REQUEST FOR PROPOSAL · department of namami gange & rural water supply, government of uttar pradesh contents notice inviting tender section – 01 : details of assignment section

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REQUEST FOR PROPOSAL (RFP-DOCUMENTS)

FOR

EMPANELMENT OF IMPLEMENTATION SUPPORT AGENCIES (ISAs) FOR SUCCESSFUL IMPLEMENTATION OF JAL JEEVAN MISSION IN THE DISTRICTS

OF UTTAR PRADESH

RFP Reference No.: 380/W-314/JJM-ISA Dated:- 29.05.2020

ISSUED BY:-

STATE WATER & SANITATION MISSION, DEPARTMENT OF NAMAMI GANGE & RURAL WATER SUPPLY,

GOVERNMENT OF UTTAR PRADESH

CONTENTS NOTICE INVITING TENDER

SECTION – 01 : DETAILS OF ASSIGNMENT

SECTION - 02 : SUBMISSION OF PROPOSAL & SELECTION PROCESS

SECTION - 03 : FORMAT FOR SUBMISSION OF PROPOSAL

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Table of Content

Sl. No.

Particulars Page No.

1 Section - 01 Details of assignment 3

I. Background 4

II. Objective of the call 5

III. Current Scenario of the State 6

IV. Scope of work 7-18

V. Payment norms 19-22

2 Section – 02 Submission of proposal & Selection process

23

I. Step and time line implementation Support Agencies 24

II. Evaluation of proposals 25-30

III. General Conditions for proposal 30-31

3 Section – 03 Format for submission of proposal 32-34

I. Technical Proposal 35-43

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SECTION - 01

DETAILS OF ASSIGNMENT

1. BACKGROUND 2. OBJECTIVE OF THE CALL 3. CURRENT SCENARIO OF THE STATE 4. SCOPE OF WORK 5. PAYMENT NORMS

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SECTION- 01

1. Background

Water is one of the most essential requirements of life. Assured availability of potable water is vital for human development and growth. With the growing population needs and expanding economic activities, there is an increase in demand for water in various sectors, viz. agriculture, industry, domestic, recreation, infrastructure development, etc., whereas the source of water is finite. Thus, finite availability and competing demands make drinking water management a complex issue. The widening demand-supply gap is further compounded by other challenges, viz. depletion of groundwater caused by over-extraction, poor recharge, low storage capacity, erratic rainfall due to climate change, presence of contaminants, poor Operation and Maintenance (O&M) of community in water supply systems, etc. Piped water supply for drinking and domestic purposes to rural areas is a very critical and challenging task.

In this backdrop, Jal Jeevan Mission (JJM) has been launched which aims at providing Functional Household Tap Connection (FHTC) to every rural household by 2024. The programme focuses on service delivery at household level, i.e. water supply on regular basis in adequate quantity and of prescribed quality. This necessitates use of modern technology in planning and implementation of water supply schemes, development of water sources, treatment and supply of water, empowerment of Gram Panchayat/ local community, focus on service delivery, partner with other stakeholders, convergence with other programmes, methodical monitoring of the programme and to capture service delivery data automatically for ensuring the quality of services. This will help in achieving the goal of Jal Jeevan Mission in its true letter and spirit.

The 73rd Amendment to the Constitution of India has placed the subject of

drinking water in the Eleventh Schedule and has assigned its management to Gram Panchayats. Keeping this in view, under JJM, Gram Panchayats and local community will play the pivotal role in planning, implementation, management, operation and maintenance of in-village water supply systems including drinking water sources. Decentralized, demand-driven, community-managed implementation of the programme will instill 'sense of ownership' among the local community, create an environment of trust and bring in transparency leading to better implementation and long-term O&M of water supply systems. It will also ensure equity in accessing supply for every household and regular supply, thus willingness to pay for services. The incidents of diversion of water supply for other purposes will also get controlled.

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2. Objective of the Call

Jal Jeevan Mission (JJM) has been launched to enable every household in villages to have Functional Household Tap Connection (FHTC) in the next 5 years. It is envisaged that with FHTC, each household will have potable water supply in adequate quantity of prescribed quality on regular and long-term basis. ISAs have to help Gram Panchayat / village committee to plan, implement, manage, operate and maintain its in-village water supply systems. A sense of ownership has to be instilled in the village community as they are at the center of this mission.

In villages, local communities especially women, must be encouraged to

participate and take ownership of water resource management, water supply, and greywater treatment and its reuse. To achieve this, wherever required, in addition to Gram Panchayats are to be assisted by SHGs/ VOs/ CBOs/ NGOs, youth groups, etc. To make water everyone's business, the mission will strive to build partnerships and linkages through various community based activities, capacity building and IEC to achieve long- term drinking water security.

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3. Current Scenario of the State

Population, political awareness, historical and cultural heritage points of view,

Uttar Pradesh is a very important state of the country. As much as 16.17% of India's population lives in the state. Geographically, it acquires 5th position after Rajasthan, Madhya Pradesh, Maharashtra and Andhra Pradesh and covers 7.3% land area of India. Area wise it covers 240.928 Sq. Kilo meters. For administrative convenience, it has 18 divisions, 75 districts and 823 development blocks.

Hydro-geologically, the States can be divided into Five units namely (1) Bhabar (2) Tarai (3) Central Ganga plains (4) Marginal alluvial plains and (5) Southern Peninsular zone. The first one is in the extreme north followed successively by the rest southwardly.

The State of UP has a total population of 19.8 crore, as per the census 2011, out of which, 15.53 crore population resides in rural areas of the state. This population is expected to be 22.11 crore as total population and 17.18 crore as the population residing in rural areas in year 2017. The state has a total of 260018 rural habitations out of which 28598 habitations have been saturated through 5279 rural pipe water supply schemes. As a result 261.78 lakh populations have been benefited through pipe water supply schemes. The balance 1291.39 lakh population, as per census, living in 231420 rural habitations need to provided with clean drinking water through rural Pipe Water Supply Schemes.

All the rural habitation in the State of Uttar Pradesh has been saturated with 40

lpcd water supply which is primarily through India mark II hand pumps. There are 823 blocks in the State out of which 113 have been identified as the Dark blocks, 59 as Critical blocks and 45 have been identified are Semi-critical blocks.

Chemical contamination has also been found in various habitations. 1559

habitations are Arsenic affected. 521 Arsenic effected habitations are provided with drinking water through Pipe Water Supply Schemes. Whereas Pipe Water Supply Schemes for 711 habitations are under implementations. Similarly 2433 habitations are identified as Fluoride effected. Out of these habitations 1493 habitations been provided with drinking water through the pipe water supply schemes and Pipe Water Supply Schemes for 303 habitations are under implementation.

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4. Scope of work

To deal with above Jal Jeevan Mission (JJM) has been launched which aims at providing Functional Household Tap Connection (FHTC) to every rural household by 2024. The programme focuses on service delivery at household level, i.e. water supply on regular basis in adequate quantity and prescribed quality. This necessitates planning and implementation of water supply schemes, empowerment of Gram Panchayat/ local community, focus on service delivery, partner with other stakeholders and convergence with other programmes to ensuring the quality of services.

