USAID Iraq contract document: Sky Link Sec J

Contract No. DFD-C-00-03-00026-00 Page 43 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS SECTION J - LIST OF ATTACHMENIS TITLE DATE PAGES NUMBER Department of Treasury Iragi 3 1 02/05/2003 Sanctions Regulations License Undated Tip Sheet -5. 3 Level-Of-Effort 3 05/05/2003 by Labor Category 1 4 Geographic Code 5 Contractor Employee Sheet 04/95 2 Biographical Data 02/05/03 WED 18:23 FAX 2026474064 EB BSC 47002 P.182/04 OFAC FEB-05-2093 15:31 DEPARTMENT OF THE TREASURY WASHINETON, D.E, 20220 IldesRe No. IQ-2215 IRADI SANCTIONS RECULATIONI LICENSE under the authority of Section (Granted 303 of the U.S. International Emergency Econömic POWErS ACt (50 U.S.C. 5 1702), section 5 df the United Nationa Partialpation Met 122 U.S.C. 5 287C), ExeCUtiVE OIdEIA NO. 12772 of Auguat 1, 1990, No. 12724 of Alguat 9, 1990, No. 12959 of March 15, 1999, No, 12959 of MaY 6, 1995 and NO, 13059 Of AUgUNE 19, 1997, and Parts 501, 560 and 575 of Jitle 31 of tbe Code of Pederal RAgulutlons.) Bureau of NedI BastaJI Affairs. To: Bureau of Population, Refugees and Migration for Intarnational Detelopment 2ge.CY.E. Department of state Bureau of Economic Sanctiona Policy Hashington, D.C. 20520 1. Baaod on the 01/23/03 memorandun frou the U.S. Department of State (cha "Mamorandun"), the transactions and activities delineated on tbe revere hereof are hereby suthorized.. 2. Thia license 18 grantod upon the statemento and representationa made in the Memorandum, othermine filed with or made to cha IIBauty Department us a supplément to che Memorandum, based os information available to the trodsury Department, and is aubject to the conditios, that all U,s, perdions uho are StatE DEpAILMeNT OT UJAID gIaltera/cOntIxeLOIS antong otbera. (the "Idenanony") comply with all rogulations, tullogs, otdera, and inscructiona daoued by the U:S, secretary of tha Treanuly under the authority of section 709 of the International Emergency Sconomic Powers Act, Section 5 of the Uniced Mationa Participation Act, and tbe terms of thia license. by the U,S, secretary of the IranDUtY of day duly authorized officer of agency. 4. Thia license is not transferable,, and in subjoct to the terto of executive ordere No. and ated 1272} IEgUlat10na.. and tratructions rulings. aDy lupued pursuant 12724. choseto, and may be revoked of wudslled at ary time, at the alaciation of che U.A. Secretary of the Treasury. S. Ihis license dobs not excurs coopilance with any, law or rejulation adalalatered by the office of foreigy anseta control o1 any otheI agency (including reporting requirerenis) herein licenbed, nor does it Idlezue Licenacels) or third applicable to the tsanaaction(s) parties fron civil os eximinal liabillty for violation of any lau or regulation. tanued by direction and on bohalt of the secretary of the Treasuryi OFFICA red 315/03 Difactor (Attention de directed to 18 U.S.C. $ 1001, 50 U.S.C. $ 1705, 22 U.S.C. 5 287c(b); § 5865 of Pub. 1. 101-513,50 U.9.C. $ 1702 nOce; FUb-In. 101-420, 28 U.S.C, 2461 Mote, and 31 C.F.R. $ 575.701 et seg., for proviniona relatitig to penalties. i FEB-85-2003 18:55 2026474654 56% P. 02 02/05/03 RED 18:24 FAX 2026474064 EB ESC 2003 P. 03/BA OFAC FEB-05-2003 15:31 License NO. IQ-2215 Page 2 of 3 SÉCTION I - AUTHORIZATION: (a subredt to cha terths and limitations of the Iragi Sanctions the Iranian Transactions and Regulations, 31 Part. Regulationa. C.r.R. Part 575, (the "Regulations"), and the and linitations, the Licensees are authorized following conditiona to engage in all transactions necessary to establish and implement of humanitarian related to provision datined "and authorized by these granta/contracts," to the tragi peoples in and around Irag. or foreign-origin) goode or technology. sovlations for exbair to.Iru exported ar re-exported to Irag, or purchased or used locally in goods sI technology controlled under the Department of Commerce's sxport Adninisttation regulationa for export to Iran may be axported or te-exported to Iral, ot purchased or usad locally in CoumerCe' s Department restIict certain exports re-exporta to syria. 