMA etc ) 0 IC 8(a) Selection (1- t I 1 713-1) 0 I Public Interiational Organizations (UN

C1 I Fixed Price (Specify PllRD FPEPA Agencies IKRC iorldlfIP g L Grant (Handbook 13) Banketc )

FPI) C0 M Do Not Use (fll 13 Chapttr 5)

U 2 Lost Reimbursemet (Specify CR CPi F 0 N Cooperatise Agrcement (Handbook 13)

CS CPAI CPII) D0O Small Business Set Aside (FPR I I 706-8) M8O- TYPI AWARD

o 3 Cooperative Agreermnt 0 P Osersas Procuring Activities (AIDPR 0] A SB Set-Aside Assarded tliNon Minority fU 4 Grant - encral Support 7 3 t1 50(b)(2)) 0 i SB Set Aside Asardd to Minority

5 Grant Specific Support M06 TYPE SERVICE 0] C SD Not Set Asidi Awardd to Non Minority

U Grant -21 t(d) 0]A Training of Participants 0]D SD Not SdtAside Avardcd lii Minority

o 7 Do Not Use 03B T-chnucal Assistance (Program Project 0 L 8(a) SBA Awarded to Non Nfinoritl (Women

0 8 lQCs related except A amp E Services) Owned Veterans etc )

o1 9 iiostCounlr) ContractGrant C] C A amp E Services 0 F 8(a) SBA Avarded to Minior3t

Complte ONLY through NIS] ) Construction 0 G Personal Service Contract - Non Minority

105 SFLECTION PROCEDUPFS 0 E Research 0 H Personal Sctvice Contract - Minioriy

[ A Formally advertised (11h)(AIDPR 7 2 4 amp 0 F Technical Services to AID (other than train- 0 I Individual Non Pe-sonal Sersuct Contract -

I PR I 2 4) Ingusually operating expense) Non Minority

03 B Ni oliatd Irice Competition General 0 G Training Service forAID 0 J Individual Non Personal Service Contract shy

lroiedure (RFP) (AIDPR 7-4 56) II Equipment Materials Supplies Commodities Minority

0 C 4amp E (AIDPR 7 4 10) 0r1 Translation Service I IL Not Small Business (Univ Non Pofit Large

U D Fd Inst andor Intl Research (AIDPR M07 -TYPE CONTRACTORGRANTEE I i ms) Non Minority

7 4 57) 0 A Firm - All profit making firms (other than 0 L Not Small Business (Univ Non Profit Large

U1E Collaborative Assistance (AIDPR 7 4 58) A amp E) Firms) Minority

] 1- redominant Lapabiit) (AIDIR 0 B A amp E firms 0 M US Government

73 101-50(b)(3)) (Crtoaued on Page 2)

AID 1420-49 (1-79) 1ag Ishy

0 D Small Business Not Set-Aside Awarded to 0 B3 Follow-on After Competition

Ci Direct AIDW Executed ContractGrant Minority 0 B9 Other (Specify)

M09- CONTRACTING PARTIES

o 2 Direct AID Mission Executed ContractGrant 0 E 8(a)- SBA Awarded to Non-Minority

o 3 Ilost Country Grant lFinanced (Women Owned V-terans) M65 - TYPE O1 BUSINESS

0 4 Host Country Loan Financed 0 1 8(a)- SIA Awarded to Minority 0 El Source Non-U S and Used Outside U S

0 s [lost Country ContractGrant Source of 0 G Personal bvice Contract- Non-Minority and Possessions

Finance Unknown 01 H Personal Servic Contract - Minority 0 L2 Source Non-U S and Possessions (roe

MI0 - PRIVATL VOLUN IARY ORGANIZATION 0 I Individual Non-Pcional Service Cinttract - elgn Purchases Used Inside U5)

o I U S Registered PVO Non-Minority (If U S Source complete A thru D)

0 2 U S Non-Registered PVO 0 j Individual Non-Persoial Service Contract - 0 A] Small Business Disadvantaged 8(a)

o] 3 S Cooperative Minortty 0 A2 Small Business- Owned by Minority

i) 4 Foreign Cooperatives El K Not Small Busines (Univ Non Profit Group

o 5 roreign PVO Large Ftumsj- Non-Minorit) 0 A3 Other Small Business (including

o 6 Other (Specify) _0 L Not Small Bi Ainess (Univ Non Profit individuals)

MI I - ADVANCE Large Ihrms)- Minority 0 BI Large Minority Business

I No Advance 0 M U S Government 0 B2 Other Large Business

0 2 Advance- Non-1-RLC [ N Unknown 0 CI Non-Profit Private Educational

o 3 Advance- I-RLC M56- SUBJFCT TO STATUTORY REQUIRE- Organization

MI2 - COUNTRY O1FPERyORMANCE MENT 0 C2 Non Profit Hospital

(Specify) _ 0 A Walsh-liealey Act Manufacturer 0J C3 Non-Profit Research Institution Founda-

M13 Isan travel required outside US 0 B Walsh Ilealey Act Regular Dealer lion and Laborat aies

9-YFS El NO 0 C Service Contract Act (U S ONLY - Guards 0 C4 Other Non-Profit Institutions

M144- CONTRACTGRANT SOURCE Maintenance Laborers) 0 DI StateLocal Government Educational

ol I U S ContractorGrantee 0 D Davis-Bacon Act (Construction) Institution

0 2 Non-U S ContractorGra 1tee 0 E Not subject to Walsh Ilealey Service Con 0 D2 StateLocal Gosernment Hosptal

o 3 Combination of I amp 2 tract or Davis-Ilacon Act (Most AID 0 D3 StateLocal Government Rapsrch

