Citizens' Voice Project

Name of Applicant: Organization for Community Services and Development (OCSD)

Title of Project: Citizens Voice for Free, Fair and Peaceful Elections Annex ___________ to the subaward application Grant period: Four Months RFA Number: DEA-CVP-Cycle-5-02-2013 Cost Application/ Budget Anticipated Installments Line Items Description Unit Cost Rs. Number of Units Unit Quarter 1 Quarter 2 * Total Rs.

1.0 1.1 1.2 1.3 1.4 1.5 2.0 2.1 2.1.1 2.1.2 2.2 2.2.1 2.2.2 2.2.3 2.2.4 3.0 3.1 3.2 4.0 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.2.3 4.2.4 4.2.5 4.2.6 4.3 4.3.1 4.3.2 4.4 4.4.1 4.4.2 4.4.3 4.4.4 4.5 4.5.1 4.5.2 4.5.3 4.5.4 4.5.5 4.6 4.6.1 4.6.2 4.6.3 4.7 4.7.1 4.7.2 4.7.3 5.0 5.1 6.0 6.1 6.2 6.3 6.4 6.5

Direct Labor Project Coorinator Assistant Project Coordinators M&E Officer (25% time) Finance Officer (10% time) ED (25% time) Supplies and Equipment Expendable supplies Stationery Office supplies Non-expendable supplies and equipment Laptop with accessories Printer with scanner and copier UPS with Battery Digital Camera Travel Rented vehicle on monthly basis Fuel (LS) for vehicle Program Activities Cost Team orientation and training Stationery and photocopy Food and refreshment Arranging information stalls Photocopy and stationery Tent cost Table and 2 chairs Labour and transport charges Banner Speaker and amplifier Door to Door visits Stipend to volunteers Stationery and photocopy Candidate forum Tents, seating, sound system cost Banner printing Refreshment Photocopy and stationery Seminar on EDR venue cost Electricity generator Refreshment Photocopy and stationery Banner printing Seminars and Pess conferences Venue cost Banner printing Refreshment Press Conference on EDR Venue charges Banner printing Refreshment Volunteers Certificates printing Administrative Cost Utilities Communication Stationery and photocopy Bank Charges Monthly meetings Total Cost Share GRAND TOTAL 437,200 1,207,250 1,644,450 (Rs. 100 x 60 certificates) 100 60 Units Subtotal Month Month Month Month Months Subtotal 2,500 10,000 2,000 500 2,000 14,500 437,200 6,000 6,000 7,500 30,000 6,000 1,500 6,000 43,500 1,207,250 6,000 6,000 10,000 40,000 8,000 2,000 8,000 58,000 1,644,450 (Rs. 25,000 x 1 person x 4 months) (Rs. 20,000 x 4 person x 4 months) (Rs. 10000 x 1 persons x 4 months) (Rs. 3500 x 1 persons x 4 months) (Rs. 20000 x 1 persons x 4 months) 25,000 20,000 10,000 3,500 20,000 1 4 1 1 1 Month Month Month Month Month Subtotal 25,000 80,000 10,000 3,500 20,000 138,500 75,000 240,000 30,000 10,500 60,000 415,500 100,000 320,000 40,000 14,000 80,000 554,000

(Rs. 1,000 x 4 months) (Rs. 1,000 x 4 months) (Rs.45,000 x 1 item) (Rs. 20,000 x 1 item) (Rs. 20000 x 1 item) (Rs. 12,000 x 1 item)

1,000 1,000 45,000 20,000 20,000 12,000

1 1 1 1 1 1

Month Month Unit Unit Unit Unit Subtotal months days Subtotal

1,000 1,000 45,000 20,000 20,000 12,000 99,000 40,000 30,000 70,000 5,000 2,000 3,000 30,000 6,000 15,000 3,200 30,000 3,000 8,000 10,000 115,200

3,000 3,000 6,000 120,000 120,000 240,000 3,000 30,000 6,000 15,000 30,000 120,000 30,000 50,000 6,400 50,000 1,250 5,000 2,000 20,000 5,000 1,600 9,000 24,000 30,000 5,000 3,000 50,000 496,250

