CSO Expression of Interest – DGF July-August 2017

Expression of InterestForm

CSO Applicants

Submission deadline:11August 2017, 4PM

Instructions:

  • Please keep the expression of interest to strictly 20 pages maximum. EoIs longer than 20 pages will be disqualified. Do not include annexes (except the documents requested in the checklist), and answer all questions in the spaces provided.
  • Do not change the font or format of the document– it is set as Calibri 11 point. Do not change the margins.
  • Please be sure to consult the guidelines for more information about the process.
  • Questions regarding the application can be sent to or can be asked at the information sessions scheduled across Uganda. No phone calls please.
  • State institution applicants, please use the appropriate application form.

Section 1.General Organization Information

Overview

1.1.Name of Organization (please spell out)

1.2.Acronym for the Organization

1.3.Address

1.4.Telephone

1.5.E-mail

1.6.Website (if applicable)

1.7.Executive Director (Head) of Organization - name and contact information

1.8.Board chair name and contact information

1.9.Contact Person (if other than the Executive Director)

1.10.Date organization formed

1.11.Date of most recent registration

1.12.Registration number

1.13.Are you a branch of or affiliated with an international Organization?

/ Yes / No
If yes, please describe the affiliation

1.14.Justification for Proposed Partnership

Why should DGF choose to partner with you? How can your organization help fulfil the mandate of DGF?

Section 2.Capacity / Capability

2.1.Management capacity of the Applicant

2.1.1.Provide a brief description of your organization and its programmatic and financial/ administrative management capacity to implement the proposed interventions.

2.1.2.Please provide the following information about your board of directors:

  1. Role of the board

  1. How often does the board meet

  1. Provide the dates of the last 2 board meetings

2.2.Financial Management and Administration

2.2.1.What accounting system do you use?

2.2.2.Do you have a Finance/ Administration Manual?

/ Yes / No
  1. If yes, when was it last updated?

  1. If no, why not?

2.2.3.Do you have a Human Resource Manual?

/ Yes / No
  1. If yes, when was it last updated?

  1. If no, why not?

2.2.4.Do you have an anti-corruption and/or whistleblower policy

/ Yes / No

2.2.5.Have you had one or more audits within the last three years?

/ Yes / No
  1. If no, why not? Please also describe how you diagnose and respond to needs for improvement within your organization. Please provide a few examples of this.

  1. If yes,whatkind (external, institutional, project, forensic, other – please describe)

  1. If yes, did you receive a qualified opinion? Please list any issues raised in the audits and what you did to correct them [please add more rows if needed]

Date of audit / Issue raised / Action taken

2.2.6.Has your organization ever been the subject of a forensic audit?

/ Yes / No
  1. If yes, please provide details (dates, under which donor/ funding, findings. Please also include information as to how you addressed the findings)

2.3.Technical Skill/ Capacity

2.3.1.Describe your organization’s technical skills / capacity in relation to the proposed intervention areas

2.3.2.Demonstrated comparative advantage

Describe your “competitive/comparative advantage”. What is your niche?

2.4.M&E Capacity

2.4.1.Describe your organization’s M&E capacity including information on the M&E systems (M&E unit, evaluation plan, data collection, data management, data storage and retrieval etc.) you use.

2.4.2.How do you determine what is working or having an impact from your work and what is not working orhaving no impact?

2.4.3.Have you conducted an external programmatic evaluation of your work in the past 3 years?

/ Yes / No
  1. If no, why not?

  1. If yes, how was it conducted?

2.4.4.How do you use/ apply what you have learned from evaluations (internal or external) of your work?

2.5.Human Resource Capacity

2.5.1.In your organization, how many staff are on contract?

/ Male / Female

2.5.2.Number of volunteers

/ Male / Female

2.5.3.Do you have staff dedicated to M&E?

/ Yes / No
  1. If yes, what are their main responsibilities?

  1. If no, within the organization, how do you cover the M&E functions (who does what)?

2.5.4.How are gender and/or social inclusion considerations implemented in your programming?

2.5.5.Do you have a full time finance manager or equivalent position?

/ Yes / No
  1. If no, who handles the finance? How would you manage the financial operations if awarded an agreement/ contract by DGF?

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[please add your organizations acronym here]

CSO Expression of Interest – DGF July-August 2017

2.6.Implementation experience

2.6.1.List of past (completed) projects and contact information [most recent 5]

Donor / Timeframe of project / Budget (UGX) / Short description/Outcome / Present Contact info (phone and/or email)

2.6.2.List of current projects and contact information [all current]

Donor / Timeframe of project / Budget (UGX) / Short description/Outcome / Contact (phone and/or email)

2.6.3.Please describe how your current work includes or emphasizes gender, women, or youth

2.7.Organizations/ Institutions with Which your organizationhas worked/ partnered with in the Past

2.7.1.Please list any organization or entity (government, state or non-state, national or international) with which your organization has had (or currently has) a working relationship that does not involve a contract or funding.

Organizations from which you have received funding are included above and those you have funded are listed below[please add lines if needed]

Name of organization/ entity / Briefly describe the relationship/ engagement / When [period]

2.7.2.Have you ever sub-granted or sub-contracted to another organization (past 3 years)? Please list details

[please add lines if needed]

Name of organization / Period / Purpose / Amount (UGX)

Section 3.Proposed Areas of Work and Experience

3.1.Under which Cluster Areas of Interventions (AoIs) does your Organization propose to work?

Please check the cAoIs within which you would propose working. Please mark the main area within which your organization would propose working with a “P” for primary. Mark up to 2 additional AoIs as “S” for secondary areas of work.

Please only indicate if it’s a major area of work (not if you are anticipating addressing it tangentially, as a ‘bonus’ of direct activities in other areas, or with a small amount of activities.) You will be given an opportunity to expand on the type of work you’d like to do in each of these areas in the following sections.

Cluster 1: Accountability / Cluster 2: Human Rights and Access to Justice / Cluster 3: Women’s and Youth Empowerment / Cluster 4: Enabling Environment
AoI 1.1 Improving government accountability towards citizens including electoral processes / 3.1 Upholding Human Rights / 1.3 An improved representation and recognition of women in leading political positions and as election candidates / 1.2 Diversifying political engagement
1.4 Improving participatory decision-making / 3.2 Improving access to justice / 2.4 Strengthening youth and women participation and representation / 2.3 Improved Access to information and civic (voter) education: media
2.1 Strengthening citizen engagement for government accountability / 3.4 Addressing violence, torture impunity, and transitional justice / 3.3 Upholding pro-gender equality legislation / 2.5 Improving civil society health
2.2 Strengthening citizen engagement for natural resource governance / 2.3 Improved access to information and civic (voter) education: human rights, legal aid education/ information / 2.3 Improved access to information and civic (voter) education: gender equality
2.3 Improved access to information and civic (voter) education: Civic education, transparency

3.2.Problem and Proposed intervention(s)?

3.2.1.What is the context within which this project is being proposed?

3.2.2.What is the overall problem that your organization believes needs to be addressed?

3.2.3.What is the overall Rationale to Proposed Interventions and Results?

3.2.4.Specific to the AoI(s) selected – problem, proposal, results, experience?

In relation to the specific AoIs that you indicted above in 3.1 that your organization would propose working, what is the specific problem or issue that you want to address, what do you propose doing, what are your expected results and what experience does your organization have in those areas? (please use the table below – please add sections if needed)

AoI (Primary)

Problem/ Issue

What do you propose to do

Expected results

Your specific experience in this area

AoI (Secondary)

Problem/ Issue

What do you propose to do

Expected results

Your specific experience in this area

AoI (Secondary)

Problem/ Issue

What do you propose to do

Expected results

Your specific experience in this area

3.3.Justification for proposed intervention(s)

3.3.1.Proposed Methodology and tools to carry outproposed intervention(s)

3.3.2.How does your Organization propose to monitor and/or learn from these interventions?

3.3.3.Justification for the combination of AoIs proposed

Please provide a justification for why you have chosen to address the combination of AoIs listed above

3.4.Budget and Duration

3.4.1.Please indicate the anticipated budget total needed to carry out the work listed above (UGX)

3.4.2.Please indicate the anticipated project duration needed (maximum 3 years) to carry out the work listed above

3.4.3.Please describe your organization’s capacity to manage the budget indicated, based on your structure and past history.

3.5.Geographic Coverage

3.5.1.What is the anticipated geographic coverage of your proposed work under this project? (you may choose both)

/ National / Subnational

3.5.2.If you chose both national and subnational, please explain the link between the two in your planned intervention(s).

3.5.3.If at subnational level, please list the districts, your experience in those districts and your presence there currently.

District / Number of sub-counties within the district within which you propose working / What experience do you have in this district / Do you currently have a physical presence in this district? If not, how do you anticipate covering work here?

3.5.4.What is the relevance of the proposed geographic coverage to the problems/ issues identified above?

3.6.Project Stakeholders and Beneficiaries

3.6.1.Who are the main stakeholders for this project?

3.6.2.Describe how project stakeholders and beneficiaries have been or will be involved in determining the specific work to be done under this project

3.6.3.Describe how women and youth will beinvolved in this project

3.6.4.Under-served or vulnerable (where applicable)

Are you proposing to work in a geographically under-served or vulnerable area or with an under-served or vulnerable population? If yes, please provide an explanation of the need and your ability to work in that area.

3.7.Conflict sensitivity

3.7.1.Please describe the potential conflicts related to your intervention and how you would ensure, at a minimum, that you comply with the “do no harm” principle?

3.8.What are the risks and assumptions for the proposed work?

3.8.1.Please describe the potential risks and assumptions for the work that you are proposing above

Please add rows if needed
  1. RisksRisks and Mitigation strategies

  1. Assumptions

3.9.Anticipated partnerships and/or Sub-granting/ Sub-contracting

3.9.1.Please specify which organizations and/ or state entities you anticipate working closely with during implementation.

Please note if you anticipate potentially sub-granting or sub-contracting to them (we understand that this may change based on the project development workshop) or if you anticipate working closely with them in other ways (ex. They may receive their own funding; work with them in other ways/ funding to them is not requested). Please add additional rows if needed

Name of organization or institution / Contact / Subgranting / Sub-contracting (Y/N)

Section 4.Signature Page

Please either electronically sign this page or print this page, sign it and scan it and attach it with your application. You do NOT have to scan the entire document, just the signature page.

4.1.Non-Discrimination

Is your organization willing to adhere to and sign a non-discrimination clause if selected by DGF (i.e. a clause in the contract where your organization agrees not to discriminate against different groups within the community in your programming.) / Yes / No
  1. If no, please describe circumstances under which you would not be able to comply

4.2.Anti-Corruption

Is your organization willing to adhere to and sign an anti-corruption clause if selected by DGF (i.e. a clause in the contract where your organization agrees to zero tolerance for corruption and to report any suspected corruption to DGF.) / Yes / No

4.3.CheckList of Documents to attach to eOi (as one email)

Please be sure to include the following documents listed in the checklist as attachments to your EoI.

Application Form with all sections completed, not exceeding 20 pages, not altering the format of the document, signed (electronic or scanned signature page)[Eligibility requirement – applications that are not complete will be disqualified]
Copies of last 3 audit reports (external institutional audits preferred, but if you do not have those, please include any audits that were conducted) OR a letter explaining why you have not had an audit and/or why these are not available and how you monitor and improve your financial systems without an audit.[Eligibility requirement – applications that do not include this will be disqualified]
Note: If you are submitting a letter, please include this as a separate letter appropriately named so that it is clear in the attachments that it has been included to avoid being disqualified)
For Civil Society Organization applicants (not applicable to state institutions)
Operation permit issued by the NGO Bureau in accordance with the NGO Act 2016, section 29 or copy of legal document establishing the institution / Registration Certificate(scanned copy) [Eligibility requirement – applications that do not include this will be disqualified]
Copy of Income Tax Exemption Certificate from URA in accordance with the Income Tax Act[Not an eligibility requirement, but successful applicant organizations will be required to provide this before an agreement can be signed with DGF in December 2017/ January 2018]
Copy of the latest filing of annual returns to the NGO Bureau[Not an eligibility requirement, but successful applicant organizations will be required to provide this before an agreement can be signed with DGF in December 2017/ January 2018]

4.4.Signature

I hereby certify that the information presented in the application above is, to the best of my knowledge, truthful, I understand that the presentation of false or misleading information in this application may lead to the organization being disqualified from consideration by DGF.

Name / Position
Signature / Date

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[please add your organizations acronym here]