MI 5 TYPE OWNERSIIIP Contracts) Organization

0 1 Arnerkais Oriental Fquipment Supi1has Matrials and Commodilits 01 D4 Other StateLocal (Specffy)

C] 2 Black Amerikan

Ei 3 Ameran Aleutsor Fskimos M57 A-IRMATIVI ACIIONIIANON FILL

o 4 American Indian 0 YES Li NO

o] 5 llmpanic M58 AIIRMATIVI ACTION PLANON MO6-COST ACCOUNTING STANDARDS

ol 6 Other (Specify) PREVIOUSLY Ill 1 1) CONTRACTS 0] Required El Not Required

122 ( URRENCY INDICATOR 0 YES D NO P167 NUMBLR 01 DIDD)-RSOFI I RING ITEMS

0 US Dollar M60- INCRLI1-NTAL I UNDI D CONI RALT ORS1RVICISOI IOREIGNLONiFNT

[I Local Currnc 0 YFS C NO

El 2 Combination 161 CONSULTANT fYP1 AWARD M168 WOMI N OWNLD BUSII SS

E3 3 Unfunded Is the Award for Cinsultiig Type Service 0 YLS l NO

MSO LBCONTRACTING CODE to AID M69 - P[ RCLN] I ORI IGN CON fl N OI COM

oJ0 0 Dollars 0 YES 0 NO MODITIrS AND SI RVICI S

l I I tO00 Dollirs M63- EXTENT OF COI1LTI1 ION IN

[- 2 10001 499 999 Dollars NEGOTIATION M70- LABOR SURPLUS ARI A (I SA)

o 3 500000 and oer COMPETITIVL PRE1-LRI NCF

o 4 Unknown E0 Al Small Business Total Set-Aside (Location of Contractor)

151 - SUBCONTRACTOR TYPE AWARD 0 A2 Small Business Partial Set-Aside 0 I Labor Surplus Area No Prefirence

o] A Small Business Set-Aside Awarded to Non- 0 AJ Labor Surplus Set Aside 0 3 Labor Surplus Area - Tie Bid riference

Minority 0 A4 Labor SurpusSmall Business Set Aside D 5 Not a Labor Surplus Area reference Award

Li B Small Business Set-Aside Awarded to 01 A9 Other (Specify) _ _ 7 Total Labo- SurplusSmall Business Set Aside

Minority NON COMPETITIVE Preference

0 L Small Business Not Set-Aside Awarded to 0 BI Buy Indian 0 8 Total Labor Surplus Set-Aside Preference

Non-Minority 0 B2 8(a) Program (P L 95-89)

NOTE M03 thru M$1 are required for AID rdpotting M56 thru M70 are required for the Office of Federal Procurement Policy reporting SEP (CM has no control over those elements

4 JD 1420-49 (1-79) Page2 2

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GRANT

BY THE

UNITED STATES OF AMERICA

TO

THE GENERAL- CONFERENCE OF SEVENTH-DAY ADVENTISTS

Seventh-Day Adventist World Services Inc

FOR

THE BANDUNG ADVENTIST HOSPITAL

Pursuant to the authority contained in Section 214 of the Foreign Assistance Act of 1961 as amended the Government of the United States of America acting through the Agency for International Development (hereinafter referred to as AID) hereby makes a grant of Three Hundred Thousand Dollars ($300000) to the General Conference of Seventh-Day Adventists (hereinafter referred to as Grantee) to be used solely for the benefit of the Bandung Adventist Hospital located in Bandung Indonesia in accordance with and subject to the terms and conditions set forth in the Appendices hereto attached and made part of this grant as follows Appendix A (Special Provisions) and Appendix B (General Provisions (3) Procurement of Commodities (Sa) Disbursement Procedures and (6)Administrative and Other Provisions)

This grant is to cover authorized expenditures incurred from the date of execution of this grant and ending December 31 1979

Agency fo International Development

By A6te CA14 Acting Director Office of American Schools and Hospitals Abroad

1978Date AU G 2 9

This grant is hereby accepted under the terms and conditions and for the purposes set forth in the Appendices Grant No AIDasha 17t attached hereto

Project No 913-0269-1387421 Seventh-Day Adventist World Services Inc 6840 Eastern Avenue NW Washington D C 2

-IL ByTtle O - r

Allotment No 894-38-099-00-84-81

Appropriation No 77-1181013

Title 4 L

APPENDIX A

SPECIAL PROVISIONS

ARTICLE I - PURPOSE OF THE GRANT

1 Under Section 214 of the Foreign Assistance Act of 1961 as amended

assistance is authorized to hospital centers for medical education and

research outside the United States founded or sponsored by United States

citizens

2 Grant-e a non-profit corporation existing under the laws of the

District of Columbia founded the Bandung Adventist Hospital in Bandung

Indonesia in 1950

3 The Bandung Adventist Hospital began as a 20 bed hospital and has

grown to a 140 bed facility serving 4000 bed patients and out-patients

monthly As a part of Grantees overall health program Grantee operates a

school of Pursing in cooperation with the Indonesian Union College In

cadition the hospital conducts clinical and laboratory research in tropical

diseases such as malaria and gastro-intestinal and liver parasites

4 Grantee needs to replace obsolete and provide new diagnostic and

laboratory equipment to permit the hospital staff to improve its services

and programs Grantee has requested assistance for this purpose and AID

has determined that $300000 should be granted

ARTICLE II - AUTHORIZED EXPENDITURES

Except as otherwise approved by AID in writing the $300000 provided

by this grant shall be expended only as follows

For procurement of diagnostic and laboratory equipment from among the items set forth in the equipment list attached to this Appendix including the cost of shipment insurance and installation

