Annex 2: Trainer/Resource Person Agreement Template

CONTRACTUAL DOCUMENT ROUTING SHEET

JHPIEGO ETHIOPIA

GENERAL INFORMATION:

Contact: Endris Mekonnen Date: Mar 16,2023

Budget source:

Project Title: ______GRII

Project ION: _____ 90101269 _______________________

Activity No. & Description: 1.2 _ Provide curative maintenance training on VL ancillary equipment

for biomedical personnel

Value of this doc. 2,560.00

Is Trainer/Resource Person SOW in approved budget/work plan YES NO (If no ensure
budget holder signature & finance review).

□ ICA Scope of Work

□ ICA Modification
□ Other
MODIFICATIONS:
□ Program Description/SOW
TITLE OF DOCUMENT: Actively Engaged in Clinical Procedures: Yes No

Contract For Tamerat Debele Tulema to accomplish the specific activities listed inAttachment
A – SOW with this contract during the period, from Mar 25,2023.

TITLE NAME INITIALS DATE

Prepared by Program Assistant Yeneakal Girma Mar 18 2023
Verified by S/Program Officer/PM/TL Demeru Yeshitla Mar 18 2023
HR Review HR and Operation Director Kelemwork Messay Mar 20 2023
Budget Aval. Finance and Grant Director (for Duguma Gemossa
Review Budget Availability) Mar 20 2023
Reviewed by PD, CoP, DCoP Endris Mekonnen Mar 20 2023
Approved by Country Director Shoa Girma
Mar 20 2023
Contract Number assigned: ET-ICA- 38 - 006/23

For Finance Use

Comments and or exceptions: Date Time
Document received
Document returned
Doc. Submitted after approval

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 SHORT-TERM TRAINER/RESOURCE
PERSON/AGREEMENT No:
This agreement by and between Jhpiego Corporation office in Ethiopia, an affiliate of the
Johns Hopkins University, organized under the laws of the State of Maryland having its
principal address at 1615 Thames Street, Baltimore, Maryland 21231 and address in
Ethiopia at Kirkos Subcity, Kebele 02/03, House No 693 Addis Ababa, Ethiopia
(hereinafter referred to as Jhpiego), and Tamerat Debele Tulema having
his/her address at Trainer/Resource +251 964337096 (hereinafter referred to as
Person/).

RECITALS
I. Jhpiego desires to obtain services from the Trainer/Resource Person/Independent
Contractor as more particularly described herein (hereinafter referred to as the Services).

II. The Trainer/Resource Person/Independent Contractor is in the business of

providing such Services and has agreed to provide the Services on the terms and conditions
set forth in this Agreement.

Now, therefore, in consideration of the faithful performance of the obligations set forth
herein and other good and valuable consideration the receipt and sufficiency of which are
hereby acknowledged, Jhpiego and the Trainer/Resource Person/Independent Contractor
hereby agree as follows:

1. Scope of Work. The Trainer/Resource Person/Independent Contractor will consult

with and advise Jhpiego on matters and/or perform services relating to Attachment A —
Scope of Work.

2. Place of Work. The Trainer/Resource Person/Independent Contractor shall perform

the work described hereunder from a place to be designated by Jhpiego in the scope of
work.

3. Time Devoted to Work. In the performance of the Services, the amount of time
devoted by the Trainer/Resource Person/Independent Contractor on any given day will
be entirely within the Trainer/Resource Person/Independent Contractor's control, and
Jhpiego will rely on the Trainer/Resource Person/Independent Contractor to devote
such number of hours as are necessary to fulfill the requirements of this Agreement.

4. Estimated Cost and Payment. Jhpiego will pay the Trainer/Resource

Person/Independent
Contractor at the fixed rate of 2,560.00Ethiopian Birr per day for a maximum

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number of days not-to-exceed 1day. Payment for services will be paid by Jhpiego uponpresentation
of invoices by the Trainer/Resource Person/Independent Contractor upon completion of services rendered.
The tax will be deducted from the total consultancy fees payment as per the regulation of the Ethiopian
Federal Inland Revenue Authority. If you have a Trade License and TIN number you will pay 2%
withholding tax from each day pay check (and issue invoices) otherwise you will pay 30%
withholding tax from each day pay check. Invoices shall include the total number of days worked and
a brief description of the services provided. Reimbursement of other previously authorized expenses
under this Agreement will be paid to the Trainer/Resource Person/Independent Contractor upon
itemization of the Trainer/Resource Person/Independent Contractor's invoice. Travel expenses will be
reimbursed to the Trainer/Resource Person/Independent Contractor in accordance with the Jhpiego Travel
Expenses Guide upon completion of the Jhpiego Travel Expense Report which shall be attached to the
invoice along with legal and valid travel receipts. If the funds advanced are not received in a reasonable
time, a daily deduction of 50 Birr will be applied to the consultancy fee dueto the Trainer/Resource
Person. The total not-to-exceed estimated cost shall be 2,560.00 Ethiopian Birr including
reimbursement of authorized expenses. Jhpiego shall not pay any Per Diem/Allowance/Travel expense
for the Trainer/Resource Person whose work place or duty station is in the town the training or
consultancy is taking place.