661 'Contittee related tulas and regulationa. To apply lot UN authorization or the 0144c0 01 nad poacokaoptag EumanitaIlan notificationaratload. com 53is, U.s, Dopaituant of stato, 2201 Stroat NA, Hashington, D.C,20520 (TEU8 202-647-2708, AX: 202- 647-3261). authorized obtained of acguired agenties, or instrumentalitias. u.s, financial institutions are authorized to engage in funda transfers in connaction with transactions authorlied, purauan- this license, providod, that no Iragi or Iraniaa inatitution or other agonoy or instrumentality of the financial doveraments of IIag or Iran may participate in any such funde tIansfet. (c) All transactions pursuant to this license must conform to the provisions of the Regulations, all islevant United Natlons Security 687 and 1409, and relevant council Resolutions, of the Trade Sanctions Ehe Regulationa. Enhancement Act of 2000 with Icapect to commercial sale af agricultural producta, medicine (d) Any funds transfer executed pursuant to the terma of thie must reference OFAC License No. IQ-2315 or it will be license rejected. FEB-05-2003 18:55 2026474064 96% P. 03 02/05/03 WED 18:25 PAT 2028474064 EB ESC 41004 P.84ra4 DFAC ,FER-D5-2003 16:31 Page 3 of 3 LiCBRGe NO, IQ-2215 BICTION 2 - RECORDKSEPING AND REPONTING REQUIREMENTS: hereunder such records shall be transactions engaged in under Licenase ls? from the date of each to this lioenao, as required ≤ 501.602. It is a requirement of thia license that the sureau of Neat the Bureau of. Population, Refugees and Migration Department of and the Agency to laterational Development, und the Agency otify OPAC electronically of the name and addreys: of aach licengei is approved or if a within two business days after a grant/contract Each notification is to be cumulative, reflacting grant la revoked. Licennees Licensess highlighted with the conpilance Programs subinitted Division, Office of foreign Assets Control, haS. Department of the notifications are.ro 1500 Pennsylvania Averus, are to referenca ofacreportodo.treas.gov and Treasury by email to In their headers the Department of state and License No. IQ-2215 SROTION 3 - CERTIVICATIONI It is a regulrement of this Ilcenso that within ten (10) business by State/USAID and on awarding of in accordance with all the conditiona set forth herein. The email to OfacReportado.treaa.gov tó bà sent by aLe cettifications and refatence in thair headers the department of state to and are License No. IQ-2215 SECTION 4 - WARNING: Except otherwise this license authorizes any transactior nothing in nor does this license autholize anj Regulation by the Regulations,, prohibited transfer of any funde or any person in Irag ot Iran. SECIION 5 - PRECEDENCE: his license is issued on a nonprecedential basis +44+888788 TOTAL P.04 FEB-05-2003 18:55 2026474264 9F% Tip Sheet USAID OF State Department Grantees or Contractors • OFAC License authorizing USAID or State Department grantees or contractors to engage in all transactions necessary to establish and implement programs related to the provision of humanitarian support to the Iragi peoples in and around Iraq, subject to the conditions . specified in the license, will be provided to the contractor or grantee at the 'time that USAID or the State Department awards the contract or grant. o Note that licenses provided under this authority cover only activities related to Irag and funded by the State Department or USAID. • Any activities outside the scope of the State Department or USAID grant or contract must be separately licensed. • Licensees (defined in the license to include all persons who are State Department or USAID contractors/grantees) are required to keep full and accurate records of all transactions engaged in under the license, as described in the license. • The licensee must certify to OFAC within ten business days of awarding of the grant/contract, and on a calendar quarterly basis thereafter that it is and will continue to be in accordance with all the conditions set forth in the license directly. The certifications are to be sent by email to <OfacReportedo.treas.gov, in accordance with the license. Tips for Registration Program • Requires application to OFAC as provided for in OFAC regulations, to be published soon. are involved in • May be issued to all NGOs that' humanitarian activities in areas not controlled by the Government of Iraq. • «Humanitarian activitiesTM ,or "humanitarian purposes" means activities for "humanitarian purposes," as that term is defined by the Department