The selected ISAs will be impanelled for the duration of Jal Jeevan

Mission till March 2024 based on performance review by SWSM, Department of Namami Gange & Rural Water Supply, Government of Uttar Pradesh. ISAs can be de-empanelled at any time, if their performance is not satisfactory.

The specific activities of ISA Intervention in the allotted villages and gram panchayats categorized phase wise:

A- Planning & Mobilization Phase (03 Months)

� Constitution of Gram Panchayat sub-committee (GPWSC) and opening bank accounts

The ISA team would be required to support Gram Panchayat to organized open Gram Sabha Meeting for formation of GPWSC according to directive from Panchayatiraj Department, if GPWSC formed previously the ISA team need to activate through monthly meetings and orient on Jal Jeevan Mission implementation and phase wise activities, implementation process and role and responsibility of VWSC, GPWSC and different stake holders of the village. In addition ISA team required to support GPWSC in opening bank account for Capex and Opex. � Verification of Base Line Data

The Implementation Support Agencies (ISAs) will have to verify the Baseline Data, including existing FHTCs, in all the villages/habitations of the allotted Gram Panchayats.

Post verification, ISAs would be required to present verification report of base line data and existing FHTCs data within 01 month from the date of agreement to DWSM & SWSM in hard and soft copy of the data.

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� Consent of Households for Construction of PWS and O&M

The ISA team would be required to organize one Large Community Meeting with all stake holders and members of VWSC/GPWSC to discuss current village water and sanitation issues and impact on health. The major concern of the meeting is to obtain minimum 80% Household Consent for PWS, Community Contribution in capex and to pay monthly user charges for O&M. � Village Action Plan (VAP) The ISA team would be required to organize community, stake holders and VWSC/GPWSC in a public place to conduct Participatory Rural Appraisal (PRA) exercise to finalize Village Action Plan, as prescribed in JJM guidelines, with VWSC/GPWSC and UPJN representatives. The PRA exercise focus on Socio- Economic Assessment, resource mapping, water quality status, assessment of current drinking water sources, different options to provide drinking water to each and every household of the village collectively with villagers, appropriate Land identification for PWS. The Waste Water (65-70%) Management is also part of VAP. The VAP linkage with GPDP and allocation of Budget for O&M and Waste Water Treatment is most important. Final Village Action Plan must to discuss in Gram Sabha meeting for the approval of VWSC/GPWSC.

� Water Security Plan (WSP) The ISA team would be required to collect the following data for Water Security

Plan by proper survey methods:-

x Survey and mapping of existing ground water conservation structures: a) Functional, and b) Non-Functional

x Detailed survey of ground water consumption by village habitant (according to the NBC guideline) and existing industry, if any.

x Sample survey in each Gram Panchayat to know the unit draft.

� Community Contribution (Capex)

Jal Jeevan Mission is community centered programme to ensure access safe drinking water in appropriate volume to each and every house hold of the village through Piped Water Supply Scheme tap connection. To ensure community participation for the sustainability community contribution is a way to connect each and every house hold for the scheme ownership. The specific activities to ensure the collection of capex/opex required under JJM guideline, would be:

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1. Inter-Personal Communication (IPC) with all Households

The ISAs Workers would be required to visit each house hold and habitation twice in a month of the allotted villages every week to deliver the customized messages to the adult members of the family, using dissemination and distribution material provided by DWSM/SWSM. Visiting team would be required to visit a minimum of 20-25 families every day, spending 15-20 minutes in each house on an average discussing water related issues and impact of water born disease on health and income of the family. The outcome of the IPC is to sensitize family for safe drinking water through pipe water supply tap connection and paying amount as community contribution and monthly user charges. List of the houses visited would be maintained date wise for monitoring and reporting purpose.

2. Community Meetings

The ISAs team would be required to conduct a series of community meetings with different target audience, different stakeholders, officials of UPJN, DPMU and VWSC/GPWSC to discuss water and sanitation issues to prioritize safe drinking water through pipe water supply tap connection and community driven operation and maintenance of scheme and need of community contribution at a larger forum and raise the community consciousness on these issues. Flash cards, flip charts, posters, games and other participatory communication material developed and provided by SWSM would be used by the ISAs team to engage the community members in a productive dialogue.

� ISAs would be required to hold one large village meeting covering all habitations with a focus on developing collective consciousness on the community contribution for Pipe Water Supply Scheme & user charges for scheme O&M leading to collective decisions and written consent of all HH for the requisite intervention. In large village meeting, ISA would be required to sensitize the people on optimal use of ground water, implementation of micro irrigation system, reuse of water, recharge of ground water and water conservation practices. Each such meeting would be expected to have an attendance of at least 100 plus community members, both men & women. Specially designed exhibition displaying the water & sanitation situation of the village and the suggested way out would be erected at the meeting venue for the people to witness and understand. The content and the display material for the exhibition would be provided by SWSM.

� The ISAs team would be required to hold small three monthly meetings with 30 community women to cover each habitation of the village. The effort would be to reach out to women from all the families in the habitation through such community meetings.

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� Similarly three monthly meeting would be conducted with the mix group (40

Man & Women) of community, with an effort to reach all habitation in each meeting. The meetings would aim at taking the menfolk on board for the water and sanitation issues.

3. Prabhat Pheri and Hand Wash

Community children would be engaged as change agents in order to spread the word on water and sanitation issues, raise community consciousness and encourage for collective decision making at the community level. Monthly one Prabhat Pheri (Morning Rally) and hand wash exercise would be conducted by the ISAs team to cover each habitation wherein in/out of school boys and girls from the habitation will walk around the village singing songs and raising slogans on safe drinking water and sanitation issues. Participants of the rally will also carry placards carrying slogans and pictures on the water and sanitation situation in the village and the key messages for change existing practices.

� Arrangement of Skilled manpower for PWS: The ISAs team would be required to facilitate the training of persons as Mason, Electrician, Plumber, Pump Operator and Motor Mechanics through Pradhan Mantri Kaushal Vikas Yojana (PMKVY). For this purpose ISA will identify the persons and provide list of such person to DWSM.

� Signing of Agreement with Contractor for the execution of work

The ISAs team would be required to facilitate signing of Tri-Partite Agreement for the execution of Piped Water Supply Scheme with VWSC/GPWSC, DPMU and Contractor to adhere timelines and specific phase wise outputs.

B- IMPLEMENTATION PHASE (06 Months)

� Grievance Redressal Mechanism The ISAs team would be required to facilitate VWSC/GPWSC and develop

Grievance Redressal Mechanism through monthly meetings to address household issues related to piped water supply scheme through complain book and identification of appropriate at least two-three sites for display of concern officials contact numbers through wall writing.

� Community Contribution (Capex) Jal Jeevan Mission is community centered Programme to ensure access safe

drinking water in appropriate volume to each and every house hold of the village through Piped Water Supply Scheme tap connection. To ensure community participation for the sustainability community contribution is a way to connect each

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and every house hold for the scheme ownership. The specific activities related to community contribution would be:

1. Inter-Personal Communication (IPC) with all Households

The ISAs Workers would be required to visit each house hold and habitation twice in a month of the allotted villages every week to deliver the customized messages to the adult members of the family, using dissemination and distribution material provided by DWSM/SWSM. Visiting team would be required to visit a minimum of 20-25 families every day, spending 15-20 minutes in each house on an average discussing water related issues and impact of water born disease on health and income of the family. The outcome of the IPC is to sensitize family for safe drinking water through pipe water supply tap connection and paying amount as community contribution and monthly user charges. List of the houses visited would be maintained date wise for monitoring & reporting purpose.