5. Term. The term of this Agreement shall be from Mar 25,2023 unless extended bymutual written
agreement of the parties or until all work in accordance with this Agreement has been completed. Jhpiego
may at any time terminate all or any part of the services called for by this Agreement for its convenience.
If the Trainer/Resource Person wishes to terminate the contract, he/she must give at least 10 working
days’ notice to Jhpiego. Upon the expiration of the term hereof or earlier termination of this Agreement,
Trainer/Resource Person/Independent Contractor shall deliver to Jhpiego all completed work to date
and any records or other property belonging to Jhpiego.

6. Status of the Trainer/Resource Person/Independent Contractor. Jhpiego and

Trainer/Resource Person/Independent Contractor intend that the relationship established between them
pursuant to this Agreement shall be that of client and Trainer/Resource Person/ Independent Contractor.
No agent, employee or servant of Trainer/Resource Person/Independent Contractor shall be or shall be
deemed to be an employee, agent or servant of Jhpiego. Jhpiego is interested only in the results obtained
under this Agreement consistent with paragraph 7 below. The manner and means of conducting the work
are under the sole control of the Trainer/Resource Person/Independent Contractor. None of the benefits
provided by Jhpiego to its employees, including, but not limited to, worker's compensation insurance and
unemployment insurance, is available to the employees, agents or servants of Trainer/Resource
Person/Independent Contractor. Trainer/Resource Person/Independent Contractor will be solely and
entirely responsible for his acts and for the acts of his agents, employees, servants and subcontractors
during the performance of this contract.

7. Jhpiego’s Right to Inspect. In the performance of the Services, Trainer/Resource

Person/Independent Contractor has the authority to control and direct the performance of the details
of the work, Jhpiego being interested only in the results obtained. However, the work contemplated
herein must meet Jhpiego’s standards and approval and shall be subject to Jhpiego’s general right of
inspection and supervision to secure the satisfactory completion thereof. Trainer/Resource Person/
Independent Contractor agrees to comply with all federal laws, rules and regulations that are now or
hereafter applicable to the Trainer/Resource Person/Independent Contractor or Trainer/Resource
Person/Independent Contractor's business. Jhpiego will designate a representative who shall be authorized
to act for Jhpiego in all matters related to Trainer/Resource Person/Independent Contractor's
performance of the Services.

8. Confidential Information and Copyright. All information and reports disclosed to the
Trainer/Resource Person/Independent Contractor by Jhpiego or Jhpiego’s Sponsor and all information
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and reports developed by the Trainer/Resource Person/Independent Contractor for Jhpiego or the Sponsor
during performance of the Services are confidential and shall be revealed only to Jhpiego. Jhpiego shall
be deemed the copyright owner of all such information and reports developed by the Trainer/Resource
Person/Independent Contractor under this Agreement.

9. Property issuance. The Trainer/Resource Person may receive Jhpiego property to be used in
conjunction with the work he/she will provide to Jhpiego. In this case, the Trainer/Resource Person must
sign a property issuance form, a.k.a. ‘Fixed Asset Loaner Form’, supplied by Jhpiego and that
form shall be part of this agreement. Whenever requested by Jhpiego, or at the termination of this
contract, the Trainer/Resource Person shall return the property. The Trainer/Resource Person is not
entitled to retain any Jhpiego property issued for use related to the work described in the Scope of Work
– Attachment A. If the property issued is not returned or damaged fully or partially, Jhpiego retains the
right to claim the amount to compensate for the extent of loss per current market price of the
equipment or parts from the Trainer/Resource Person/Independent Contractor.

10. General. This Agreement shall be interpreted in accordance with and governed under
the laws of Ethiopia. This Agreement constitutes the entire agreement of the parties with respect to the
matters addressed herein and no modifications of this Agreement shall be enforceable unless in writing
signed by both Jhpiego and Trainer/Resource Person/Independent Contractor.

Jhpiego relies on the skill, expertise, knowledge and experience of the Trainer/Resource Person in
the provision of services and the Trainer/Resource Person shall agree to fully identify and keep Jhpiego
fully indemnified against and from all claims, demands, actions, losses, costs (including legal costs),
taxes and other expenses as a result of or in connection with the provision of the contractual services.
Additionally, a leave agreement for those working in the Ethiopian government sector will be provided
to the contractor for signature. That document is considered a part of this contractual agreement. This
leave agreement will indemnify Jhpiego from any consequences of the Trainer/Resource Person’s action
against the leave agreement statements on official leave from their place of work within the
Ethiopian government

11. Dispute Clause: In the event of controversy in the interpretation and implementation
of this agreement, the parties shall attempt to resolve the dispute amicably which otherwise be referred
for a panel of arbitrators elected by the parties in accordance with the provisions of the Ethiopian Civil
Code. The decision of the arbitrators shall be final.

