Executing Agency Consulting Recruitmentsubmission 1: CQS - Evaluation of Expressions Of

Executing Agency Consulting Recruitment

Submission 1: CQS - Evaluation of Expressions of Interest (EOI) and Request for Proposals

This is the: [indicate whether 1st, 2nd, 3rd, etc.] request for review

Loan/Grant (Country) (No.): Title

Package/Component: ______

Name of Executing Agency (EA):______

______

Report Submitted by:

Name/ Designation: ______

Signature:______

Date Submitted:______

Date of EA Consultant Selection Committee – EOI Evaluation (CSC-EOI) Meeting: ______

Checklist of Attached Documents (For 1st Review): [Make sure all attachments with “Yes”.]

(For the 1st review)

Attachment 1: Procurement Plan published in ADB website
[Procurement plan must be within a year and for each loan, not per MFF. Attach approval memo for individual changes in the procurement plan.] / Yes [ ] / No [ ]
Attachment 2: Budget for consulting services including contingency, provisional sums with breakdown, and a provision for indirect local tax / Yes [ ] / No [ ]
Attachment 3: Report on Longlist, EOI Evaluation, and Shortlisting[1] / Yes [ ] / No [ ]
Attachment 4: Draft Request for Proposals (RFP) with Terms ofReference (TOR), Data Sheet, Summary and Personnel Evaluation Sheets[2] and Draft Contract / Yes [ ] / No [ ]
Attachment 5: Narrative Evaluation Criteria (NEC), if requested by ADB.
[Part A includes a checklist for EA to certify NEC’s compliance to the important requirements. However, EA may be requested to attach a draft NEC for a full review by ADB (see below “For ADB’s project division”).] / Yes [ ] / No [ ]
For ADB’s Project Division: Please attach a copy of previous communications with OSFMD Procurement Specialist related to items covered by this Submission Document (if any). For OSP2 countries, please always request Attachment 5: Narrative Evaluation Criteria from the EA.
(For the succeeding review)
The information or documents requested in the latest review in Part B:
______/ Yes [ ] / No [ ]

1. EA CSC Members*:

Name / Ministry/Department/Agency / Designation
* Is there any consultant in the EA’s CSC Meeting? – if Yes, please certify as follows. / Yes [ ] / No [ ]
- “The EA confirms that the consultant in the EA’s CSC Meeting does not have any ongoing business associations (whether direct or indirect) with any of the firms in the shortlist.” / - Confirmed [ ]

1. CSRN: This submission 1 should be consistent with the CSRN for (i) CQS method, (ii) the assignment title, (iii) contract period, (iv) budget amount and type (see para. 4), (v) type of contract, (vi) source (type of shortlisting), and (vii) TOR (expert input). If No, describe the discrepancies:

(Details of discrepancies): ______
- EA is requested to prepare RFP consistent with what EA has advertised through CMS-CSRN. ADB may request re-advertisement, subject to the discrepancies or if CSRN did not properly advertise the assignment.
- Advertisement in CMS-CSRN prevails over the government advertisement. / - Confirmed [ ]

2.1. Date of CMS-CSRN Posting: ______/ Deadline of EOI Submission: ______

- For reduced period of advertisement (less than 30 days) or waiver of advertisement, attach the ADB’s formal approval

- If it has been more than 60 days since the deadline of EOI submission, EA should ask written reconfirmation of interest from all consultants who submitted EOI. Request for reconfirmation must be sent to the consultants on non-committal basis by a fax letter. E-mail is not acceptable.

2.2. Contract Period: ______months - [Contract must end before the loan closing date, SCC14.1]
2.3. Loan Closing Date: ______/ Or if advance action, tick here > / [ ]
2.4. Type of Contract / [ ] Time-Based / [ ] Lump-Sum
2.5. Type of Shortlisting:
- if national shortlisting, attach ADB’s approval. / [ ] International / [ ] National[3]

1. Attachment 1: Please confirm that the procurement plan supports this consultant recruitment by (i) the assignment title, (ii) budget, (iii) selection method, and (iv) type of shortlisting?

- If No, coordinate with the Project Unit the posting of the updated procurement plant to ADB website prior to sending this submission 1. / - Confirmed [ ]

1. Attachment 2: Budget

/ US$ ______/ [ ] Estimated / [ ] Maximum
Please confirm if the Budget followed the followings: / - Confirmed [ ]
4.1. Budget comprises five categories: (i) remuneration, (ii) expenses, (iii) provisional sums, (iv) contingencies, and (v) indirect local taxes?
4.2. Remuneration covers Key- and Non Key- experts following positions in TOR?
4.3. Contracted staff is under expenses?
4.4. Provisional sums are enumerated with corresponding amounts?
4.5. Contingencies are 5-10% of the base cost which comprises remuneration, expenses, and provisional sums?

1. Attachment 3: Long list – EOI Evaluation - Shortlisting:

5.1. EA attached a report prepared in the standard template?
[EA’s internal minutes will not be accepted.] / Yes [ ] / No [ ]

1. Attachment 4: RFP – please confirm each item. If EA can not confirm, please state the reasons:

______
6.1. Section 1 – LOI includes the name of the Consultant which submitted the best EOI with full name of lead, JV member(s), and/or Sub-consultant(s) and country of incorporation of each consulting firm as stated in the EOI. The type of association as JV or sub-consultant must be indicated, too. / - Confirmed [ ]
6.2. Section 1 – LOI adds a paragraph indicating “A replacement/cancellation of an expert nominated in the EOI may result in rejection of the Proposal.” / - Confirmed [ ]
6.3. Data Sheet followed instructions in the template, without modifying the original text? / - Confirmed [ ]
6.4. Terms of Reference: please make sure the following: / - Confirmed [ ]
6.4.1. TOR uses the standard template in Section 7, RFP?
6.4.2. TOR includes position-based TORs for Key Experts in “4. Team Composition and Qualification Requirements for Key Experts”?
6.4.3. TOR excludes a pass/fail or restrictive criteria (example: age, gender)?
[“minimum”, “at least”, “must”, “shall”, etc. should be replaced with “preferred” or “… will be advantage.”]
6.4.4. TOR uses a separate appendix for support staff requirements, if any?
6.4.5. TOR excludes financial information?
6.4.6. TOR includes “6.Clients Input and Counterpart Personnel”?
6.4.7. TOR includes “7. Information to facilitate Proposal preparation”?
NOTE: Position based TOR for an expert includes (i) international / national; (ii) key / non-Key; (iii) position title; (ii) preferred qualification; (iv) tasks and responsibility. EA evaluates only key experts for technical evaluation. When TOR has specific support staff provision, the requirements should be in a separate appendix, may be indicating that the Consultants should price them under Expenses in FIN-4, otherwise the Client may adjust the proposed price; and Data Sheet 16.1 should include an item for support staff.
6.5. Please confirm: there is no modifications to the standard text and forms in RFP, except Section 8 Contract Forms. – If EA has a change specific to this selection, describe the change:
______ / - Confirmed [ ]
6.6. There is no modifications to Contract Forms in Section 8, RFP … tick when it is confirmed. If EA has a change specific to this selection, describe the change: ______
[A change to GCC should be through SCC. For any change to GCC, standard provisions in SCC, or any part in the standard contract provisions and Forms, EA should report to ADB project staff for the clearance by ADB’s legal department (OGC) prior to this submission 1 .] / - Confirmed [ ]
6.7. Special Conditions of Contract (SCC) related to ADB’s Consulting Services Guidelines
[SCCs in Italics are required by ADB’s consulting services guidelines in C. Important Contract Provisions for Loans.]
Time-Based Contract / Lump-Sum Contract / Special Conditions
SCC13.1 / SCC13.1 / Confirmation of Key Experts’ availability in accordance with the agreed schedule, which shall be submitted to the Client in writing signed by each Key Expert and as a precondition to start the assignment. Confirmation will define the agreed uncontrollable circumstance, too that allows replacement with reference to GCC30.2. This will be added to Appendix B. / [To be finalized during negotiation.]
SCC21.b / SCC21.b / Conflict of Interest Delete “on a case by case basis” and “Yes ___ No ___”. / Yes [ ] / No [ ]
SCC23.1 / SCC23.1 / Professional Liability as at least one time the total value of the Contract as stated in the standard SCC provision. / [To be finalized during negotiation.]
SCC24.1 / SCC24.1 / Insurance coverage not less than the total ceiling amount for each currency of payment, corresponding to SCC23.1. / [To be finalized during negotiation.]
SCC42.3 / SCC38.1 / Adjustment of Remuneration:

• Time-Based Contract shall apply the index based formula in the standard Contract Form. Other form of adjustment such as 3% annually shall be discouraged as it is not always neutral.
• Lump-Sum Contract has no adjustment. It is a fixed price contract (GCC38.1).

/ Yes [ ] / No [ ]
SCC43.1 and 43.2 / SCC38.1, 39.1, and 39.2 / Taxes: a provision for local indirect taxes consistent with Data Sheet. / Yes [ ] / No [ ]
SCC44.1 / SCC38.1 and 41.2 / Currencies as stated in the financial proposal, subject to up to three convertible foreign currencies and a local currency. / [To be finalized during negotiation.]
SCC45.1(a) / SCC41.2.1 / Advance: around 5%. Advance exceeding 10% of the contract amount requires bank guarantees by the Form in Appendix E. / [To be finalized during negotiation.]
- / SCC41.2 / Payment schedule for Lump-Sum Contract: linked to the delivery of services/ outputs in Appendix A. / [To be finalized during negotiation.]
SCC46.1 / SCC42.1 / Interest on delayed payment is indicated by annual rate available to the Consultant for the currency of payment. / [To be finalized during negotiation.]
SCC49 / SCC45.1 / (a) Dispute provisions including arbitrator, appointing authority, etc. as stated in the standard Contract Form. For national shortlisting, Project Division should consult with OGC for advice to the EA. / Yes [ ] / No [ ]

1. Narrative Evaluation Criteria (NEC) – EA is requested to complete the following questions whether or not EA attaches the NEC for ADB’s review. “Yes” to all except para. 7.6, which is EA’s option.

7.1. NEC used ADB’s standard template? / Yes [ ] / No [ ]
7.2. NEC has criteria and weights consistent with the summary evaluation sheet? / Yes [ ] / No [ ]
7.3. NEC excludes additional requirements which were not in the TOR? / Yes [ ] / No [ ]
7.4. NEC excludes a pass/fail approach? [A pass/fail approach is not acceptable. Example: less than 5 projects will be rated as non-compliant with zero rating.] / Yes [ ] / No [ ]
7.5. NEC excludes restrictive criteria such as age, gender, etc.? / Yes [ ] / No [ ]
7.6. NEC includes penalty for excess pages (Section 3, RFP)?
[Example: 5 points per a page excess deducted from the total score in summary evaluation sheet.] / Yes [ ] / No [ ]

1. Conclusion:

1.1. LCU/Project Division approves this Submission 1. / [ ]
1.2. LCU/Project Division approves this Submission 1 with the following comments in Part B. The Project Unit must confirm EA’s incorporation of the comments in Part B prior to extending ADB’s approval to the EA. / [ ]
1.3. LCU/Project Division disapproves this Submission 1. The submission for the next review needs to attach the following documents which have incorporated ADB’s comments. / [ ]
Attachment 1: Procurement Plan published in ADB website
[Procurement plan must be within a year and for each loan, not per MFF. Attach approval memo for individual changes in the procurement plan.] / [ ]
Attachment 2: Budget for consulting services including contingency, provisional sums with breakdown, and a provision for indirect local tax / [ ]
Attachment 3: Report on Longlist, EOI Evaluation, and Shortlisting[4] / [ ]
Attachment 4: Draft Request for Proposals (RFP) with Terms ofReference (TOR), Data Sheet, Summary and Personnel Evaluation Sheets[5] and Draft Contract / [ ]
Attachment 5: Narrative Evaluation Criteria (NEC) in ADB template / [ ]
Other requirements: ______/ [ ]

1. CSC members:
2. ______
3. ______

1. Consistency with CMS-CSRN:
2. ______
3. ______

1. Attachment 1: Procurement Plan
2. ______
3. ______

1. Attachment 2: Budget
2. ______
3. ______

1. Attachment 3: Longlist, EOI evaluation, and Shortlisting
2. ______
3. ______

1. Attachment 4: RFP
2. Completeness:
3. ______
4. ______

7.2. Section 1: Letter of Invitation (LOI):

7.2.1. ______

7.2.2. ______

7.3. Section 2: Data Sheet:

7.3.1. ______

7.3.2. ______

7.4. Summary and Personnel Evaluation Sheets (SES and PES):

7.4.1. ______

7.4.2. ______

7.5. Section 7: Terms of Reference (TOR):

7.5.1. ______

7.5.2. ______

7.6. Section 8: Contract Form:

7.6.1. ______

7.6.2. ______

1. Attachment 5: Narrative Evaluation Criteria (NEC)
2. ______
3. ______

1. Attachment 6: CRAM (as of dd/mm/yyyy)

9.1. / Cumulative planned days (a) / Cumulative achieved days (b) / Difference
(c) = (b) - (a) / Comment on the causes of delays.

Numbers pertain to calendar days. Negative number indicates being ahead of the recruitment process.

______

1. Other Issues:
2. ______
3. ______

1. Advance Reminders for Submission 2-3 Review: Please refer to the Guide for Submission 2 in ADB website for detailed instructions.

11.1. In reference to SRFP Section 1, LOI, para. 7(a), the Project Unit should request the EA to secure a confirmation of withdrawal in writing from the Consultant if the EA did not receive its proposal.

11.2. If EA received the proposal after the deadline, the proposal shall be rejected. EA must attach a signed document from the courier, which certifies time and place of delivery. EA’s internal record is not acceptable.

11.3. EA should confirm approval if there is a change (dropping/removal or addition) in the original association with reference to Section 1, LOI, paras. 4 and 7(b).

11.4. EA must ensure that the firm that submits the proposal is the same legal entity that submitted the EOI. If the proposal received has a different legal entity from the shortlisted one, the proposal should be rejected. This also applies when a parent company, a group of firm, a subsidiary, or a local affiliate of the shortlisted firm submits the proposal (see para. 4 - LOI, Section 1 of the SRFP).

11.5. The EA should ensure that evaluation is conducted taking into account the issues on disqualification (see “Disqualification of an Expert” in the SRFP).

11.6. If a technical proposal nominates more than one expert for a position, the CSC evaluates all candidates and applies the lowest rating among them in the PES/SES.

11.7. The EA should confirm that the Consultant proposed the same experts as proposed in the EOI. If the Consultant replaced any expert, EA may reject the proposal subject to the paragraph added to LOI, Section 1 to the issued RFP.

1. Anticorruption Sanction/Terrorism Lists Checking and External ADB Auditor Clearance:

12.1Any of the shortlisted firms (including their Joint VentureYesNo

Partner/s or Sub-consultant/s) in ADB Anticorruption Sanction Lists and Terrorism Lists? (Please check ADB website)

If Yes, state the name of the consulting firm/s: ______

12.2External ADB auditor included in the shortlist?YesNo

If Yes, please obtain clearance from OAG before proceeding.

1. Checking of Conflict of Interest [in accordance with the Guidelines on the Use of Consultants by ADB and Its Borrowers (CG)]:

Conflict with concerned OSFMD/Project Unit Staff [CG 1.11(c)]YesNo

This includes staff relation with the shortlisted consultant past one year.

If Yes, state relationship and state the remedy: ______

______

1. Subject to Section F of PAI 2.05, upon receipt of the EA’s Submission 1, the Project Unit ensures that the EA submitted complete documents required (Checklist of Attached Documents) in the submission form before immediately forwarding an electronic copy of the submission to OSFMD-LCU (see PAI 2.05, paragraph 14).

1. The Project Unit should ensure that EA uses the latest SRFP without modification or omission of the standard provisions.

1. The Project Unit should ensure that the submission is consistent with the latest uploaded procurement plan.

Prepared by:

Signature above Printed Name / Signature above Printed Name
OSFMD (if applicable) / Project Unit
Note: When OSFMD review is required, the Project Unit Team Leader signs the review document after the OSFMD Officer signs it.
______ / ______
Date / Date
Approved by:
Signature above Printed Name
Director, Project Unit
Country Director, Resident Mission
(Please sign as applicable)
______
Date
Approved:

Disclaimer:The review and approval of this submission document is conducted independently and must not serve as a precedent for future reviews.

Distribution:

Country Director / Director (Project Unit) / (Project Unit Team Leader)

OSFMD-LCU

Attachment 3 to Submission 1(CQS):

EA’s Report on

Longlist, EOI Evaluation, and Shortlisting

EOI Evaluation Sheet[6] must be attached to this Report

1. Long list: This is a record of EOIs. EA certifies:

1.1. Longlist includes all EOIs which EA has received via CSRN on or before the deadline? / Yes [ ] / No [ ]
1.2. Information of each consulting firm / entity as stated in EOI? / Yes [ ] / No [ ]
Col. 1 / Col. 2 / Col. 3 / Col. 4 / Col. 5
Name of the Consultant / Country / Lead/
JV member
or Sub-consultant / Type of the legal entity / EOI certified Eligibility Declaration?
(Tick if yes.)
1. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
2. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
3. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
4. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
5. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
6. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
7. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
8. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
9. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
10. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
11. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
12. / Firm 1 / Lead / Private / SOE / NGO / [ ]
Firm 2 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
Firm 3 / JV member / Sub-consultant / Private / SOE / NGO / [ ]
(… add / delete rows as needed.) / Private / SOE / NGO / [ ]
Note: /

1. Col. 1 Name of consultant: Name must be in full-name (not acronym).
2. Col. 2 Country: for each consultant including JV member and sub-consultant, country of incorporation must be supported by the certificate of incorporation (not by business or tax registration) or its equivalent that establishes legal personality to independently sign and enter into a contract.
3. Col. 3: Type of association must be either JV or sub-consultant. If not clear or EOI indicates something else such as association or consortium, EA must confirm the type of association from the consultant [para. 4 and 7(b) of LOI, Section 1 of the SRFP – a change may result in a rejection of the Proposal].
4. Col. 4: Type of legal entity: SOE refers to State Owned Enterprise.
5. Col. 5: Eligibility Declaration is included in ADB’s standard EOI form. EA must reject EOI which is not in ADB form; or request resubmission in ADB’s standard form certifying eligibility declaration. CMS registration is NOT a requirement; it is applicable only to ADB’s TA consultant selection.

1. EOI Evaluation Criteria: EA applied the following criteria?

/ Yes [ ] / No [ ]
2.1. Eligibility: country of incorporation in ADB member country, ADB sanction, SOE, COI.
2.2. Technical Competence
2.3. Geographical Experience
2.4. Management Competence
2.5. Key Experts
Note: /

1. Sanction: refer to ADB sanction list in ADB’s website for integrity: <
2. SOE (state or government owned enterprise) in the borrower’s country can be considered for shortlisting only when the SOE is: (i) legally and financially autonomous; (ii) operate under commercial law; and (iii) not dependent agency of the borrower or sub-borrower (i.e., of any government agency.) EA should consult with ADB project staff on SOE eligibility and attach a copy of the consultation result to Submission 1.
3. Conflict of interest (COI), see 3.5.
4. EOI evaluation should cover Key Experts as required by CSRN.
5. Financial criterion is not acceptable.
6. Additional criteria should have ADB’s prior approval.

1. EA excluded any EOI from evaluation? (- If Yes, complete sub-paragraphs.)

/ Yes [ ] / No [ ]
3.1. If it is by failure to certify the eligibility declaration in the ADB’s standard EOI form (see Col. 5 in the longlist), indicate which EOI in the longlist with the items not certified: ______
3.2. If it is by membership eligibility, indicate which EOI in the longlist: ______
3.3. If it is by ADB sanction, indicate which EOI in the longlist with the name of the consultant: ______
3.4. If it is by SOE eligibility, indicate which EOI in the longlist with the name of the consultant: ______
3.5. If it is by Conflict Of Interest, indicate name of the consultant and describe the reasons based on the fact with reference to the ADB’s consulting services guidelines (CG).
Name of the Consultant: ______
Reasons to exclude: ______
Note: Related CG provisions are: CG 1.11(a): Conflict between upstream procurement and consulting activities; CG 1.11(b): Conflict among consulting assignments; and CG 1.11(c): Relationship with borrower’s staff (see para. 4 - subject to a remedy).
Note: CG1.12: Unfair competitive advantage is not a reason to reject a EOI from evaluation (see para. 5).
3.6. If it is by other requirement in CSRN which ADB approved in advance to CSRN, describe the detail of such additional requirement and attach ADB’s approval.
Details of the requirement: ______
Name of the Consultant: ______
Reasons to exclude: ______
Note: / A condition indicated only in the government own advertisement or other reasons not directly related to the statements under para. 3 are not acceptable.

1. Any consultant in the shortlist with an issue related to CG 1.11(c): Relationship with borrower’s staff has been remedied to eliminate the risk?

– if Yes, state relationship and clarify the remedy which resolved the conflict stemming from the relationship throughout the selection process and the execution of the contract:
Name of the Consultant: ______
Conflicting relationships: ______
Remedy: ______/ Yes [ ] / No [ ]

1. Did any of the shortlisted firms participate in upstream assignment such as PPTA or other assignment regardless of financing source from which the firm may derive an unfair competitive advantage to this assignment? [CG1.12]

- If Yes, EA should not exclude the EOI from evaluation. Complete RFP Data Sheet 4.1. / Yes [ ] / No [ ]

1. Proposed Shortlist: Shortlist should comprise at least three firms with geographic spread.

- If No, justification/s for the proposed shortlist: ______
[No more than two firms from a country and at least a firm from a developing member country if the firm is qualified.] / Yes [ ] / No [ ]
6.1. EA attached the EOI Evaluation Sheet[7] which evaluated all eligible EOIs? / Yes [ ] / No [ ]
6.2. EA attached a copy of the ADB’s SOE clearance (see Note-2, para. 2)?
[Tick Yes/No only when the shortlist includes a SOE which ADB considered eligible.] / Yes [ ] / No [ ]
6.3. Copy to para. 3 of Section 1 in the RFP the information of the Consultant which submitted the best EOI with full name of lead, JV member(s), and/or Sub-consultant(s) and country of incorporation of each consulting firm. The type of association as JV or sub-consultant must be indicated, too. / Yes [ ] / No [ ]
Name of the Consultant (Full Name not Acronym) / Country of Incorporation / Type of Association
(Lead, JV partner, or Sub-consultant.) / Type of the legal entity
(Private Firm, State-Owned (SOE) or NGO)
1. / Firm 1 / Lead / Private / SOE / NGO
Firm 2 / JV Partner / Sub-consultant / Private / SOE / NGO
Firm 3 / JV Partner / Sub-consultant / Private / SOE / NGO
2. / Firm 1 / Lead / Private / SOE / NGO
Firm 2 / JV Partner / Sub-consultant / Private / SOE / NGO
Firm 3 / JV Partner / Sub-consultant / Private / SOE / NGO
3. / Firm 1 / Lead / Private / SOE / NGO
Firm 2 / JV Partner / Sub-consultant / Private / SOE / NGO
Firm 3 / JV Partner / Sub-consultant / Private / SOE / NGO
Note: /

1. Local office/affiliate should not be shortlisted as a lead, JV member, or sub-consultant unless the EA confirmed the certificate of incorporation in the borrower’s country. If EA receives EOI which includes a local office of the international consultant, EA is suggested to ask the consultant to resubmit EOI from the main office. This is to avoid the risk of transfer of invitation (see para. 4 of LOI, Section 1 of SRFP) and to ensure the eligibility of the consultant.
2. Shortlist with incomplete information will not be processed.

1. Any Other Issues for ADB’s review:

Prepared by (Name/Designation):
Signature:
Date:

1October 2017