The ISAs team would be required to conduct a series of community meetings with different target audience, different stakeholders, officials of UPJN, DPMU and VWSC/GPWSC to discuss water and sanitation issues to prioritize safe drinking water through pipe water supply tap connection and community driven operation and maintenance of scheme and need of community contribution at a larger forum and raise the community consciousness on these issues. Flash cards, flip charts, posters, games and other participatory communication material developed and provided by SWSM would be used by the ISAs team to engage the community members in a productive dialogue.

� ISAs would be required to hold one large village meeting covering all habitations with a focus on developing collective consciousness on the community contribution and user charges for Pipe Water Supply Scheme for scheme O&M leading to collective of all HH for the requisite intervention. In large village meeting, ISA would be required to sensitize the people on optimal use of ground water, implementation of micro irrigation system, reuse of water, recharge of ground water and water conservation practices. Each such meeting would be expected to have an attendance of at least 100 plus community members, both men & women. Specially designed exhibition displaying the water & sanitation situation of the village and the suggested way out would be erected at the meeting venue for the people to witness and understand. The content and the display material for the exhibition would be provided by SWSM.

� The ISAs team would be required to hold small three monthly meetings with 30 community women to cover each habitation. The effort would be

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to reach out to women from all the families in the habitation through such community meetings spread over the period of three months.

� Similar three monthly meeting would be conducted with the mix group (40 Man & Women) of community, with an effort to reach all habitation in each meeting. The meetings would aim at taking the menfolk on board for the WASH issues.

3. Prabhat Pheri and Hand Wash Community children would be engaged as change agents in order to spread the

word on water and sanitation issues, raise community consciousness and encourage for collective decision making at the community level. Monthly one Prabhat Pheri (Morning Rally) and hand wash exercise would be conducted by the ISAs team to cover each habitation wherein in/out of school boys and girls from the habitation will walk around the village singing songs and raising slogans on safe drinking water and sanitation issues. Participants of the rally will also carry placards carrying slogans and pictures on the water and sanitation situation in the village and the key messages for change existing practices. � Quality Assurance

The ISAs team would be required to facilitate VWSC/GPWSC in monitoring of construction quality of pipe water supply scheme monthly basis to asses work progress of Pump House, OHT, Distribution network as well as Tap Connection.

� House Hold Tap Connection

The ISAs team would be required to facilitate VWSC/GPWSC, contractor, households to complete tap connection and also address issues related tap connections and distribution network for the completion of work within timeline.

� O&M Preparedness

Jal Jeevan Mission has community based approach to ensure access safe drinking water in appropriate volume to each and every house hold of the village through Pipe Water Supply Scheme tap connection. The O&M preparedness is high priority activity for the implementation phase through community based financial exercise to fix amount of monthly user charges. The specific activities related to community contribution and monthly user charges would be:

1. Financial Management Training

ISAs would be required to train VWSC/GPWSC members on financial management training and budgeting exercise based on estimation of scheme annual and monthly running cost for scheme sustainability. ISA would be require to orient VWSC/GPWSC members on role and responsibility.

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After fixing of user charges the ISAs would be required to extend support on organizing Gram Sabha meeting in the presence of VWSC/GPWSC all members for smooth implementation of the project as well as identification of manpower such as plumber and operator and engagement with scheme and approval of Financial Management Plan and Bylaws to obtain HH monthly user charges.

2. Facilitate preparation and proper maintenance of related documents

A number of documents and registers would be required to be maintained at the community level. ISAs will have to help VWSC/GPWSC prepare & maintain following documents: � GPWSC meeting minutes book. � Receipt book. � CAPEX collection registers. � OPEX collection registers. � Visitor register. � Inspection of works' register. � Complaint & Redressal register. � Community meetings register.

All the said documents and registers would be inspected by DWSM/SWSM team members from time to time.

C- POST IMPLEMENTATION PHASE (03 Month)

Post Implementation Phase will start after commissioning of schemes. � Functional House Hold Tap Connection

The specific activities related to this milestone would be:

Inter-Personal Communication (IPC) with all Households The ISAs Workers would be required to visit each house hold and habitation

twice in a month of the allotted villages every week to deliver the customized messages to the adult members of the family, using dissemination and distribution material provided by DWSM/SWSM. Visiting team would be required to visit a minimum of 20-25 families every day, spending 15-20 minutes in each house on an average discussing water related issues and impact of water born disease on health and income of the family. The outcome of the IPC is to sensitize family for safe drinking water through pipe water supply tap connection and paying amount as monthly user charges. List of the houses visited would be maintained date wise for monitoring & reporting purpose.

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� Collection of Monthly User Charges

After commissioning of scheme the ISA workers would be required to develop OPEX collection mechanism in the allotted villages and panchayats is another major task that the ISAs will have to carry out in its working area. Opening and handling of bank account for the OPEX money by VWSC/GPWSC will also require guidance of the ISAs. After commissioning of scheme ISA has to finalizing dates for user charges collection and creating awareness among community through two days intensive miking. The specific activities related to this milestone would be:


� The ISAs team would be required to conduct a series of community meetings with different target audience, different stakeholders, officials of UPJN, DPMU and VWSC/GPWSC to discuss water and sanitation issues to prioritize safe drinking water through pipe water supply tap connection and community driven operation and maintenance of scheme and need of monthly user charges at a larger forum and raise the community consciousness on these issues. Flash cards, flip charts, posters, games and other participatory communication material developed and provided by SWSM would be used by the ISAs team to engage the community members in a productive dialogue.

� ISAs would be required to hold one large village meeting covering all habitations

with a focus on developing collective consciousness on the monthly user charges for Pipe Water Supply Scheme for scheme O&M leading to collective of all HH for the requisite intervention. In large village meeting, ISA would be required to sensitize the people on optimal use of ground water, implementation of micro irrigation system, reuse of water, recharge of ground water and water conservation practices. Each such meeting would be expected to have an attendance of at least 100 plus community members, both men & women. Specially designed exhibition displaying the water & sanitation situation of the village and the suggested way out would be erected at the meeting venue for the people to witness and understand. The content and the display material for the exhibition would be provided by SWSM.

� The ISAs team would be required to hold small three monthly meetings with 30 community women to cover each habitation. The effort would be to reach out to women from all the families in the habitation through such community meetings spread over the period of three months.

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� Similar three monthly meetings would be conducted with the mix group (40 Men & Women) of community, with an effort to reach all habitation in each meeting. The meetings would aim at taking the menfolk on board for the WASH issues.

2. Prabhat Pheri and Hand Wash

Community children would be engaged as change agents in order to spread the word on water and sanitation issues, raise community consciousness and encourage for collective decision making at the community level. Monthly one Prabhat Pheri (Morning Rally) and hand wash exercise would be conducted by the ISAs team to cover each habitation wherein in/out of school boys and girls from the habitation will walk around the village singing songs and raising slogans on safe drinking water and sanitation issues. Participants of the rally will also carry placards carrying slogans and pictures on the water and sanitation situation in the village and the key messages for change existing practices.