of State, for 2 relevant UNSC resolutions on Iraq, to mean: humanitarian relief, educational, cultural, recreational, and human rights-related activities, and activities to ameliorate the effects of or to investigate war crimes. Such purposes may include and transactions. preparatory activities • Once an NGO registration number is issued, NGOs may engage in transactions related to their humanitarian activities, including the exportation of services, goods, software, or technology to areas of Iraq not controlled: by the Government of Irag and the transfer of funds to and from such territories only for humanitarian purposes. The term "areas of Irag not controlled by the Government of Iraq" is described to mean, as of January 30, 2003, areas north of the "Green Line" and under the control of the Kurdistan Democratic Party (KDP) or the Patriotic Union of Kurdistan (PUK) in the following provinces of Iraq: Dahuk, Arbil, and Sulaymaniyah. Questions can be addressed to the Office of Northern Gulf Affairs, Bureau of Near Eastern Affairs, Room 4241, U.S. Department of State, 2201 C Street NW, Washington, DC 20520; Tel: 202- 647-5692. Any changes to the description of this term will be posted on the Department of State web site at: <www.state.gov>. Additional Tips for Both Programs • State Department and USAID grantees or contractors and any NGO issued an NGO registration number are subject to all terms of the applicable licenses or regulatory conditiong, and must comply with all regulations, rulings, orders, and instructions issued by the U.s. Secretary of the Treasury under the authority of section 203 of the International Emergency Economic Powers Act and section 5 of the United Nations Participation Act. • Exports and re-exports to Irag or Iran, or purchase or use locally in Irag or Iran, of any goods and technology, regardless of origin, of the type controlled under the Department of Commerce's Export Administration Regulations for export to any terrorist list state, or, in the case of Iraq, on the UN Goods Review List, are not permitted. 3 • If a State Department or USAID grantee/contractor or NGO registration number recipient is uncertain as to whether a particular item is controlled for export to either Iran or Irag and would like a classification, it may submit a complete description of the item, including technical specifications to the U.S. Department of Commerce, Tel: (202). 482- 4252 (Karen Nies-Vogel or Susan Daoussi). • Proposals for the export or re-export of any goods to Irag must be submitted to the UN 661 Committèe in accordance with relevant UN Security Council resolutions and relevant UN 661 Committee procedures. • completed applications for exports of goods from the United States should be submitted to the office of Peacekeeping and Humanitarian Operations, Room 5323, U.S. Department of State, 2201 C Street NW, Washington, DC 20520 (TEL: 202-647-2708, FAX: 202- 647-3261). • Applications must include an Excel spreadsheet attachment. Applications and spreadsheet attachments may be downloaded from the UN's Oil-For- Food web site at www.un.org/depts/oip/. Guidelines for completing the forms are also accessible on the web site. • Exports are authorized only upon delivery of the approved or notified application from the Department of State. • UN applications for seeking approval for or providing notification of the export of goods from other countries should be submitted through the other country's mission to the United Nations. Travel Advisories: The Department of State urges all NGO/Contractors to frequently check Travel Advisories at All travelers are reminded that www.travel.state.gov: conditions are uncertain, even in these areas, and up-to- contacts. date information should be sought from local • Passport Validation: The current Travel Warning for Irag warns U.S. citizens to avoid travel to Iraq and those in country to depart. Conditiong throughout Irag remain unsettled and dangerous. Due 'to the temporary closure of the U.S. Interests Section at the Embassy of the republic of Poland in Baghdad, there are no consular services available to U.S. citizens in Irag. On Febraury 8, 1991, U. S. passports ceased to be valid for 4 travel to, in or though Irag and may not be used for a special validation has been that purpose unless obtained from the U.S. Department of State. Without the requisite validation, use of a U. S passport for travel to, in or through Iraq may constitute a violation of 18 U.S. C. 1544, and may be punishable f a fine and/or imprisonment. Should you wish to apply for a validation, you must submit an application to the Deputy Assistant Secretary for Passport Services, U.S. floor Wash DC, Department of State, 2401 E Street NW, gth 20522-0907. The envelope should be marked for the attention of the Office of Passport Policy and Advisory Services. • Requests must include the applicant's name, date and place of birth, U.S. passport numbers and when they are traveling and the purpose of the trip. Issuance of any license or registration from OFAC does not in any way create a presumption in favor of passport validation. Tips for Survey/Assessment Missions • All NGOs involved in humanitarian activities eligible. • Can be used for travel to Irag and Iran. • Funds may be transferred to Iran or Irag only for "humanitarian purposes," as that term is defined by the Department of State, for relevant UNSC resolutions on Iraq, to mean: humanitarian relief, educational, cultural, recreational, and human rights-related activities, and activities to ameliorate the effects of to investigate war crimes. Such purposes may include preparatory activities and transactions. • Any funds transferred to Iran or Iraq may only be used as airplane, taxi, for travel-related transactions, such auto rental, communications and hotel charges, as well as for needed personal services (guides, interpreters, etc.), and the payment of required official fees and taxes, Funds may not be used to open offices or to establish permanent facilities of any kind, or to locally purchase any goods or technology in Iraq or Iran of any kind, except usual and reasonable personal effects for personal use. 5 • No exports or te-exports to Iran or Iraq are permitted, except for those items intended for temporary use, as personal baggage, by the mission representatives, provided that such items are either consumed during the visit or returned with the representatives at the end of the visit, and further provided that any such personal items, regardless of origin, are not of the type . controlled under the Department of Commerce's Bxport Administration Regulations for export to any terrorist- list state or in the case of Irag, goods that are on the UN Goods Review List (GRL) Any request to export or re-export to Irag or Iran any goods or technology as part of a survey or assessment mission will require separate OPAC authorization and must be in accordance with U.S. law and any relevant UN Security Council resolutions and 661 Committee rules and regulations. Note This document is subject to change, le intended only for general informational purposes, and does not in any way supercede or substitute for applicable laws and (Revised 2/12/2003) regulations. Employee Level of Effort (days) Base Period - 18 Months Total Hours all Estimated Direct Labor Estimated Direct Labor Estimated Direct Labor CLIN CLIN 1 Level of Efort CLIN's all 3 Level of Effort committed CLIN 2 Level of Effort committed days Prime Contractor Employees committed days categories days Fain hea Outside Iraq in tiao 24: Outside Iraq Outside Iraq i in rag. 12 0 0 Air Operations (TBD) 0=3: - 240€27 240 days 100 4205; 0 Assessment Team Members (20 total) 50 570 days 65 0 65 240 (Senior Program Director) 370 days • 077 (Consultant) 25 50 75 days 0 0 S720. Domestic Admin. Manayer (3) 720 days 0 Domestic Facilities & Equipment Manager (3) 720 days 720 3021 720% Domestic Receiving Manager (3) 720 days 7620 -= 0 Domestic Terminal (Manager (3) 720 days 0 0 Domestic Warehouse Manager (3) 720 days 65 (Senior Program Direclor) 240 65 370 days € 4607 0 International Admin. Manager (2) 4B0 days 0 = GE International Delivery Manager (2) 480 days 460502 0 International Facililies & Equipment Manager (2) 480 days 0 460 International Receiving Manager (2) 480 days 4E03 Intemational Safety/Environmental Manager (2) 480 days 0 International Terminal Manager (21 400 480 days International Warehouse Manager (2) 480 days 480- 0 (Liaison Officer) 370 days PA 240 22 Securry & Safety Chief (TBD) 0 240 days 240. Logistics& Service Cps (TBD) 240 days PRIME TOTAL WORK DAYS 255 550 230 480 7920 9,435 days Sub Contractor Employees (Senior Project Manager) 190 50 290 days (Consultant) 0 50 50 days niernational Airport Director (2) 0 100 580 days Jomestic Airport Director (3) 150 870 days SUB TOTAL WORK DAYS 0 350 1250 190 1,790 days Employee Level of Effort (days) Option Year 1 P. 03 Estimated Direct Labor CLIN Total Hours all CLIN's all 3 Level of Effort committed days Prime Contractor Employees categories In Iraq- Outside Iraq 0 240 Air Operations (TBD) 24D days 240 3: (Senior Program Director) 240 days 720 Domestic Admin. Manager (3) 720 days 0 S1720 Domestic Facilities & Equipment Manager (3) 720 days 0 7,20 720 days Domestic Receiving Manager (3) 93: 720 Domestic Te.minal Manager (3) 720 days 0726= 720 days Domestic Warehouse Manager (3) 30/03 BA 240 (Senior Program Director) 240 days 0 480- International Admin. Manager (2) 480 days 0 480 480 days International Delivery Manager (2) 0 International Facilities & Equipment Manager (2) 480 days 0 International Receiving Manager (2) 480 30 480 days 0 International Safety/Environmenta Manager (2) 1 48010 480 days 11480-0 0 Intemational Terminal Manager (2) 480 days 0 Internatsonal Warehouse Manager (2) 480 days 480-1 0 210215 240 days (Liaison Cfficer) 0 Securdy & Safety Chief (TBD) 240003 240 days Logistics& Service Cps (TBD) 24D days 24050 PRIME TOTAL WORK DAYS 7920 480 8,400 days Sub Contractor Employees 190 (Senior Project Manager) 240 days Internationál Airport Directo (2) 480 days Domestic Airport Director (3) 720 days 17-2004 SUB TOTAL WORK DAYS 190 1250 1,440 days 10:02 MAI-05-2003 Employee Level of Effort (days) Option Year 2 Estimated Direct P. 041 Labor CLIN 3 Level Total Hours all of Effort committed CLIN's all calegories Prime Contractor Employees days Outside Iraq An drag: 0 240 days Air Operations (TBD) 25240 240 240 days (Senior Program Direcior) 0 720 days Domestic Admin. Manager (3) 720 г 720 days Domestic Facilities & Equisment Manages (3) 720 1 0 Domestic Receiving Manager (3) 720 202 720 days 0 720- 720 days Domestic Terminal Manager (3) 7200 720 days Domestic Warehouse Manager (3; 240 240 days (Senior Program Director) 5-480. Intemational Admin. Manacer (2) 0 480 days Intemational Delivery Manager (2) 2 480 5 480 days -÷2= International Facilities & Equipmert Manager (2) 480 days 480 days International Receiving Manager (2) Intemational Safety/Enviror mental Manager (2) 480 days 490 250 Intemational "erminal Manager (2; 480 days 450- 0 Internalional Warehouse Manager (2) 480 days 0 240 days (Liaison Officer) 2210 г Security & Safety Chief (TBD) 240 days 0 240.21 240 Fa Logistics& Sevice Ops (TBD) 240 days PRIME TOTAL WORK DAYS 480 8,400 days 7920 Sub Contracior Employees 190 (Senior Project Manager 240 days nemational Airport Director (2) 480 days o Domestic Airport Direclor (3) 720 days 10:02 SUB TOTAL WORK DAYS 1250 190 1,440 days MRI-05-2003 ATTACHMENT 4 IDENTIFICATION OF PRINCIPAL GEOGRAPHIC CODE NUMBERS The USAID Geographic Code Book sets forth the official description of all geographic codes used by USAID in authorizing or implementing documents, to designate authorized source countries or areas. The following are summaries of the principal codes: (a) Code 000--The United States: The United States of America, any State(s) of the United States, the District of Columbia, and areas of U.S.-associated sovereignty, including commonwealths, territories and possessions. (b) Code 899-Any area or country, except the cooperating country itself and the following foreign policy restricted countries: Libya, Cuba, Laos, Iraq, Iran, North Korea, and Syria. (c) Code 935--Any area or country including the cooperating country, but excluding the foreign policy restricted countries. (d) Code 941--The United States and any independent country (excluding foreign policy restricted countries), except the cooperating country itself and the following: Albania, Andorra, Angola, Armenia, Austria, Australia, Azerbaijan, Bahamas, Bahrain, Belgium, Bosnia and Herzegovina, Bulgaria, Belarus, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Gabon, Georgia, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Italy, Japan; Kazakhstan, Kuwait, Kyrgyzstan, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia", Malta, Moldova, Monaco, Mongolia, Montenegro*, Netherlands, New Zealand, Norway, Poland, Portugal, Qatar, Romania, Russia, San Marino, Saudi Arabia, Serbia*, Singapore, Slovak Republic, Slovenia, South Africa, Spain, Sweden, Switzerland, Taiwan*, Tajikistan, Turkmenistan, Ukraine, United Arab Emirates, United Kingdom, Uzbekistan, and Vatican City. * Has the status of a "Geopolitical Entity", rather than an independent country. OMB Control No. 0412-0520; Expiration Date: 08/31/2000 CONTRACTOR EMPLOYEE BIOGRAPHICAL DATA SHEET 1. Name (Last, First, Middle) 2. Contractor's Name 4. 5. 3. Employee's Address (include ZIP code) Position Under Contract Contract Number 6. Proposed Salary 7. Duration of Assignment 10. Citizenship (If Mon-U.S. citizen, give visa stalls) 9. Place of Birth 8. Telephone Number (include area code) 1. Names, Ages, and Relationship of Dependents to Accompany Individual to Country of Assignment 12. EDUCATION (include all college or university degrees) 13. LANGUAGE PROFICIENCY LANGUAGE NAME AND LOCATION OF INSTITUTION DATE MAJOR DECREE Proficiency Proficiency Speaking Reading 2/S 2/R 2/S 2/R 2/R 2/S 14. EMPLOYMENT HISTORY 1. Give lasts three (3) years. List salaries separate for each year. Continue on separate sheet of paper if required to list all employment related to duties of proposed assignment. Salary definition - basic periodic payment for services rendered. Exclude bonuses, profit-sharing arrangements, commissions consultant fees, extra or overtime 2. work payments, overseas differential or quarters, cost of living or dependent education allowances. EMPLOYER'S NAME AND ADDRESS Annual Salary Dates of Employment (mm/dd/yyyy) POINT OF CONTACT &TELEPHONE # POSITION TITLE Dollars To From 15. SPECIFIC CONSULTANT SERVICES (give last three (3) years) Daily Rate SERVICES PERFORMED EMPLOYER'S NAME AND ADDRESS Days at Dates of Employment In Dollars Rate (mm/dd/yy55) POINT OF CONTACT & TELEPHONE # From To 16. CERTIFICATION: To the best of my kaowledge, the above lacks as stated are true and correct. Date Signature of Employee Contractor certifies in submitting this form that it has taken reasonable steps (in accordance with sound business practices) to verify the information Date Signature of Contractor's Representative -- AID 1420-17 (4/95) INSTRUCTIONS Indicate your language proficiency in block 13 using the following numeric interagency Language Roundtable levels (Foreign Service Institute levels). Also, the following provides brief descriptions of proficiency levels 2, 3, 4, and 5. "g» indicates speaking ability and "R" indicates reading ability. For more in-depth description of the levels refer to USAID Handbook 28. 2. Limited working proficiency S Able to satisfy routine social demands and limited work requirements. R Sufficient comprehension to read simple, authentic written material in a form equivalent to usual printing or typescript on familiar subjects. 3. General professional proficiency S Able to speak the language with sufficient structural accuracy and vocabulary to participate effectively in most formal and informal conversations. R Able to read within a normal range of speed and with almost complete comprehension. 4. Advanced professional proficiency S Able to use the language fluently and accurately on all levels. R Nearly native ability to read and understand extremely difficult or abstract prose, colloquialisms and slang. Functional native proficiency $ Speaking proficiency is functionally equivalent to that of a highly articulate well-educated native speaker. R Reading proficiency is functionally equivalent to that of the well-educated native reader. PAPERWORK REDUCTION ACT INFORMATION The information requested by this form is necessary for prudent management and administration of public funds under USAID contracts. The information helps USAID estimate overseas logistic support and allowances; the educational information provides an indication of qualifications; the salary information is used as a means of cost monitoring and to help determine reasonableness of proposed salary. PAPERWORK REDUCTION ACT NOTICE ublic reporting burden for this collection of information is estimated to average thirty minutes per response, including th United States Agency for International Development ashington, Did 20325-103 (MOR/P Office of Management and Budget Machineto DC 203 Project 04120520) AID 1420-17 (4/95) Back