Funds provided by this grant shall not be used to pay any import tax

or duties on commodities imported to Indonesia

lb

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Bandung Hospital

List of Equipment

A X-ray Machine - 500 ma - with the following accessories 1 Spotfil device 2 Tomogram 3 Image intensifier

B Laboratory Equipment

1 Spectrophotometer - Double beam - with accessories 2 Flame photometer 3 Complete tissue processor - Autotechnocon 4 Bacteriological equipment including the following

1 Serological baths 2 Thermostated baths 3 Incubators - Ambi - Hi - Lo- Regular Control -

Anaerobic and C02 5 Microscopes - 2 regular and

1 special for darkfield and fluorescence 6 Autoclave 7 Electrophoresis unit - complete with accessories 8 Automatic device for staining blood smear 9 Analytic balances - double and single pan 10 pH meter 11 Cotlove chloridometer 12 Coulter cell counter 13 Automatic pipettor - dilutor 14 Blood gas studies equipment 15 Blood bank refrigerator

C For the above equipment line conditioner to regulate voltage

D Special instrumants to aid the doctors in making a more complete diagnosis

1 Bronchoscope - fibrooptic 2 Gastroscope - fibooptic 3 Clonoscope - fibrooptic 4 Sigmoidoscope - fibrooptic 5 Oto-opthalmoscope - fibroopLic 6 Culdeoscope - fibrooptic 7 EKG machines - console and portable 8 Ultrasound - complete

i

Appndix (3)Gnral Provisions

PROCUREMENT OF COMMODITIES

Paragraphs A through H apply to procurement of commodities and commodity

related services by the Grantee and any Grantee procurement agent When AID

is financing a fixed or unit price contract of the Grantee for construction

services paragraphs A and B but not paragraphs C through H will apply

A Place of Procurement

Commodities authorized for procurement shall be procured only in the

United States or in the country in which Grantees institution is located (except

as Appendix A Special Provisions limits procurement to the United States only)

1 Procurement in the United States

Commodities procured in the United States shall have been produced in

the United States A commodity shall not be eligible as being produced in the

United States if

(a) more than 50 percent of the total cost of its components were imported into the United States and

(b) it contains components from any communist country excluding Yugoslavia

2 Procurement in the Country in which Grantees Institution is Located

Commodities procuted in the country in which Grantees institution

is located

(a) shall not have entered the market on order from or othershywise to satisfy a specific need of the Grantee except commodities produced in the United States and

(b) shall not have been produced in nor--to the best of Grantees knowledge or the knowledge of any agent or contractor of the Grantee--contain components from any communist country excluding Yugoslavid

B US Carriers

Shipment of commodities from the United States shall be on US flag

carriers except as otherwise approved by AID

Procurement of Commodities

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C Quotations and Bids

Procurement shall be made in accordance with Grantees regular methods

of procurement provided Grantee employs good business practices which except

as permitted by paragraph D below shall include

1 Obtaining quotations or bids as appropriate from as many alternative sources as may be feasible and

2 Procurement at the lowest price except as extenuating circumstances or non-responsive bids otherwise dictate

Any decision by Grantee to procure a commodity at other than the lowest price

offered shall be documented pursuant to paragraph E below

D Proprietary Procurement

Proprietary procurement ie procurement from a single source and withshy

out obtaining quotations or bids from other manufacturers or suppliers is hereby

authorized (1)to assure compatibility or standardization with existing commodities

(2)when special design requirements are needed and available only from a single

source (3)when a specific commodity has proven to be most economical dependable

or serviceable under local conditions and (4)when a specific commodity has a

sole manufacturer or supplier Any decision by Grantee to procure a commodity

on a proprietary basis shall be documented pursuant to paragraph E below except

for procurement of spare parts and components for existing commodities which may

be undertaken on a proprietary basis without the documentation required in

paragraph E below

E Notification to AID

Any decision by Grantee to procure a commodity (1) at other than the

lowest price offered or (2)on a proprietary basis (except for spare parts and

components for existing commodities) shall be supported by a statement setting

forth the reason(s) and the name(s) of the person(s) deciding that such

procurement was advisable and necessary Statements substantiating the above

53

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

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5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

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4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

APPENDIX A

SPECIAL PROVISIONS

ARTICLE I - PURPOSE OF THE GRANT

1 Under Section 214 of the Foreign Assistance Act of 1961 as amended

assistance is authorized to hospital centers for medical education and

research outside the United States founded or sponsored by United States

citizens

2 Grant-e a non-profit corporation existing under the laws of the

District of Columbia founded the Bandung Adventist Hospital in Bandung

Indonesia in 1950

3 The Bandung Adventist Hospital began as a 20 bed hospital and has

grown to a 140 bed facility serving 4000 bed patients and out-patients

monthly As a part of Grantees overall health program Grantee operates a

school of Pursing in cooperation with the Indonesian Union College In

cadition the hospital conducts clinical and laboratory research in tropical

diseases such as malaria and gastro-intestinal and liver parasites

4 Grantee needs to replace obsolete and provide new diagnostic and

laboratory equipment to permit the hospital staff to improve its services

and programs Grantee has requested assistance for this purpose and AID

has determined that $300000 should be granted

ARTICLE II - AUTHORIZED EXPENDITURES

Except as otherwise approved by AID in writing the $300000 provided

by this grant shall be expended only as follows

For procurement of diagnostic and laboratory equipment from among the items set forth in the equipment list attached to this Appendix including the cost of shipment insurance and installation