4,000 4,000 45,000 20,000 20,000 12,000 105,000 160,000 150,000 310,000 5,000 2,000 6,000 60,000 12,000 30,000 3,200 60,000 120,000 30,000 50,000 6,400 50,000 1,250 5,000 2,000 20,000 5,000 1,600 12,000 32,000 40,000 5,000 3,000 50,000 611,450

(Rs. 40,000 per month x 4 months) (Rs. 1500 per day x 100 days)

40,000 1,500

4 100

(Rs. 500 x 10 persons) (Rs. 200 x 10 persons x 1 days) (Rs. 100 x 60 days) (Rs. 1000 x 60 days) (Rs. 200 x 60 days) (Rs. 500 x 60 days) (Rs. 800 x 4 banners) (Rs. 1000 x 60 days) (Rs. 2000 x 60 volunteers) (Rs. 5 x 6000 households) (Rs. 50000 x 1 day) (Rs. 800 x 8 banners) (Rs. 200 x 250) (Rs. 5 x 250 persons) (Rs. 5000 x 1 day) (Rs. 2000 x 1 day) (Rs. 200 x 100 persons) (Rs. 50 x 100 persons) (Rs. 800 x 2 banners) (Rs. 5000 x 4 events) (Rs. 800 x 4 banners) (Rs. 200 x 50 persons x 4 events) (Rs. 5000 x 1 events) (Rs. 600 x 5 banners) (Rs. 200 x 250 persons)

500 200 100 1,000 200 500 800 1,000 2,000 5 50,000 800 200 5 5,000 2,000 200 50 800 3,000 8,000 10,000 5,000 600 200

10 10 60 60 60 60 4 60 60 6,000 1 8 250 250 1 1 100 100 2 4 4 4 1 5 250

Persons Persons Days Days Days Days Banners Days volunteeers Households Day Banners Persons Persons Day Day Persons Persons Banners events Banners Persons events Banners Persons Subtotal

(Electricity, gas and water) (Courier charges, Telephone and Internet) (Project Documentation) Lumpsum (Rs. 200 x 10 persons 4 meetings)

2,500 10,000 2,000 500 2,000

1 1 1 1 1

* Increase columns as necessary to add quarters and rows to add program activities Note: The above is a sample budget and only for guidance. The above figures are not actual for any budgeting purposes.

i. Accounting and internal control system information:

i. ii. iii. iv. v. vi. vii. viii. Fiscal Year End Accounting System in Place Computerized Accounting system Accounts ever audited? (If yes, please attach reports of last three years) Ever had USAID audit/ Audit under FRCA guidelines or A-133 as applicable. (If yes, please attach latest available report) Program funded by some other grant also Organization chart attached (attached brief CV of key full time personnel) Program activities less than one year.

Yes Yes Yes Yes Yes Yes Yes

No No No No No No No

b) What kind of projects have you implemented during the last three years? Donor/ Fundin Project g Source

Services Provided
Improving Health Delivery System by Constructing Labor Room along with Clinical Laboratory (fully equipped) at Basic Health Unit (BHU) at UCSaigai (on-going project )

Project Year

U N C H R
G A o i v d t . D e p t . M u s l i m

Health

6-Months, 1st Feb to 31st July, 2013

Education

1.Formation and meetings with WASH committees on weekly / monthly basis 2. Health & Hygiene, sanitation, and sessions on first aid to 2-year communities, PTSMCs, Mothers and school children 3. Counseling sessions for children in schools through teachers

c) What are the major funding sources of applicant organization? This information is required to i ii iii iv v
Donors Members Contribution Members Ship Fee Philanthropist Fund Raising Events

d) Month wise Allocation of Funds (that will be requested from TDEA) Activit y/ Deliver 1.0 1.1 1.2 1.3 1.4 1.5 2.0 2.1 2.1.1 2.1.2 2.2 2.2.1 2.2.2 2.2.3 2.2.4 3.0 3.1 3.2

Units Direct Labor

Total Required Funds

Month wise Bifurcation 1 25,000 80,000 10,000 3,500 20,000 138,500 1,000 1,000 45,000 20,000 12,000 79,000 40,000 30,000 70,000

Project Coorinator Assistant Project Coordinators M&E Officer (10% time) Finance Officer (10% time) CEO (10% time) Sub Total Supplies and Equipment Expendable supplies Stationery Office supplies Non-expendable supplies and equipment Laptop with accessories Printer with scanner and copier UPS with Battery Digital Camera Sub Total Travel Rented vehicle on monthly basis Fuel (LS) for vehicle Sub Total Program Activities Cost Team orientation and training Stationery and photocopy Food and refreshment Arranging information stalls Photocopy and stationery Tent cost Table and 2 chairs Labour and transport charges Banner Speaker and amplifier Door to Door visits Stipend to volunteers

100,000 320,000 40,000 14,000 80,000 554,000 4,000 4,000 45,000 20,000 20,000 12,000 105,000 160,000 150,000 310,000

4.0 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.2.3 4.2.4 4.2.5 4.2.6 4.3 4.3.1

5,000 2,000 6,000 60,000 12,000 30,000 3,200 60,000 120,000

5,000 2,000 3,000 30,000 6,000 15,000 3,200 30,000 -

4.3.2 4.4 4.4.1 4.4.2 4.4.3 4.4.4 4.5 4.5.1 4.5.2 4.5.3 4.5.4 4.5.5 4.6 4.6.1 4.6.2 4.6.3 4.7 4.7.1 4.7.2 4.7.3 5.0 5.1 6.0 6.1 6.2 6.3 6.4 6.5
Total

Stationery and photocopy Candidate forum Tents, seating, sound system cost Banner printing Refreshment Photocopy and stationery Seminar on EDR venue cost Electricity generator Refreshment Photocopy and stationery Banner printing Seminars and Pess conferences Venue cost Banner printing Refreshment Press Conference on EDR Venue charges Banner printing Refreshment Sub Total Volunteers Certificates printing Sub Total Administrative Cost Utilities Communication Stationery and photocopy Bank Charges Monthly meetings Sub Total
Cost Share

30,000 50,000 6,400 50,000 1,250 5,000 2,000 20,000 5,000 1,600 12,000 32,000 40,000 5,000 3,000 50,000 611,450 6,000 6,000 10,000 40,000 8,000 2,000 8,000 58,000 1,644,450

3,000 8,000 10,000 115,200 2,500 10,000 2,000 500 2,000 17,000 419,700

Please provide monthly bifurcation of the funds requested from TDEA. This must be consistent with the Activity/Implementation Plan. Add as many columns as needed in line with project duration or use a spread sheet separately. This information is critical to manage cash flows at TDEA.

e) Please note that it is in the interest of the applicants to submit any additional evidence of responsibility deemed necessary for TDEA to make a determination of responsibility. The information submitted should substantiate that the applicant: Has adequate financial, management and personnel resources and systems, or the ability to obtain such resources as required during the performance of the award;

 Has the ability to comply with the award conditions, taking into account all existing and currently prospective commitments of the applicant, nongovernmental and governmental; Has a satisfactory record of performance. Past relevant unsatisfactory performance is ordinarily sufficient to justify a finding of non-responsibility, unless there is clear evidence of subsequent satisfactory performance; and Has a satisfactory record of integrity and business ethics.

Total Budget (Rs.)

11,890,279

3,304,665

ation is required to

Month wise Bifurcation of the Budget 2 25,000 80,000 10,000 3,500 20,000 138,500 1,000 1,000 2,000 40,000 40,000 80,000 3 25,000 80,000 10,000 3,500 20,000 138,500 1,000 1,000 2,000 40,000 40,000 80,000 4 25,000 80,000 10,000 3,500 20,000 138,500 1,000 1,000 2,000 40,000 40,000 80,000

3,000 30,000 6,000 15,000 30,000 -

120,000

3,000 8,000 10,000 105,000 2,500 10,000 2,000 500 2,000 17,000 342,500

30,000 50,000 6,400 50,000 1,250 6,000 16,000 20,000 299,650 2,500 10,000 2,000 500 2,000 17,000 537,150

5,000 2,000 20,000 5,000 1,600 5,000 3,000 50,000 91,600 6,000 6,000 2,500 10,000 2,000 500 2,000 17,000 335,100

must be consistent ne with project age cash flows at

nal evidence of nsibility. The

ms, or the ability to

l existing and overnmental;

formance is ordinarily nce of subsequent