For Jhpiego Corporation TRAINER/RESOURCE PERSON/

Kirkos Sub City, Kebele 02/03 INDEPENDENT CONTRACTOR
House 693
Addis Ababa, Ethiopia

Signature Signature

Name Shoa Girma Name Tamerat Debele Tulema

Title County Director Address

Mar 20 2023
Date Date

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 ATTACHMENT - A: SCOPE OF WORK

Contractor’s Name: Tamerat Debele Tulema

RESOURCE PERSON/TRAINER AGREEMENT

Scope of Work
The purpose of this exercise is to facilitate a curative maintenance training on a topic 'Maintenance of Biological
Safety Cabinets' on March 25, 2023, prepared for biomedical engineers and technicians in Adama.

Specific
- Facilitating theoretical sessions,
- Coordinate group activities and demonstration and practical exercises with other facilitators.
Deliverables
 To be given to Jhpiego no later than one week post the end of the training

1. A well-written training report to be submitted within four days (and no later than one-week post-training)
2. Return the completed consultant invoice form within two weeks of completion of the work

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 LEAVE AGREEMENT
Jhpiego Ethiopia is a non-profit affiliate of Johns Hopkins University working in Ethiopia in the areas of Maternal
and Child Health, HIV/AIDS, and Strengthening Human Resources for Health. As a part of the strategy to
strengthen the Ethiopian health care system Jhpiego uses resource persons such as trainers, facilitators,
module/manual developers, data collectors or data entry clerks.

Donor rule and regulations, and the terms of bilateral agreements between the US and Ethiopian governments
restrict any payment deemed a salary supplement (aside from standard per diems) to government of Ethiopia
employees, including those at any level of the Ministry of Health. In order to comply with this restriction, we
request that, should you accept to assist Jhpiego in carrying out training and other technical activities, you either
work outside normal work hours in your place of employment or make arrangements to take leave without pay.
In addition, we are now requesting that you attest to this fact by completing this form.

Annual leave
Purpose of the leave: ____________________________________________________

March 25,2023
Dates of the leave agreement: _____________________________________________

Although I am an Ethiopian Government employee, I Tamerat Debele Tulema, hereby attest that I will perform
the work agreed upon with Jhpiego either

(please check if applies) during non-official working hours or

(please check if applies) while I am on official leave without pay from my post.

I am not under any constraint of any kind, which would preclude or inhibit me from acting in accordance with the
terms of this Agreement.

_________________________________ _____________________________
Signature Date

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ATTACHMENT - B: MODE OF PAYMENT

Resource Person/Trainer’s Name: Tamerat Debele Tulema

RESOURCE PERSON/TRAINER AGREEMENT

Preferred payment method

Check

Bank (for Commercial Bank of Ethiopia)

Branch ______________________ ACC. No. _______________________________________

City ________________________

If the Bank is different from the Commercial Bank of Ethiopia, please state the Bank and the person who facilitate the
transfer.

Name of Bank _________________________

Branch _______________________________

City _________________________________

Check prepare c/o _______________________

I authorize finance to prepare the check in the name of the above person.

______________________________________________

Name and Signature

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 Annex 5: Trainer/Resource Person Invoice

TRAINER/RESOURCE PERSON INVOICE

TO BE COMPLETED BY TRAINER/RESOURCE PERSON
Please type or print (submit with trip report and daily log, if applicable within two weeks after end of service)
FIRST NAME FATHER’S NAME G.FATHER’S NAME
Tamerat Debele Tulema
TIN (if applicable): ( Please attached copy of your TIN certificate )

Contract # (if applicable):

PREFERRED payment method:
BANK TRANSFER
Name of Bank
Branch
Account Number ___________________
Address: Region Woreda ________City/ Sub-city. , House No.
Telephone:

TO BE COMPLETED BY TRAINER/RESOURCE PERSON

Brief Description of Activity, date & place of work # Days Fee/Day (Before Total
Tax)
Facilitating CM training 1 2,560.00 2,560.00

TOTAL 2,560.00
Plus, Expenses (Allowances)

30% Less Withholding tax 768

Total Due Consultant 1,792.00
TRAINER/RESOURCE PERSON DATE
CONFIRMED BY (Technical Advisor) DATE
REVIEWED BY (FGD) DATE
APPROVED BY (Supervisor) DATE

TO BE COMPLETED BY PROGRAM STAFF

Activity Number: 1.1.2 For Finance use:
Please charge as follows: Date Time
Project Amount Document received
GRII Document returned
Document submitted
TOTAL CHARGED after approval

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 SHORT-TERM RESOURCE PERSON/TRAINER INVOICE
TIME SHEET
Consultant Name: Tamerat Debele Tulema
Project/ION: GRII Supervisor/Team Leader: Endris Mekonnen
Activity Description: facilitate a curative maintenance training on a topic 'Maintenance of Biological Safety Cabinets'
Activity Location: Adama Regional Lab
Contract Duration: Mar 25,2023
Days Worked Start Time End Time Total Hrs.
Mar 25,2023 08am 05pm 8hrs

Total Hrs. 8hrs

Submitted by:
Consultant Name & Sig: Date:

Approved by:
Supervisor/TL/BH: Date: