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PARTI - THE SCHEDULE
SECTIONB - SUPPLIES OR SERVICES AND PRICE/COSTS
B.1 PURPOSE
The purpose of the USAID Health System Strengthening (HSS) contract is to help protect human health, promote development, and ensure stability in the event of a conflict in Irag by supporting efforts to strengthen the overall health system and ensure the rapid normalization of specific health services.
B.2 CONTRACT TYPE
This is a Cost-Plus-Fixed-Fee (CPFF) completion contract. For the consideration set forth in B.3, the Contractor will complete the scope of work set forth in Section C in accordance with the terms and conditions of this contract during a 12-month performance period.
B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT
a) The estimated cost for the performance of the work required hereunder, exclusive of fixed fee, it any, The fixed fee, if any, is (b) (4) The fixed fee is applied to total estimated costs, less grani
(6) (4)
($6 million), less medical equipment and supplies and not to exceed the amount specified herein. The estimated cost plus fixed fee, if any, is $43,818,278.
(b) Within the estimated cost plus fixed fee (if any) specified in paragraph (a) above, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor (and payment of fee, if any) for performance hereunder is $10,000,000.
(c) Funds obligated hereunder are anticipated to be sufficient through Phase I - Planning/ Assessment (approximately two months from the effective date) and partial activities in Phase II-Health Systems Strengthering.
B.4 INDIRECT COSTS (DEC 1997)
Pending establishment of revised provisional or final indirect cost rates, allowable indirect costs shall be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases:
Base
Type
Rate
Description
1/
Fnnge Benetits
1/
2/
21
•Overhead (Home Office)
31
3/
Overhead (Site Office)
4/
(b) (4)
4/
Handling Charge
5/
51
G&ZA
1/ Base of Application:
(B)(4)
(b) (4)
Type of Rate (Provisional/Predetermined):
(0) (4)
Base of Application:
(D) (4)
Type of Rate (Provisional/Predetermined):
2 of 41
3/ Base of Application:
(5) (4)
(0) (4)
4/ Base of Application:
(b) (4)
(b) (4)
Type of Rate (Provisional/Predetermined):
D)<4>
5/ Base of Application:
(b) (4)
Type of Rate (Provisional/Predetermined):
(1) (4)
B.5 CEILING ON INDIRECT COST RATES
the Rationing eling or indict costs shall beat the lower of the negotiated final predetermined rates or Aggregate Cap Fringe Benefits Overhead (Home Office)
(6)(4)
G&A
(D)(4)
Same base and period applies as specified in B.4.
Separate Celing Caps:
Rate
Description
Fringe (Site Office)
G&A
(6)(4)
Handling Charge
Same base and period applies as specified in B.4.
(2) The Government will not be obligated to pay any additional amount should the final indirect cost rates exceed the negotiated ceiling rates. If the final indirect cost rates are less than the negotiated ceiling rates, the negotiated rates will be reduced to conform with the lower rates.
(3) This understanding shall not change any monetary ceiling, obligation, or specific cost allowance or lisallowance. Any changes in classitying or allocating indirect costs requires the pnor witten approval o he Contracting Officer 3 of 41
B.6 COST REIMBURSABLE
The U.S. dollar costs allowable shall be limited to reasonable, allocable and necessary costs determined in accordance with FAR 52.216-7, Allowable Cost and Payment, FAR 52.216-8, Fixed Fee, if applicable, and AIDAR 752.7003, Documentation for Payment.
B.7 LABOR
Compensation of personnel under this contract or any resulting subcontract must be in accordance with AIDAR 752.7007 Personnel Compensation July 1996). See further guidance in AIDAR 722.170 Employment of Third Country Nationals (TCN's) and Cooperating Country Nationals (CCN's).
SECTION C - STATEMENT OF WORK
HEALTH SYSTEM STRENGTHENING IN A POST-CONFLICT IRAQ
The objective of this Contract is to help facilitate rapid, universal health service delivery to the Iraqi population and strengthen the overall health sector to ensure medium to long-term viability. The implementation of this program shall not take place until a permissive environment exists and USAID instructs the contractor to proceed. See special provision in Section H. 15.
C1 BACKGROUND
Compared to many other developing countries in the Middle East and the rest of the world, Iraq has relatively poor health and demographic indicators. For example, in Iraq the total fertility rate is 5.4 (average for least developed countries is 3.1), the infant mortality rate is 103 (LDC average is 60), and the life expectancy at birth is only 58 years (LDC average is 65) (Population Reference Bureau, 2002). In addition, child malnutrition remains a major concern with almost one-third of all children in the southern and central regions of Irag suffering from chronic malnutrition (UNICEF Emergency Update, October 7, 2002). Low exclusive breastfeeding rates, high prevalence of anemia among women, and a high incidence of low birth weight contributes to Iraq's very high child mortality rate (131 for children under 5 years) which has more than doubled from the previous decade with diarrhea and acute respiratory infections accounting for 70% of child deaths (UNICEF Emergency Update, October 7, 2002). The total expenditure on health as a percentage of GDP was only 3.7% in 2000, suggesting a limited national investment in protecting the health of Iragis (2002 World Health Report). The fact that water-borne infectious diseases are a major killer of children suggests that investments in water and sanitation have also been limited.
The current humanitarian (and bealth) crisis in Iraq follows two devastating international wars--the Iran-Iraq war of 1980 and the Persian Gulf War of 1991-- and the adoption of UN sanctions following-the latter. The initiation of the UN Oil-for-Food program in 1995 as a "temporary" measure to provide for the humanitarian needs of the Iragi people (UNSC Resolution 986) has only partly mitigated the very grave humanitarian crisis In the country. The severe deterioration of Iraq's infrastructure and basic public services (including health, water/ sanitation, and electricity) has only added to the suffering of a rapidly increasing Iragi population.
Against this backdrop, the livelihood and coping capacity of the Iraq population have been severely strained.
The current international political focus on the Middle East and the possibility of conflict have highlighted existing gaps in basic services and infrastructure in Iraq, as well as the vulnerability of populations to further deterioration of health status if there is a disruption of basic services. The Iraqi health system continues to 4 of 41