� Quality Assurance

The ISAs team would be required to facilitate VWSC/GPWSC for source water quality testing through UPJN before handover of scheme to ensure water quality.

The ISAs team would be required to facilitate VWSC/GPWSC in organizing Social Audit event in the presence of community, VWSC/GPWSC, UPJN, Contractor and DPMU representative to share and discuss on output indicators which is shared by SWSM/DWSM for readiness of scheme handover to VWSC/GPWSC.

During social audit the ISA should be in the position to explain process of

transfer of water assets to VWSC/GPWSC, exit of ISAs from the village and panchayat and establishment and effective functioning of a community based O&M mechanism. � Most Significant Change (MSC) Stories

ISAs will also have to track and document the stories of change on the suggested format. The change stories, to be written in Hindi would be about individuals and/or the communities. There will have to be at least one story of change from each set of five villages amongst the allotted panchayats in each quarter.

� Timeframe of Milestones and Activities Planning & Mobilization Phase (Three Months)

Sl.No. Mile Stone Activity Out Come and Deliverables 1. Constitution of

Gram Panchayat sub-committee (VWSC/GPWSC) and opening bank accounts.

� Gram Sabha Meeting. � Constitution and Activation of

VWSC/GPWSC. � VWSC/GPWSC Orientation on JJM and role

and responsibility of VWSC/GPWSC.

� Functional VWSC/GPWSC. � Monthly Meeting and

Proceedings. � Clear understanding on JJM

implementation process, activity

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Sl.No. Mile Stone Activity Out Come and Deliverables � Opening of Bank Account for Capex and

Opex. and outcome. � Functional Bank Accounts of

Capex and Opex. 2. Verification of

Base Line Data � Verification of Base Line Data � Existing FHTC survey. � Survey for Water Security Plan (WSP)

� Verification report. � Existing FHTC report. � Data and Survey report for Water

Security Plan (WSP) 3. Consent of

Households for Construction of PWS and O&M.

� One Large Community Meeting with all stake holders and members of VWSC/GPWSC and personal contact to Household heads to obtain Consent of minimum 80% Households for PWS, Community Contribution in capex and to pay monthly user charges for O&M.

� Consent of at least 80% Households for Construction of PWS and O&M. � Acceptance Letter from Gram

Panchayat.

4. Community Contribution (Capex).

� Inter Personal Communication (IPC) with all Households.

� Monthly Woman Meeting. � Monthly Man & Woman Common Group

Meeting. � Monthly Prabhat Pheri and Hand Wash Event.

� Collection of at least 30% of desired Community Contribution. � Community participation and

understanding on water and sanitation management to improve health, nutrition, sanitation and economic status based on present indicators.

5. Finalisation and Approval of VAP

� PRA Exercise and Socio-Economic Assessment and resource mapping for VAP. � Water Quality Status of Sources. � Facilitate Community to prepare waste water

management plan. � Identification of Land for PWS. � Facilitate Community for preparation of VAP. � Preparation of VAP with Community. � Finalisation of VAP along with community

and Implementation Agency. � Organise Open Meeting of Gram Sabha for

approval of VAP by the consent of min. 80% present members.

� Approved Village Action Plan.

6 Arrangement of Skilled manpower for PWS

� Identification of the persons for skill development as Mason, Electrician, Plumber, Pump Operator and Motor Mechanics through Pradhan Mantri Kaushal Vikas Yojana (PMKVY) and provide list of such person to DWSM.

� List of persons for training of Mason, Electrician, Plumber, Pump Operator and Motor Mechanics.

7 Signing of Agreement.

� Signing of Tri-Partite agreement for the execution of PWS with VWSC/GPWSC and Contractor.

� Construction Started.

Implementation Phase (Six Months)

Sl.No. Mile Stone Activity Out Come and Deliverables 1. Grievance Redressal

Mechanism. � Identification of place for wall writing

to display concerned contact number. � Effective Grievance Redressal

Mechanism.

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� Monthly review and Reporting. 2. Community

Contribution (Capex) � One large village meeting. � Inter Personal Communication (IPC)

with all Households. � Monthly Woman Meeting. � Monthly Man & Woman Common

Group Meeting. � Monthly Prabhat Pheri and Hand Wash

Event.

� Desired Community Contribution of Capex.

� Community participation and understanding on water and sanitation management to improve health, nutrition, sanitation and economic status.

3 Quality Assurance. � Monitoring of Construction Quality of PWS with VWSC/GPWSC.

� Quality PWS.

4. House Hold Tap Connection.

� Inter Personal Communication (IPC) � At least 80% Household Tap Connection.

5. O&M Preparedness. � Training on Financial Management and Record Keeping. � Gram Sabha Meeting.

� Understanding about role and responsibility of VWSC/GPWSC.

� Transparency through record keeping. � Financial Management Plan and bylaws

for scheme sustainability through HH monthly user charges.

Post-Implementation Phase (Three Months)

Sl.No. Mile Stone Activity Out Come and Deliverables 1. Functional House

Hold Tap Connection.

� Inter Personal Communication (IPC) � 100% Functional House Hold Tap Connection.

2. Collection of Monthly User Charges.

� Two Days Miking. � One large village meeting. � Inter Personal Communication (IPC)

with all Households. � Monthly Woman Community Meeting. � Monthly Man & Woman Common

Group Meeting. � Monthly Prabhat Pheri and Hand Wash

Event.

� Collection of Monthly User Charges from minimum 80% Households.


3. Quality Assurance � Source Water Quality Test of PWS. � Social Audit with community,

VWSC/GPWSC UPJN and Contractor.

� Water Quality Report. � Social Audit and Report.

4. Most Significant Change (MSC) stories

� Discussion with VWSC/GPWSC, UPJN and DWSM.

� At least one documented story of change from each set of five villages.

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� Proposed Team

The proposed team structure for the assignment to be deployed by ISA in each group of Gram Panchayats (Approx. 40 GPs), would be as following: Team Composition: S.N.

Post Qualification & Experience

Experience No. Man Month Input Required (for one cluster of Cluster of 40 villages)

Planning &

Mobilization Phase

Implementation Phase

Post Implementation

Phase

Total Man Months

Required

Key Staff: 1 Team Leader Graduate/Post

Graduate 5 Yrs. (Rural/ Community Development. Preference to experience in Water & Sanitation)

1 03 Months 06 Months 03 Months 12 Months

2 Coordinator Graduate 3-5 Yrs. (Rural/ Community Development and Water & Sanitation)

8 03 Months 06 Months 03 Months 12 Months

Support Staff: 1 Accountant B.Com. 2-3 yrs. 1 03 Months 06 Months 03 Months 12 Months 2 Data Entry

Operator Graduate - 1 03 Months 06 Months 03 Months 12 Months

3 Community Worker

Literate and having good communication skill

03 years 16 03 Months 06 Months 03 Months 12 Months

Note: Proposed structure is based on minimum basis. ISA can deploy a bigger team as per work

requirement. � ISAs will be required to submit monthly report clearly stating the progress during

the month against the activities proposed for the month. Soft copy of the monthly report should reach the DWSM/SWSM designated person before close of business (COB) of 5th of every month. The hard copy of the monthly report should reach the respective DPMU office before COB of 7th of every month.