Funds provided by this grant shall not be used to pay any import tax

or duties on commodities imported to Indonesia

lb

- 2 -

Bandung Hospital

List of Equipment

A X-ray Machine - 500 ma - with the following accessories 1 Spotfil device 2 Tomogram 3 Image intensifier

B Laboratory Equipment

1 Spectrophotometer - Double beam - with accessories 2 Flame photometer 3 Complete tissue processor - Autotechnocon 4 Bacteriological equipment including the following

1 Serological baths 2 Thermostated baths 3 Incubators - Ambi - Hi - Lo- Regular Control -

Anaerobic and C02 5 Microscopes - 2 regular and

1 special for darkfield and fluorescence 6 Autoclave 7 Electrophoresis unit - complete with accessories 8 Automatic device for staining blood smear 9 Analytic balances - double and single pan 10 pH meter 11 Cotlove chloridometer 12 Coulter cell counter 13 Automatic pipettor - dilutor 14 Blood gas studies equipment 15 Blood bank refrigerator

C For the above equipment line conditioner to regulate voltage

D Special instrumants to aid the doctors in making a more complete diagnosis

1 Bronchoscope - fibrooptic 2 Gastroscope - fibooptic 3 Clonoscope - fibrooptic 4 Sigmoidoscope - fibrooptic 5 Oto-opthalmoscope - fibroopLic 6 Culdeoscope - fibrooptic 7 EKG machines - console and portable 8 Ultrasound - complete

i

Appndix (3)Gnral Provisions

PROCUREMENT OF COMMODITIES

Paragraphs A through H apply to procurement of commodities and commodity

related services by the Grantee and any Grantee procurement agent When AID

is financing a fixed or unit price contract of the Grantee for construction

services paragraphs A and B but not paragraphs C through H will apply

A Place of Procurement

Commodities authorized for procurement shall be procured only in the

United States or in the country in which Grantees institution is located (except

as Appendix A Special Provisions limits procurement to the United States only)

1 Procurement in the United States

Commodities procured in the United States shall have been produced in

the United States A commodity shall not be eligible as being produced in the

United States if

(a) more than 50 percent of the total cost of its components were imported into the United States and

(b) it contains components from any communist country excluding Yugoslavia

2 Procurement in the Country in which Grantees Institution is Located

Commodities procuted in the country in which Grantees institution

is located

(a) shall not have entered the market on order from or othershywise to satisfy a specific need of the Grantee except commodities produced in the United States and

(b) shall not have been produced in nor--to the best of Grantees knowledge or the knowledge of any agent or contractor of the Grantee--contain components from any communist country excluding Yugoslavid

B US Carriers

Shipment of commodities from the United States shall be on US flag

carriers except as otherwise approved by AID

Procurement of Commodities

-2-

C Quotations and Bids

Procurement shall be made in accordance with Grantees regular methods

of procurement provided Grantee employs good business practices which except

as permitted by paragraph D below shall include

1 Obtaining quotations or bids as appropriate from as many alternative sources as may be feasible and

2 Procurement at the lowest price except as extenuating circumstances or non-responsive bids otherwise dictate

Any decision by Grantee to procure a commodity at other than the lowest price

offered shall be documented pursuant to paragraph E below

D Proprietary Procurement

Proprietary procurement ie procurement from a single source and withshy

out obtaining quotations or bids from other manufacturers or suppliers is hereby

authorized (1)to assure compatibility or standardization with existing commodities

(2)when special design requirements are needed and available only from a single

source (3)when a specific commodity has proven to be most economical dependable

or serviceable under local conditions and (4)when a specific commodity has a

sole manufacturer or supplier Any decision by Grantee to procure a commodity

on a proprietary basis shall be documented pursuant to paragraph E below except

for procurement of spare parts and components for existing commodities which may

be undertaken on a proprietary basis without the documentation required in

paragraph E below

E Notification to AID

Any decision by Grantee to procure a commodity (1) at other than the

lowest price offered or (2)on a proprietary basis (except for spare parts and

components for existing commodities) shall be supported by a statement setting

forth the reason(s) and the name(s) of the person(s) deciding that such

procurement was advisable and necessary Statements substantiating the above

53

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

- 2 -

Bandung Hospital

List of Equipment

A X-ray Machine - 500 ma - with the following accessories 1 Spotfil device 2 Tomogram 3 Image intensifier

B Laboratory Equipment

1 Spectrophotometer - Double beam - with accessories 2 Flame photometer 3 Complete tissue processor - Autotechnocon 4 Bacteriological equipment including the following

1 Serological baths 2 Thermostated baths 3 Incubators - Ambi - Hi - Lo- Regular Control -

Anaerobic and C02 5 Microscopes - 2 regular and

1 special for darkfield and fluorescence 6 Autoclave 7 Electrophoresis unit - complete with accessories 8 Automatic device for staining blood smear 9 Analytic balances - double and single pan 10 pH meter 11 Cotlove chloridometer 12 Coulter cell counter 13 Automatic pipettor - dilutor 14 Blood gas studies equipment 15 Blood bank refrigerator

C For the above equipment line conditioner to regulate voltage

D Special instrumants to aid the doctors in making a more complete diagnosis

1 Bronchoscope - fibrooptic 2 Gastroscope - fibooptic 3 Clonoscope - fibrooptic 4 Sigmoidoscope - fibrooptic 5 Oto-opthalmoscope - fibroopLic 6 Culdeoscope - fibrooptic 7 EKG machines - console and portable 8 Ultrasound - complete

i

Appndix (3)Gnral Provisions

PROCUREMENT OF COMMODITIES

Paragraphs A through H apply to procurement of commodities and commodity

related services by the Grantee and any Grantee procurement agent When AID

is financing a fixed or unit price contract of the Grantee for construction

services paragraphs A and B but not paragraphs C through H will apply

A Place of Procurement

Commodities authorized for procurement shall be procured only in the

United States or in the country in which Grantees institution is located (except

as Appendix A Special Provisions limits procurement to the United States only)

1 Procurement in the United States

Commodities procured in the United States shall have been produced in

the United States A commodity shall not be eligible as being produced in the

United States if

(a) more than 50 percent of the total cost of its components were imported into the United States and

(b) it contains components from any communist country excluding Yugoslavia

2 Procurement in the Country in which Grantees Institution is Located

Commodities procuted in the country in which Grantees institution

is located

(a) shall not have entered the market on order from or othershywise to satisfy a specific need of the Grantee except commodities produced in the United States and

(b) shall not have been produced in nor--to the best of Grantees knowledge or the knowledge of any agent or contractor of the Grantee--contain components from any communist country excluding Yugoslavid

B US Carriers

Shipment of commodities from the United States shall be on US flag

carriers except as otherwise approved by AID

Procurement of Commodities

-2-

C Quotations and Bids

Procurement shall be made in accordance with Grantees regular methods

of procurement provided Grantee employs good business practices which except

as permitted by paragraph D below shall include

1 Obtaining quotations or bids as appropriate from as many alternative sources as may be feasible and

2 Procurement at the lowest price except as extenuating circumstances or non-responsive bids otherwise dictate

Any decision by Grantee to procure a commodity at other than the lowest price

offered shall be documented pursuant to paragraph E below

D Proprietary Procurement

Proprietary procurement ie procurement from a single source and withshy

out obtaining quotations or bids from other manufacturers or suppliers is hereby

authorized (1)to assure compatibility or standardization with existing commodities

(2)when special design requirements are needed and available only from a single

source (3)when a specific commodity has proven to be most economical dependable

or serviceable under local conditions and (4)when a specific commodity has a

sole manufacturer or supplier Any decision by Grantee to procure a commodity

on a proprietary basis shall be documented pursuant to paragraph E below except

for procurement of spare parts and components for existing commodities which may

be undertaken on a proprietary basis without the documentation required in

paragraph E below

E Notification to AID

Any decision by Grantee to procure a commodity (1) at other than the

lowest price offered or (2)on a proprietary basis (except for spare parts and

components for existing commodities) shall be supported by a statement setting

forth the reason(s) and the name(s) of the person(s) deciding that such

procurement was advisable and necessary Statements substantiating the above

53

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Appndix (3)Gnral Provisions

PROCUREMENT OF COMMODITIES

Paragraphs A through H apply to procurement of commodities and commodity

related services by the Grantee and any Grantee procurement agent When AID

is financing a fixed or unit price contract of the Grantee for construction

services paragraphs A and B but not paragraphs C through H will apply

A Place of Procurement

Commodities authorized for procurement shall be procured only in the

United States or in the country in which Grantees institution is located (except

as Appendix A Special Provisions limits procurement to the United States only)

1 Procurement in the United States

Commodities procured in the United States shall have been produced in

the United States A commodity shall not be eligible as being produced in the

United States if

(a) more than 50 percent of the total cost of its components were imported into the United States and

(b) it contains components from any communist country excluding Yugoslavia

2 Procurement in the Country in which Grantees Institution is Located

Commodities procuted in the country in which Grantees institution

is located

(a) shall not have entered the market on order from or othershywise to satisfy a specific need of the Grantee except commodities produced in the United States and

(b) shall not have been produced in nor--to the best of Grantees knowledge or the knowledge of any agent or contractor of the Grantee--contain components from any communist country excluding Yugoslavid

B US Carriers

Shipment of commodities from the United States shall be on US flag

carriers except as otherwise approved by AID

Procurement of Commodities

-2-

C Quotations and Bids

Procurement shall be made in accordance with Grantees regular methods

of procurement provided Grantee employs good business practices which except

as permitted by paragraph D below shall include

1 Obtaining quotations or bids as appropriate from as many alternative sources as may be feasible and

2 Procurement at the lowest price except as extenuating circumstances or non-responsive bids otherwise dictate

Any decision by Grantee to procure a commodity at other than the lowest price

offered shall be documented pursuant to paragraph E below

D Proprietary Procurement

Proprietary procurement ie procurement from a single source and withshy

out obtaining quotations or bids from other manufacturers or suppliers is hereby

authorized (1)to assure compatibility or standardization with existing commodities

(2)when special design requirements are needed and available only from a single

source (3)when a specific commodity has proven to be most economical dependable

or serviceable under local conditions and (4)when a specific commodity has a

sole manufacturer or supplier Any decision by Grantee to procure a commodity

on a proprietary basis shall be documented pursuant to paragraph E below except

for procurement of spare parts and components for existing commodities which may

be undertaken on a proprietary basis without the documentation required in

paragraph E below

E Notification to AID

Any decision by Grantee to procure a commodity (1) at other than the

lowest price offered or (2)on a proprietary basis (except for spare parts and

components for existing commodities) shall be supported by a statement setting

forth the reason(s) and the name(s) of the person(s) deciding that such

procurement was advisable and necessary Statements substantiating the above

53

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

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4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Procurement of Commodities

-2-

C Quotations and Bids

Procurement shall be made in accordance with Grantees regular methods

of procurement provided Grantee employs good business practices which except

as permitted by paragraph D below shall include

1 Obtaining quotations or bids as appropriate from as many alternative sources as may be feasible and

2 Procurement at the lowest price except as extenuating circumstances or non-responsive bids otherwise dictate

Any decision by Grantee to procure a commodity at other than the lowest price

offered shall be documented pursuant to paragraph E below

D Proprietary Procurement

Proprietary procurement ie procurement from a single source and withshy

out obtaining quotations or bids from other manufacturers or suppliers is hereby

authorized (1)to assure compatibility or standardization with existing commodities

(2)when special design requirements are needed and available only from a single

source (3)when a specific commodity has proven to be most economical dependable

or serviceable under local conditions and (4)when a specific commodity has a

sole manufacturer or supplier Any decision by Grantee to procure a commodity

on a proprietary basis shall be documented pursuant to paragraph E below except

for procurement of spare parts and components for existing commodities which may

be undertaken on a proprietary basis without the documentation required in

paragraph E below

E Notification to AID

Any decision by Grantee to procure a commodity (1) at other than the

lowest price offered or (2)on a proprietary basis (except for spare parts and

components for existing commodities) shall be supported by a statement setting

forth the reason(s) and the name(s) of the person(s) deciding that such

procurement was advisable and necessary Statements substantiating the above

53

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Procurement of Commodities

-3shy

kinds of action shall be included in Grantees records and furnished to AID

when the procurement is undertaken

F AID Financed Export Opportunities Bulletin

For commodities costing $5000 or more to be procured from the United

States Grantee shall prepare and submit to AID notice(s) of prospective

procurement for publication in the AID Export Opportunities Bulletin Each

notice shall (1)describe generically the commodities to be procured (2)provide

an address in the United States where more detailed infcrmation may be obtained

by interested parties and (3) state that procurement will begin 45 days (or such

later date as Grantee may desire) after publication of notice

G Marking Requirements

The Grantee shall insure that all major commodities financed under this

grant are marked with the official AID (clasped hands) emblem except as

AID may otherwise approve in writing

H Procurement Documentation

Grantees records shall include copies of all solicitations made for bids

or quotations for commodities procured under this grant all quotations or bids

received suppliers commercial invoices and as applicable other pertinent

documents related to procurement eg bills of lading or other evidence of

shipment including insurance sales and service contracts or agreements and

Grantees documentation for proprietary procurement and procurement at other than

the lowest price pursuant to paragraph E above

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Appendix B (5 a) General Provisions

DISBURSEMENT PROCEDURES

Disbursement for Actual and Accrued Expenses

Except as otherwise provided in Appendix A Special Provisions

or by A I D in writing the disbursement of grant funds shall be in

accordance with the following terms and procedures

A Disbursement Terms

1 Disbursement for Actual and Accrued Costs

Funds shall be disbursed to the Grantee for actual and

accrued United States Dollar and local currency expenses as authorized

in Appendix A of this grant

2 Accrued Costs

Any accrual of costs by the Grantee for which disbursement

is requested pursuant to Paragraph B below shall be undertaken in

accordance with the following guidelines Accruing costs permits Grantee

to request disbursement for expenses incurred for a given period although

such expenses ma- not have been actually paid in cash As applicable

costs of professional services andor construction services shall be

considered to accrue as a contractor performs his work and materials

are delivered to the work site irrespective of whether the contractor has

submitted his bill for such services andor materials Accordingly the

cost of work performed andor materials delivered may be estimated and

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Disbursement Procedures

-2-

Grantee may request disbursement by A I D for such accrued costs

Any first payment provision or construction start-up costs provided

for in a contract and within the authorized expenditures of the grant

shall be considered to accrue upon A 1 D s approval of the contract

Expenditures for commodities including books and periodicals shall

be considered to accrue upon delivery of the commodities or receipt

of the bill whichever is earliest For commodities procured in the

United States delivery occurs when Grantee or Grantees contractor

takes title typically in the U S when the commodities are delivered

for shipment overseas

3 Conversion of Dollars to Local Currency

Grantee is authorized to convert United States Dollars to

local currency Such conversions shall be made by or under arrangements

and at rates approved by a United States Disbursing Officer at the A I D

Mission American Embassy or Consulate in the country where Grantees

institution is located

4 Restriction on Interest

Interest earned on all or any part of the funds disbursed under

this grant whether dollars or dollars converted to localcurrency shall

be refunded to A I D

lb

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Disbursement Procedures

-3 shy

5 Records of Grant Financed Expenditures

Gritees records and books of account shall be maintained

in such a manner that expenditures financed by this grint xiay be readily

identified

B Method of Disbursement

1 Requesting Payment

To obtain disbursement for uthorized expenditures the Grantee

or his authorized agent shall request payment typically not more frequently

than once each month from the Office of the Controller (FMPAD) A I D

Washington D C 20523 Requests for payment shall include tbe documenshy

tation (voucher expenditure report and certification) set forth below

2 All payments under this grant shall be deposited by the Grantee

in a Special Bank Account separate from the Grantees general or other

funds A separate account number shall be assigned by the Grantee for

operation of this grant and all requests and disbursements shall be

recorded thereunder by the Grantee in such manner that It will be possible

to ascertain the nature of the withdrawal and the balance of the account

at any time The records thereof shall be preserved and be subject to

inspection and audit in accordance with applicable provisions of this grant

3 Voucher

Grantee shall submit Voucher Form 1034 (original) and three

copies of SF 1034 (a) properly executed to show the amount of expenditures

during the period for which disbursement is requested

2

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Disbursement Procedures

-4 shy

4 Expenditure Report

All vouchers submitted under this grant shall be supported by

an original and three copies of an expenditure report as follows

Expenditure Report

Authorized Expenditures Authorized Amount Total Expenditures To Date This Period

(Describe authorized (As applicable insert expenditures as set grant amount allocated forth in Appendix A) for authorized expendishy

tures)

5 Certification

Each request for disbursement of granf funds shall include a

certification signed by an authorized representative of the Grantee as follows

The undersigned hereby certifies (1) that the payment of the sum claimed under this voucher is proper and due under the terms of the grant and (2) that the Inforshymation contained in the expenditure report is true and correct

Signature

Date

6 Final Payment

For final payment under this grant Grantee shall submit Voucher

Form 1034 (original) and three copies of Voucher Form 1034 (a) marked

FINAL VOUCHER together with the expenditure report and certification

described above not later than 90 days after the expiration of this grant or

such other period as may be approved in writing by A I D fil

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Disbursement Procedures

5 shy

7 Additional Documentation

A I D may request the submission of additional documentation

to that required above to support authorized expenditures charged by the

Grantee to this grant

Icy

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Appendix B (6 eneral Provisions

ADMINISTRATIVE AND OTHER PROVISIONS

A Reports to Office of American Schools and Hospitals Abroad

As a condition of accepting this grant Grantee agrees to keep

the Office of American Schools and Hospitals Abroad (ASHA) informed

of its activities toward accomplishing the purposes of this grant

as well as its successes and problems as an American founded or

sponsored institution overseas To this end Grantee agrees pursuant

to the provisions set forth below to submit to ASHA

- quarterly reports of grant expenditures - quarterly progress reports on capital improvements and - an annual institutional report

Grantee should bear in mind that failure to submit the reports

enumerated above could lead to suspension of disbursement of funds

by AID

1 QuarterlyReport of Grant Expenditures

Grantee shall submit to ASHA a quarterly report of grant expendishy

tures as illustrated in the attached format (See Attachment A)

Two copies of this report shall be submitted within 15 days following

the end of each quarter of the calendar year until the (1) expiration

date of the grant (2) total expenditure of grant funds (3) comshy

pletion of the purpose of the grant or (4) termination of the grant

whichever is earlieht This report is separate from and additional

to expenditure reports submitted with disbursement vouchers prepared

pursuant to the Disbursement Provisions of this grant

2 Quarterly Progress Report on Capital Improvements

If the Special Provisions of this Grant (Appendix A) provide

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Other Provisions

-2 shy

funding for construction commodity procurement or other capital

improvements Grantee shall submit two copies of a progress report

within 15 days following the end of each quarter of the calendar

year The reports should include the following information and may

be consolidated into one quarterly report as applicable

a) Construction Progress

The status of planning contracting construction and related

procurement by a fixed or unit price contractor should be reported

in full Each report should show the percentage of completion of

each major segment of work eg final architectural-engineering

planning excavation structural work mechanical work electrical

work etc and should indicate how the rate of work compares with

the progress schedule adopted at the inception of the project The

progress schedule should be included in each report along with ampny

revisions made in the schedule and the reasons for such revisions

As applicable one or more photographs should be included showing

the work in progress The report should include a statement of

utilization of funds for the project and should separately identify

both grant funds and any other funds financing the project as

applicable The report should inform ASHA of any current or potential

problems affecting the chdracter and progress of the work and steps

taken or which are to be taken to resolve them

b) Commodity Procurement

Commodity procurement undertaken during the reporting period by

the Grantee or Grantees procurement agent excluding procurement

undertaken by a fixed or unit price construction contractor should

be reported as follows

21

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Uther Provisions

-3-

Place ofDescription Number of Purchaseand Amount

of Commodities Quotations Lowest Price (US local (yes no)_ country)Procured Price Bids

Indicate any proprietary procurement with a P(See the grant provisions

relating to Procurement of Commodities for information regarding proprietary procurement)

3 Annual Institutional Report

Grantee shall submit an Annual Institutional Report informing

ASHA of significant activities accomplishments problems plans

Granteefor the future and the contribution this grant is making to

The report should cover theeducational andor medical endeavors

goals of the institution as well as the assumption on which the

goals are based changes improvements or setbacks in the academic

or medic-al programs local and international developments or trends

affecting operations administration staffing budget and finance

Three copies of the report should be submitted to ASHA for each 12

month period covered in whole or part by the term of the grant at

such times as is most relevant in terms of Grantees academic or

fiscal year

Records and Books of Account - Right of InspectionB

The Grantee shall keep full and complete records and books of

account in accordance with generally accepted accounting principles

covering financial details applicable to this grant AID and

any of theirthe Comptroller General of the United States or

have the right to examine auditauthorized representatives shall

and copy at all reasonable times all such records and books of

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Admihistrative and Other Provisions

-4 shy

account and all other documents or reports pertaining to the grant

All such books and records shall be maintained by Grantee for at

least three years after the date of the last disbursement by AID

C Reimbursement to AID

a) In the case of any disbursement which is not supported by

valid documentation in accordance with this agreement or which is

not made or used in accordance with this agreement or which was

for goods or services not used in accordance with this agreement

AID notwithstanding the availability or exercise of any other

remedies under this agreement may require the Grantee to refund the

amount of such disbursement in US Dollars to AID within sixty (60)

days after receipt of a request thirefor

b) If the failure of Grantee to comply with any of its obligation

under this agreement has the result that goods or services financed

under the grant are not used effectively in accordance with this

igreement AID may require the Grantee to refund all or any

part of the amount of the disbursements under this agreement for such

goods or services in US Dollars to AID within sixty days

after receipt of a request therefor

c) The right under subsection (a) or (b) to require a refund

of a disbursement will continue notwithstanding any other provision

of this agreement for three years from the date of the last

disbursement under this agreement

d) (1) Any refund under subsection(a) or (b)or (2) any

refund to AID from a contractor supplier bank or other

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Other Provisions

-5 shy

third party with respect to goods or services financed under the

grant which refund relates to an unreasonable price for or erroneous

invoicing of goods or services or to goods that did not conform

to specifications or to services that were inadequate will (A)

be made available first for the cost of goods and services required

for the project to the extent justified and (B) the remainder if

any will be applied to reduce the amount of the grant

D Non-Liability

AID disclaims all liability with respect to any claims arising

out of or connected with activities supported by this grant

E Equal Opportunity

Grantees employment practices with regard to US nationals

shall provide equality of opportunity without regard to race religion

sex color or national origin Further in the carrying out of its

educational andor medical program Grantee agrees that no person

shall on the grounds of race religion sex color or national

origin be excluded from participation be denied benefits or be

otherwise subject to discrimination

The above shall not be construed to require enrollment of

students of both sexes at an educational institution enrolling boys

or girls only

F Covenant Against Contingent Fees

The Grantee warrants that no person or selling agent has been

employed or retained to solicit or secure this grant upon agreement

or understanding for a commission percentage brokerage or contingeni

fee For breach or violation of this warranty AID shall have the

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Other Provisions

6 shy

right to cancel this grant without liability or in its discretion

to deduct from the grant amount or otherwise recover the full

amount of each commission percentage brokerage or contingent fee

G Officials Not to Benefit

No member or delegate to the Congress or resident commissioner

shall be admitted to any share or part of this grant or to any benefil

that may arise therefrom

H Termination

AID may revoke this grant at any time for the convenience

of the United States Government by giving written notice to such

effect to the Grantee Upon receipt of and in accordance with such

notice Grantee shall take appropriate action to minimze all expendishy

tures and cancel outstanding obligations financed by this grant

wherever possible Grantee shall be reimbursed for all obligations

incurred prior to the date of termination which have not been

cancelled and which it has made in accordance with the provisions of

this grant Grantee shall refund to AID any unexpended andor

non-obligated portion of the funds which have been disbursed to the

Grantee by AID within ninety (90) days after the termination

of this grant In addition upon such- termination AID may at

AIDs expense direct that title to goods financed under the

grant be transferred to AID if the goods are from a source

outside the country in which Grantees institution-is located are

in a deliverable state and have not been offloaded in ports of entry

of the country in which Grantees institution is located

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Other Provisions

-7-

I Notices

Any notice given by any of the parties hereto shall be sufficient

only if in writing and delivered to the following

To A I D Office of American Schools and Hospitals Abroad Agency for International Development Washington DC 20523

To Grantee

Name and address as set forth on the cover page of this grant r

such other address as either of the parties shall have designated

by notice given as herein required Notices hereunder shall be

effective when delivered in accordance with this clause or on the

effective date of the notice whichever is later All such commushy

nications will be in English unless the parties otherwise agree

in writing

J Subordinate Agreements

The placement of subordinate agreements (eg leases options

etc) grants or contracts with other organizaitons firms or

institutions and the provisions of such subordinate agreements are

subject to prior written consent of AID if they will be funded

hereunder and if AID so notifies the Grantee in writing that it

desires to exercise this right In no event shall any such subordinate

agreement grant or contract be on a cost-plus-a-percentage-ofshy

cost basis Subordinate contractors (including suppliers) shall be

selected on a competitive basis to the maximum practicable extent

consistent with the obligations and requirements of this grant

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

Administrative and Other Provisions

-8-

K Title to and Use of Property

(a) Title to all property financed under this grant shall vest

in the Grantee or the beneficiary institution

(b) The Grantee agrees to use and maintain the property for the

purpose of the grant in accordance with the requirement of this

agreement for the extent of its useful life unless AID shall

agree otherwise in writing

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used

QUARTERLY REPORT OF GRANT EXPENDITURES

Grant No

Institution Total Grant Amount

Report Period (month and year)

DESCRIPTION REPORTING MONTH TOTAL GRANT EXPENDITURES (Cumulative)

1 Construction

2 Equipment and Supplies

3 Scholarships

4 Other (salaries allowances travel etc)

Total

bull Tao copies of this report shall be submitted within 15 days following the end of each quarter of the calendar year until the (1) expiration date of the grant (2)expenditure of grant funds or (3) termination of the grant whichever is earliest

Reports should include expenditures whether they have been reimbursed by AID or not If your grant is expressed in a foreign currency please report expenditures in both the foreign currency and the US dollar equivalent noting the exchange rate used