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5. Payment Norms

� The contract with the ISAs would be for the Planning & Mobilization, Implementation and Post Implementation Phase only. Each ISA will have to achieve the specific Payment Linked Deliverables (PLD) designated for each phase. Payment to the agencies will be made only for those activities and milestones, which have been actually done/achieved by them.

� The required documents, reports, proofs etc. for the payment of quarterly bills raised by ISAs should be decided by DPMU and that will be specifically mentioned in executed agreement between DPMU and ISA.

� The ISA will submit quarterly bill for the payment to DPMU. All such bills should accompany the Quarterly Progress Report (QPR) and required documents, reports, proofs etc. mentioned in executed agreement, failing which the scheduled payments would not be processed. The report should also comment on the status of the Payment Linked Deliverables (PLD) slated for the quarter.

� ISAs will be required to submit quarterly audit report, audited by CAG empaneled Chartered Accountant Firms, at the time of submission of quarterly invoice for the payment. Special Audit of agencies may be conducted by State Water and Sanitation Mission/District Water and Sanitation Mission, through authorized CA firms, if required.

Payment to Implementation Support Agencies (ISAs) against their services will be made on the basis of rates approved by State Water and Sanitation Mission under the schemes.

Schedule of Payment

Planning & Mobilization Phase (Three Months)

Sl. No.

Mile Stone Activity Out Come and Deliverables Payment

1. Constitution of Gram Panchayat Sub-Committee (VWSC/GPWSC) and opening bank accounts.

� Gram Sabha Meeting. � Constitution and Activation

of VWSC/GPWSC. � VWSC/GPWSC

Orientation on JJM and role and responsibility of VWSC/GPWSC. � Opening of Bank Account

for Capex and Opex.

� Functional VWSC/GPWSC. � Monthly Meeting and

Proceedings. � Clear understanding on

JJM implementation process, activity and outcome. � Functional Bank Accounts

of Capex and Opex.

For Performed Activities - 20% of agreement cost. For Deliverables-

� Baseline data

verification and Existing FHTC report.

3% of agreement cost. � Data and survey

report for Water Security Plan (WSP)

2% of agreement cost. � Consent of at least

2. Verification of Base Line Data

� Verification of Base Line Data. � Existing FHTC survey. � Survey for Water Security

Plan (WSP)

� Verification report. � Existing FHTC report. � Data and Survey report for

Water Security Plan (WSP)

3. Consent of Households for

� One Large Community Meeting with all stake

� Consent of at least 80% Households for

Page 20 of 43

Sl. No.


Construction of PWS and O&M.

holders and members of VWSC/GPWSC and personal contact to Household heads to obtain Consent of minimum 80% Households for PWS, Community Contribution in capex and to pay monthly user charges for O&M.

Construction of PWS and O&M. � Acceptance Letter from

Gram Panchayat.

80% Households and acceptance Letter from Gram Panchayat

4% of agreement cost. � Collection of at least

30% of desired Community Contribution.

3% of agreement cost. � Approved Village

Action Plan. 2% of agreement cost.

4. Community Contribution (Capex).


� Monthly Woman Meeting. � Monthly Man & Woman

Common Group Meeting. � Monthly Prabhat Pheri and

Hand Wash Event.

� Collection of at least 30% of desired Community Contribution. � Community participation

and understanding on water and sanitation management to improve health, nutrition, sanitation and economic status based on present indicators.

5. Finalisation and Approval of VAP.

� PRA Exercise and Socio-Economic Assessment and resource mapping for VAP. � Water Quality Status of

Sources. � Facilitate Community to

prepare waste water management plan. � Identification of Land for

PWS. � Facilitate Community for

preparation of VAP. � Preparation of VAP with

Community. � Finalisation of VAP along

with community and Implementation Agency. � Organise Open Meeting of

Gram Sabha for approval of VAP by the consent of min. 80% present members.


6. Arrangement of Skilled manpower for PWS

� Identification of the persons for skill development as Mason, Electrician, Plumber, Pump Operator and Motor Mechanics through Pradhan Mantri Kaushal Vikas Yojana (PMKVY) and provide list


Page 21 of 43

Sl. No.


of such person to DWSM. 7. Signing of

Agreement. � Signing of tetra partite

agreement for the execution of PWS with VWSC/GPWSC, UPJN and Contractor.



Sr.No. Mile Stone Activity Out Come and Deliverables

Payment

1. Grievance Redressal Mechanism.

� Identification of place for wall writing to display concerned contact number. � Monthly review and

Reporting.

� Effective Grievance Redressal Mechanism.

First Quarter: For Performed Activities - 12.5% of agreement cost

For Deliverables- � Effective Grievance

Redressal Mechanism. 2% of agreement cost.

� Collection of at least 75%

of desired Community Contribution.

5% of agreement cost.

� At least 80% Household Tap Connection.

5% of agreement cost. Second Quarter: For Performed Activities - 12.5% of agreement cost

For Deliverables-

� Collection of at least 100% of desired Community Contribution.




2. Community Contribution (Capex)

� One large village meeting. � Inter Personal

Communication (IPC) with all Households. � Monthly Woman

Meeting. � Monthly Man & Woman

Common Group Meeting. � Monthly Prabhat Pheri

and Hand Wash Event.

� Collection of at least 70% of desired Community Contribution.


3 Quality Assurance.

� Monitoring of Construction Quality of PWS with VWSC/GPWSC.

� Quality PWS.

4. House Hold Tap Connection.

� Inter Personal Communication (IPC)


5. O&M Preparedness.

� Training on Financial Management and Record Keeping. � Gram Sabha Meeting.


� Transparency through record keeping.

� Financial Management Plan and bylaws for scheme sustainability through HH monthly user charges.

Page 22 of 43

Post-Implementation Phase (Three Months)

Sl.No. Mile Stone Activity Out Come and Deliverables

Payment

1. Functional House Hold Tap Connection.


� 100% Functional House Hold Tap Connection.

For Performed Activities - 15% of agreement cost. For Deliverables-

� 100% Functional House

Hold Tap Connection. 4% of agreement cost. � Collection of Monthly

User Charges from minimum 80% Households.

4% of agreement cost. � Social Audit and Report. 1% of agreement cost. � At least one documented

story of change from each set of five villages.


2. Collection of Monthly User Charges.

� Two Days Miking. � One large village

meeting. � Inter Personal

Communication (IPC) with all Households. � Monthly Woman

Community Meeting. � Monthly Man &

Woman Common Group Meeting. � Monthly Prabhat Pheri

and Hand Wash Event.



3. Quality Assurance

� Source Water Quality Test of PWS. � Social Audit with

community, VWSC/GPWSC, UPJN and Contractor.

� Water Quality Report. � Social Audit and

Report.

4. Most Significant Change (MSC) stories



Page 23 of 43

SECTION - 02

SUBMISSION OF PROPOSAL & SELECTION PROCESS

1. STEPS AND TIMELINE FOR IMPLEMENTATION SUPPORT

AGENCIES (ISAs) 2. EVALUATION OF PROPOSALS 3. GENERAL CONDITIONS FOR PROPOSAL

Page 24 of 43

1. Steps and Timeline for empanelment of Agencies

Following steps will be followed by SWSM, Department of Namami Gange & Rural Water Supply, GoUP for empanelment of Agencies:

Steps Details Indicative time line

Step 1 Pre proposal meeting from the date of advertisement in new paper(s). 7 days

Step 2 Time provided to interested agencies for submitting proposals to the office from the date of Pre proposal meeting. 10 days

Step 3 Preliminary screening and short listing of agencies based on the mandatory qualifications and technical evaluation of proposals 7 days

Step 4 Rate Negotiation with qualifying Agencies 6 days

Step 5 Final selection/ Empanelment of Agencies and allocation of Zone/Districts. 5 days

Total duration from Advertisement to Empanelment 35 days

Page 25 of 43

2. Evaluation of Proposals

All the agencies having mandatory qualifications will be empanelled category wise based on obtained marks in Technical Evaluation.

The agencies applying for the empanelment must fulfil the following mandatory qualifications for being empanelled:-

(i) Essential Qualifications

Sl.No. Essential Qualifications Required documents (Proof/Declaration)

1 Online Registration on JJM Portal. Proof of online registration.

2 A minimum 3 years' experience as a registered organization for organizations under 4(a) including organizations under Registration of Societies Act 1860, or a Public Trust registered under Indian Trust Act 1982 or a corporation registered under Section 8 Companies Act. Or, experienced Self Help Groups (SHGs) within districts.

Registration Certificate

3 The organization should be a not-for-profit organization or use its profits, if any, or other income in promoting charitable objectives.

Declaration on Notary Affidavit

4 The organization should have minimum 3 years' experience in the below mentioned fields:-

1. Drinking water and community management. 2. Water quality. 3. Rain water harvesting/ recharge, water resources management. 4. Capacity building and awareness generation. 5. Public health engineering. 6. Gender & Water.

Experience Certificate issued by Competent Authority or related documents such as photographs/video and progress report/balance sheet reflecting related activities performed.

5 At least 3 years work experience in the above mentioned fields (Sl. No.-4) of the NGO chairpersons/board/or relevant authority who is proposed to lead the initiative.

Proof of related 03 years experiences.

6 Working in rural drinking water sector should reflect in their Memorandum of Association as one of the activity.

Copy of MoA

7 Experience of using Participatory Rural Appraisal (PRA) techniques and other communication tools in community mobilization.

Proof of experience such as photographs/videos/reports.

8 Last 03 years duly audited and properly maintained accounts and Income Tax Return and published annual report, reflecting minimum average turn over of Rs. 10 lakhs in last 03 years.

Copy of Income Tax Return for previous three financial Years i.e. 2016-17, 2017-18 and 2018-19.

9 Organization should not have been black listed by any authority or involved in fraudulent activities.

Declaration on Notary Affidavit

10 Earnest Money of Rs. 1,00,000/- (One Lakh) in the form of DD/FDR has to be enclosed with proposal in a separate envelope on prescribed format, in the favor of Executive Director, State Water Sanitation Mission, UP.

-

Note: Agency satisfying all the above criteria will only be eligible for marking criteria and further process.

Page 26 of 43

(ii) Criteria for marking in Technical Evaluation of proposals:

S.N. Technical Parameters Allotted

Marks Marking Criteria

A. Experience of work 50

1 Registration of organization for organizations under 4(a) including organizations under Registration of Societies Act 1860, or a Public Trust registered under Indian Trust Act 1982 or a corporation registered under Section 8 Companies Act. Or, experienced Self Help Groups (SHGs) within districts.

05 Registered before 3-5 yrs. =02 marks

Registered before 5-10 yrs. = 03 marks

Registered before more than 10 yrs. =05 marks

2 The experience of organization in the below mentioned fields:-


10

3- 5 yrs.- =04 marks 5- 10 yrs.- =06 marks more than 10 yrs.- =10 marks

3 The experience of the NGO chairpersons/board/or relevant authority who is proposed to lead the initiative, in the above mentioned fields (Sl. No.- 2).

15 3- 5 yrs.- =04 marks 5- 10 yrs.- =06 marks more than 10 yrs.- =10 marks

4 The No. of GPs in which related activities of above mentioned fields (Sl. No.-2 ) implemented.

10 50-100 G.P. = 04 Marks 100-200 G.P. = 06 Marks Above 200 G.P.= 10 Marks


10 03- 05 yrs.- =04 marks 05- 10 yrs.- =06 marks more than 10 yrs.- =10 marks

B. Financial Capability 30 1 Average annual turnover of last 03 years

(FY. 2016-17, 2017-18 and 2018-19) 30 10.00 -50.00 Lakh = 10 Marks

50.00 -100.00 Lakh = 20 Marks Above 100 Lakh = 30 Marks

C. Manpower Capability 20 1 No. of Team Leader (having Graduate\Post Graduate degree and 03 years exp.) 05 upto 5 = 02 Marks

5-10 = 03 Marks above 10 =05 Marks

2 No. of IEC Expert (having Graduate\Post Graduate degree and 03 years exp.) 03 upto 02 = 02 Marks above 02 =03 Marks

3 Capacity Building Expert (having Graduate\Post Graduate degree and 03 years exp.) 02 upto 02 = 01 Marks above 02 =02 Marks

4 Coordinator (having Graduate degree and 03 years exp.) 04 upto 05 = 02 Marks 05-10 = 03 Marks above 10 =04 Marks

5 Community Worker (Literate, having good communication skill and 03 years exp. ) 06 upto 50 = 02 Marks 50-100 = 04 Marks above 100 =06 Marks

Note: Agencies will be empaneled category wise on the basis of scores obtained as above criteria.

Zone/districts will be allotted by State Water and Sanitation Mission.

Page 27 of 43

(iii) Bill of Quantity (BOQ) Sl. No.

Mile Stone Activities Out Come and Deliverables Total Cost

Planning & Mobilization Phase (Three Months) The consolidated

total cost of assignment for approx. 40 GPs must be quoted.

1 Constitution of Gram Panchayat Sub-Committee (VWSC/GPWSC) and opening bank accounts.

� Gram Sabha Meeting. � Constitution and Activation of

VWSC/GPWSC. � VWSC/GPWSC Orientation on

JJM and role and responsibility of VWSC/GPWSC � Opening of Bank Account for

Capex and Opex.

� Functional VWSC/GPWSC � Monthly Meeting and

Proceedings. � Clear understanding on

JJM implementation process, activity and outcome. � Functional Bank Accounts

of Capex and Opex. 2 Verification of

Base Line Data � Verification of Base Line Data. � Existing FHTC survey. � Survey for Water Security Plan

(WSP)

� Verification report. � Existing FHTC report. � Data and Survey report for

Water Security Plan (WSP)

3 Consent of Households for Construction of PWS and O&M.

� One Large Community Meeting with all stake holders and members of VWSC/GPWSC and personal contact to Household heads to obtain Consent of minimum 80% Households for PWS, Community Contribution in capex and to pay monthly user charges for O&M.

� Consent of at least 80% Households for Construction of PWS and O&M. � Acceptance Letter from

Gram Panchayat.

4 Community Contribution (Capex).


� Monthly Woman Meeting. � Monthly Man & Woman

Common Group Meeting. � Monthly Prabhat Pheri and Hand

Wash Event.

� Community Contribution at least 30%. � Community participation

and understanding on water and sanitation management to improve health, nutrition, sanitation and economic status based on present indicators.

5 Finalisation and Approval of VAP.

� PRA Exercise and Socio-Economic Assessment and resource mapping for VAP. � Water Quality Status of Sources. � Facilitate Community to prepare

waste water management plan. � Identification of Land for PWS. � Facilitate Community for

preparation of VAP. � Preparation of VAP with


Page 28 of 43

Sl. No.


Community. � Finalisation of VAP along with

community and Implementation Agency. � Organise Open Meeting of Gram

Sabha for approval of VAP by the consent of min. 80% present members.

6. Arrangement of Skilled manpower for PWS

� Identification of the persons for skill development as Mason, Electrician, Plumber, Pump Operator and Motor Mechanics through Pradhan Mantri Kaushal Vikas Yojana (PMKVY) and provide list of such person to DWSM.


7. Signing of Agreement.

� Signing of tetra partite agreement for the execution of PWS with VWSC/GPWSC , UPJN and Contractor.



1 Grievance Redressal Mechanism.

� Identification of place for wall writing to display concerned contact number. � Monthly review and Reporting.

� Effective Grievance Redressal Mechanism.

2 Community Contribution (Capex)

� One large village meeting. � Inter Personal Communication

(IPC) with all Households. � Monthly Woman Meeting. � Monthly Man & Woman


Wash Event.

� Desired Community Contribution of Capex.


3 Quality Assurance. � Monitoring of Construction Quality of PWS with VWSC/GPWSC

� Quality PWS.

4 House Hold Tap Connection.


� Functional Household Tap Connection.

5 O&M Preparedness.

� Training on Financial Management and Record Keeping. � Gram Sabha Meeting.


� Transparency through record keeping.

� Financial Management Plan and bylaws for scheme sustainability through HH monthly user

Page 29 of 43

Sl. No.


charges. Post Implementation Phase (Three Months)

1 Functional House Hold Tap Connection.


� 100% Functional House Hold Tap Connection.

2 Collection of Monthly User Charges.

� Two Days Miking. � One large village meeting. � Inter Personal Communication

(IPC) with all Households. � Monthly Woman Community

Meeting. � Monthly Man & Woman


Wash Event.



3 Quality Assurance � Source Water Quality Test of PWS. � Social Audit with community,

VWSC/GPWSC, UPJN and Contractor.

� Water Quality Report. � Social Audit and

Report.

4 Most Significant Change (MSC) stories



Note: 1. Applicable Taxes : GST and other taxes as applicable will be paid by the client as per the Govt. Norms and as per the prevailing laws. It is also clarified that GST payment is over and above the bill amount and will not included in rate quoted by the agencies. 2. The rates quoted below the 50% of average quoted rates will not be considered in rate finalization.

� The evaluation committee formed by the Executive Director, SWSM, Namami Gange and Rural Water Supply, Govt. of U.P. shall evaluate the proposals based on information provided by agencies. Proposal shall be reviewed on the basis of evaluation criteria specified above. Only those agencies fulfilling all the mandatory qualifications and agreed to do assignment on approved rate will be empanelled by SWSM.

� The assignments/works regarding Implementation will be allotted by District Water and Sanitation Mission (DWSM) as well as agreement will be made between DWSM and empanelled agency.

Page 30 of 43

� Empanelment of agencies for Information Education and Communication (IEC)/Behaviour Change Communication (BCC) and Capacity Building (CB) activities will be made further by SWSM by issuing RFP to shortlisted agencies on the basis of allotted category.

3. General Conditions for Proposal

� Only online proposals in the standard format- Technical and Financial, with required supporting documents submitted under specified time will be accepted.

� A hard copy of proposals along with Earnest Money (EMD)/Security Money will be submitted in 03 separate envelops (Earnest Money (EMD)/Security Money in one envelop, Technical proposal in second envelop and Financial proposal in third envelop).

� The proposal along with supporting documents shall be placed in a sealed envelope clearly marked as “Proposal for empanelment as ISA”.

� The proposal should provide adequate details about agency's background and working experience. Capacities, skills and experience of working in the community based water & sanitation sector using participatory skills should be highlighted clearly. The document should state about all the mandatory requirements.

� The agency must enclose appropriate document, as deemed fit as evidence of the information provided in proposal.

� The proposal submitted by agency in the prescribed format shall be the basis for determining the essential qualification.

� The proposal shall be prepared in indelible ink. It shall contain no overwriting, except as necessary to correct errors made by the agency itself. Any such corrections must be initialled by the persons or person who sign(s) the proposals.

� An authorized representative of the agency shall initial all pages, including annexure of the proposal.

� Hard Copies of the proposal along with supporting documents must reach at the address given below on or before the last date and time. Any proposal received after the closing date/ time will not be accepted.

� In case last date for submission of proposal falls as weekend (Saturday/Sunday) or Gazetted Government holiday, the last date for submission of proposal shall be next working day till the originally mentioned time.

� State Water and Sanitation Mission, Department of Namami Gange & Rural Water Supply, Government of Uttar Pradesh reserves the right to disqualify/ reject proposal submitted by any agency and/or cancel/disqualify empanelment of agencies at any point of time, without explaining the reason.

� Likewise, State Water and Sanitation Mission reserves the rights to amend any provision(s) of Request For Proposal (RFP).

Page 31 of 43

Based on the information provided above, the interested agencies are advised to submit proposal online as well as hard copies latest by 24.06.2020 at following address by 12:00 Hrs.:-

Executive Director, State Water and Sanitation Mission (SWSM), U.P Jal Nigam Compound, 6, Rana Pratap Marg, Lucknow- 226 001, Uttar Pradesh.

Page 32 of 43

SECTION - 03

FORMAT FOR SUBMISSION OF PROPOSAL

Page 33 of 43

APPLICATION

To,

Executive Director, State Water and Sanitation Mission (SWSM), U.P Jal Nigam Compound, 6, Rana Paratp Marg, Lucknow- 226 001, Uttar Pradesh.

Subject: Regarding Empanelment as ISA.

Dear Sir,

1. We, the undersigned applicant, have read and examined in detail your solicitation of Proposal for the purpose of empanelment of NGO/Trust/SHG/Company as Implementation Support Agency (ISA) for organizing various services, activities in the Districts of Uttar Pradesh under State Water and Sanitation Mission.

2. Technical and Financial Proposals: We are submitting the Credentials/ Information as stipulated in your aforesaid solicitation of Proposals (Technical-1, 2 & 3 and Financial). In case you require any further information in this regard, we agree to furnish the same.

3. Supporting Documents: We have enclosed only required documents/proofs/declarations in support of the information provided in proposal.

4. Authorization: We hereby submit that, we are authorized/ have been authorized on behalf of NGO/Trust/SHG/Company as agency to sign and submit this application.

5. Dated this ............... day of .......................

6. Key details-

Agency Name and Address : Person to be Contacted : Designation : Telephone No. : Mobile Number: Fax : Email I.D. :

Thanking you,

Yours faithfully, Date : Place :

(Signature with official stamp)

Page 34 of 43

LIST OF DOCUMENTS/PROOFS/DECLARATIONS

S. No.

Details of Annexure Annexure No.

Page No.

1-

2-

3-

4-

5-

6-

7-

8-

9-

10-

Note: Rows may be increased as per requirements.

Page 35 of 43

TECHNICAL PROPOSAL

Page 36 of 43

TECHNICAL-1

GENERAL INFORMATION ABOUT AGENCY Section A:

Particulars Details Name of the agency Registered Address (with pin code) Phone No. Fax No. E-mail ID Name of Contact person for this Proposal Phone No. of the contact person for this Proposal E-mail Id of the contact person for this Proposal Other key persons of agency with complete contact details

Branch offices in Uttar Pradesh with complete address (if any)

Other Offices in India (if any)

Section B:

Particulars Details

Date of agency's establishment

Registration Number

Registration Authority/ Act

Validity of Registration

Date of Renewal of Registration

Bank Account No.

Name of Bank

Name of Branch

IFSC Code Empanelment with other Govt. Departments/ Govt. undertakings

Type of Agency (Proprietary Firm/ Institute/ Company/ Partnership/NGO)

Goods and Service Tax Registration No. & Validity (if applicable)

PAN

Page 37 of 43

Particulars Details

TAN Whether agency is exempted to pay tax, if yes under which act/provision and validity of exemption

Page 38 of 43

TECHNICAL-2

ESSENTIAL QUALIFICATIONS

Sl.No. Essential Qualifications Annexure and Page No. of Documents/Proof/Declaration

Attached 1 Online Registration on JJM Portal.

2 A minimum 3 years' experience as a registered organization for organizations under 4(a) including organizations under Registration of Societies Act 1860, or a Public Trust registered under Indian Trust Act 1982 or a corporation registered under Section 8 Companies Act. Or, experienced Self Help Groups (SHGs) within districts.

3 The organization should be a not-for-profit organization or use its profits, if any, or other income in promoting charitable objectives.

4 The organization should have minimum 3 years' experience in the below mentioned fields:-


5 At least 3 years work experience in the above mentioned fields (Sl. No.-4) of the NGO chairpersons/board/or relevant authority who is proposed to lead the initiative.

6 Working in rural drinking water sector should reflect in their Memorandum of Association as one of the activity.


8 Last 03 years duly audited and properly maintained accounts and Income Tax Return and published annual report, reflecting minimum average turnover of Rs. 10 lakhs in last 03 years.

9 Organization should not have been black listed by any authority or involved in fraudulent activities.

Schedule T-2 A

10 Earnest Money of Rs. 1,00,000/- (One Lakh) in the form of DD/FDR has to be enclosed with proposal in a separate envelope on prescribed format, in the favor of Executive Director, State Water Sanitation Mission, UP.

-

Note: x Only required documents/proofs/declarations must be attached with Technical -2. x Annexure No. and Page No. must be mentioned clearly.

Page 39 of 43

Schedule T-2 A Declaration

Date: To,

Executive Director, State Water and Sanitation Mission (SWSM), U.P Jal Nigam Compound, 6, Rana Pratap Marg, Lucknow- 226 001, Uttar Pradesh.

We hereby confirm that: 1 Our Firms/ Agency/ Institute/ Company has not been blacklisted by any authority. 2 Our Firms/ Agency/ Institute/ Company is not involved in any fraudulent activity. 3 Any Government Department has not charge sheeted our Firms/ Agency/ Institute/ Company, for which proceeding in going on. 4 Our Firms/ Agency/ Institute/ Company has not submitted any false information or documents in proposal.

Yours sincerely,

Authorized Signatory (with seal)

Page 40 of 43

TECHNICAL-3

TECHNICAL EVALUATION FORMAT

S.N. Technical Parameters Information (Please tick �� in

relevant category )

Annexure and Page No. of

Documents/Proof/Declaration Attached

A. Experience of work

1 Registration of organization for organizations under 4(a) including organizations under Registration of Societies Act 1860, or a Public Trust registered under Indian Trust Act 1982 or a corporation registered under Section 8 Companies Act. Or, experienced Self Help Groups (SHGs) within districts.

Registered before 3-5 yrs. Registered before 5-10 yrs. Registered before more than 10 yrs.

2 The experience of organization in the below mentioned fields:- 1. Drinking water and community management. 2. Water quality. 3. Rain water harvesting/recharge, water resources management. 4. Capacity building and awareness generation. 5. Public health engineering. 6. Gender & Water.

3- 5 yrs. 5- 10 yrs. more than 10 yrs.

3 The experience of the NGO chairpersons/board/or relevant authority who is proposed to lead the initiative, in the above mentioned fields (Sl. No.- 2).


4 The No. of GPs in which related activities of above mentioned fields (Sl. No.-2 ) implemented.

50-100 G.P. 100-200 G.P. Above 200 G.P.



B. Financial Capability 1 Average annual turnover of last 03 years

(FY. 2016-17, 2017-18 and 2018-19) 10.00 -50.00 Lakh 50.00 -100.00 Lakh Above 100 Lakh

C. Manpower Capability 1 No. of Team Leader (having Graduate\Post Graduate degree and 03 years exp.) upto 5

5-10 above 10

Schedule- T-3 A

2 No. of IEC Expert (having Graduate\Post Graduate degree and 03 years exp.) upto 02 above 02

3 Capacity Building Expert (having Graduate\Post Graduate degree and 03 years exp.)

upto 02 above 02

4 Coordinator (having Graduate degree and 03 years exp.) upto 05 05-10 above 10

5 Community Worker (Literate, having good communication skill and 03 years exp. )

upto 50 50-100 above 100

Note: x Documents/Proof/Declaration Attached with Technical-2 format can be referred in Technical-3 x For C-Manpower Capability, details of Manpower mentioning qualifications and experience on

schedule-T-3 A must be accomplished with CVs and copies of required certificates.

Page 41 of 43

Schedule T-3 A

DETAILS ABOUT HUMAN RESOURCE (HR) OF AGENCY Table- A

S.N. Name of the Person Qualification Experience Address and Contact No.

A. Team Leader Total No. of Person B. IEC Expert Total No. of Person C. Capacity Building Expert Total No. of Person D. Coordinator Total No. of Person

Note: CV and Copy of Certificate of qualifications/experiences must be attached.


Page 42 of 43

DETAILS ABOUT HUMAN RESOURCE (HR) OF AGENCY Table- B

S.N. Name of the Person Qualification Experience Address and Contact No.

Community Worker Total No. of Person

Note: CV and Copy of Certificate of qualifications/experiences are not required.


Page 43 of 43

Section D: Based on the information provided in Section 1, please justify agencies suitability for the proposed assignment. (Maximum 500 words)

I ............................hereby declare that, I'm authorized to sign this document on behalf

of my organization and above information provided by me, in response to proposal invited by

Department of Namami Gange and Rural Water Supply, Government of Uttar Pradesh, is

true and correct to the best of my knowledge and belief. I understand that in case any

information provided above is found to be false or concealed during and/or after the

empanelment process the Department will omit organization's name from the list of

empanelled agencies and may also impose penalty as deemed fit.

Yours faithfully,

(Signature with official stamp) Date: Place: