Request for Proposal (RFP) At Helen Keller International (Helen Keller Intl)

PF No. and Title: {24/03/71) Media Consultant to develop 1 documentary for Helen Keller Nigeria @25} RFP Issue Date: {2024/03/20}

To be Submitted: {I2024/03/22}

Proposal Submission Deadline: {2024/03/25}

Contracting Entity: Helen Keller International (Helen Keller Intl)

Place of Performance: {Nigeria}

Contents of this Document

SECTION 1: Introduction, Eligibility of Bidders, and Definitions …………………………………………….. 1

SECTION 2: Scope of Work ……………………………………………………………………………………………………………. 2

SECTION 3: Proposal Instructions …………………………………………………………………………………………………. 5

SECTION 4: Evaluation Criteria and Basis for Award …………………………………………………………………. 8

SECTION 5: Source of Funding and Authorized Geographic CodeError! Bookmark not defined.

SECTION 6: Proposal Validity, Submission Deadline and Instructions …………………………………… 9

SECTION 7: Negotiations ……………………………………………………………………………………………………………….. 9

SECTION 8: Terms of the Solicitation…………………………………………………………………………………………….. 9

ANNEX A: Conflict of Interest Disclosure …………………………………………………………………………………… 11

ANNEX D: USAID Contract Provisions ………………………………….. Error! Bookmark not defined.

Bidders are encouraged to read this RFP and all attachments in its entirety paying specific attention to the instructions and requirements. Issuance of this RFP does not in any way obligate Helen Keller International to award a contract, nor does it commit Helen Keller International to pay for costs incurred in the preparation and submission of a proposal. All recipients of this RFP shall treat all information and details included herein as private and confidential.

SECTION 1: Introduction, Eligibility of Bidders, and Definitions

Introduction

Helen Keller International (Helen Keller Intl) is a nonprofit organization dedicated to saving and improving the sight and lives of the world’s vulnerable by combatting the causes and consequences of blindness, poor health and malnutrition. Helen Keller Intl invites all eligible Bidders to submit proposals for Helen Keller @25 Documentary to showcase the countries impact for the last 25 years.

The purpose of this Request for Proposals (RFP) is to select a vendor that will provide best value to Helen Keller Intl, when both technical and cost factors are combined.

Eligibility of Bidders

This RFP is open to non-governmental entities that are deemed capable of implementing the scope of work, with a solid record of integrity and business ethics, and that meet the eligibility requirements stated in this Section.

Bidders that submit proposals in response to this RFP must meet the following requirements:

Be a non-government entities (for-profit and non-profit companies, non-governmental organizations

(NGOs), etc.) that are legally registered under the laws of the country where it is operating

Have demonstrated capacity and expertise to successfully implement the Scope of Work
Have completed the required representations and certifications incorporated in this RFP
Be willing to comply with relevant donor rules and regulations and Helen Keller Intl requirements.

Note: Helen Keller Intl will not award a contract to any firm that is debarred, suspended, or proposed for debarment by the U.S. Government, or who proposes to do business with firms or firms’ principals who are debarred, suspended, or proposed for debarment, in the performance of the requirement of this activity.

SECTION 2: Scope of Work

Helen Keller Intl will evaluate all proposals received in response to this RFP in accordance with the evaluation criteria described in this document.

Established in 1915 with Helen Keller as a founding trustee, Helen Keller Intl works to save the sight and lives of the most vulnerable and disadvantaged. Helen Keller Intl has its headquarters in New York City and currently offers programs in 21 countries in Africa, Asia and the United States. The organization works to combat the causes and consequences of blindness and malnutrition by establishing programs based on evidence and research.

Helen Keller has been working in Nigeria since 1999 in nutrition and neglected tropical diseases programs. Currently in Nigeria, Helen Keller is supporting the government of Nigeria with 6 projects focused on our thematic areas that target men, women, adolescent girls, and children. The programs cover nutrition, technical assistance, research and evidence generation, capacity building, micronutrient supplementation, mass drug administrations, and trachoma and hydrocele surgeries.

Having had an enormous impact in Nigeria since inception, we recognize the importance of telling a holistic narrative that shows our indelible mark in the country through our lifechanging projects. In May 2024, we will celebrate our 25^th anniversary. Helen Keller Nigeria seeks to hire a media consultant that will weave these achievements into a compelling, thoughtful, and exceptional narrative.

The media consultant will develop one documentary and at least 60 project inspired pictures that will present how the Helen Keller projects have been implemented in line with Global best practices and will highlight how the activities have been impactful in families and communities, showcasing Helen Keller as an exceptional organization. The video will present evidence of the effectiveness, efficiency, and accuracy of in-country planning, preparation, and implementation, as well as Monitoring and Measurement of Impact/Lessons Learned and Efficacy of Project Implementation.

The Consultancy calls for a Media professional with well-established experience in media production. He/She should have in-depth knowledge of graphical video design; have a working knowledge of HD formats; have experience working with development agencies on similar projects and can transcribe a script to an audio-visual document.

Objectives

The purpose of the consultancy is to produce an impact documentary for Helen Keller Nigeria Activities

The consultant will work in close collaboration with the Snr Comms and Media Officer based in Nigeria to do the following:

Draft a brief synopsis and script setting out the video angles and storyline as well as the purpose of the videos.
Work with project staff to identify the key stakeholders to be featured in the documentary, book appointments and prep them before the production.
Provide rough drafts of documentaries for review and feedback.
Edit, translate (subtitle) and make other necessary changes to the documentaries considering the feedback and other comments.

Activities will likely require travel to Akwa Ibom, Adamawa, Borno and Ebonyi to document activities, take photographs/ videos, conduct interviews and to meet with relevant stakeholders. A. Specific tasks include:

Script development: Draft the storyboard and script indicating the documentary angle, storyline, and purpose of the documentary. This will be shared and discussed with the Snr comms officer before sharing it with the project lead for approval.
Interview mapping: Work with project staff to identify the key stakeholders to be featured in the documentary, book appointments and prep them before the production.
Branding: Collate all necessary logos and information that will be used in the documentaries, and include graphics, subtitles and other material relevant to the videos. All these must be in line with the projects branding plans.
Trip schedule: Develop a plan and itinerary to conduct interviews with beneficiaries, partners and other stakeholders and film clips of capacity-building activities, health centers, community, and other location activities.
Interviews: Travel to locations and conduct interviews (In English and local languages), take highresolution photographs, cutaway videos and other relevant clips based on the approved synopsis/script.
Consent: Work with the Focal person to ensure that all the people to be interviewed understand and sign the Helen Keller consent forms.
Documentary draft: Provide rough drafts of documentaries/short videos for review and feedback. Edit, translate (subtitle) and make other necessary changes to the documentaries/short videos, taking into account the feedback and other comments.

B. Deliverables and Schedule

The Consultant is responsible for the timely submission of the following deliverables as part of the Scope of work:

Del. No.	Deliverable Name	Deliverable Description	Due Date	Total Deliverable Value*
1	Script and storyboard development	Draft a script and develop a storyboard that will guide the direction of the videos.	April 2^nd, 2024
2	Interview mapping	Identify relevant stakeholders to be interviewed for the videos.	April 4th, 2024
4	Trip schedule	Draft a travel schedule for all the required media development	April 5th, 2024

5	Production	Travel to states and communities and start shooting. Video content includes project strategies, activities, and stakeholders’ engagement, etc. Engage Sstakeholders, Capture beneficiary’s success stories, connecting them to Transforming Lives’ strategies. activities and interviews. Capture still pictures of stakeholders	8th – 13th April, 2024
6	Post-production	Documentary drafts: Reviews, edits, and corrections.	15th – 20th April, 2024
7	Final Draft	Approved video file: A documentary Time frame (10 minutes max)	22nd April, 2024

15 days

C. Focus

Video showing human interest story for each beneficiary of NTD Mass Drug Administration, Hydrocele and Trachoma Surgery in different states. How their lives were before the intervention and what life change it made.
Video showing human interest story for a beneficiary of the Nutrition Security and Transforming Lives Project. The video should show visible impact of the home gardening, VSLA/IGA and Model mum group intervention such as business growth and ventures.
Video showing a human-interest story of a National Primary Health Care Development Agency (NPHCDA) stakeholder speaking on the statistics impact of the VAS project of Helen Keller Intl in Nigeria.
Video showing human interest story of a Surgeon in Akwa Ibom or Borno state stating how the project in those states have help the people of the state.
Video showing human interest story for the coordination Helen Keller has placed towards the fortification of Bullion in Nigeria by a stake holder from the Country Working Group for Bullion Fortification in Nigeria.
Video Interview of one Country Management Staff Speaking on the Impact of Helen Keller Intl in Nigeria for the past 25 years.
Quality and well-captioned photos illustrating activities within the 6 projects, at least 10 photos per project.

D. Proposal / Offer Submission

Each bidder must submit the following:

A technical proposal, no more than four pages, describing how the documentary production objectives will be met within the stated timetable. Also, a narrative “pitch” describing the basic film concepts and illustrative examples of how it would be structured.

Technical qualifications of the team members (for film companies) including CVs, for all proposed personnel along with select internet links or digital copies of relevant films developed by team members as well as Creative portfolios, including internet links or digital copies of relevant short films developed by the company.

Budget/financial proposal including a description of costs for personnel, per diems, travel, logistics, any local production company support, and all film production costs (development, pre-production, production, and post-production). Include an overall cost for the contract.

E. Consultant Qualifications

The following competencies, experiences and skills are qualifying conditions/criteria for the tender and must be demonstrated in the proposals submitted:

Bachelor’s degree in media or film studies or equivalent
Have at least eight years of working experience directing and producing high-quality humanangled documentaries/short films.
Proficient in video editing software.
Have in-depth knowledge of graphical video design.
Have a working knowledge of HD formats.
Have experience working with development agencies on similar projects.
Have the ability to transcribe a script to an audio-visual document.
Demonstrates sensitivity to cultural and gender diversity and equity in his/her daily work and personal behaviour.
Excellent interpersonal and interviewing skills
Good analytical, communication and writing skills.

F. Anticipated Contracting Period and Award Mechanism

The anticipated period of the resulting award is expected to be a maximum of 15days, beginning no later than April 1st, 2024. Bidders must clearly identify “start-up” support costs, if any, required to commence services.

Helen Keller Intl intends to award an all-inclusive fixed-price Professional Services Contract to the winning offer. No profit, fees, taxes, or additional costs can be added after the award. This RFP is subject to all the terms and conditions of the resulting contract. Any resultant award will be governed by these terms and conditions.

SECTION 3: Proposal Instructions

The Bidder’s proposal will consist of two separate documents:

Part 1 – Technical Offer

Part 2 – Financial Offer

The Technical Offer and the Financial Offer (altogether “proposal”) must be submitted separately. The Bidder should not include any cost data in the Technical Offer.

The proposal should be concisely presented and structured, and should explain in detail the Bidder’s availability, experience and resources to provide the requested services.

Proposals that are incomplete or do not address these criteria may not be considered in the review process. All proposals must be submitted in English.

Both the Technical Offer and Financial Offer must be submitted with a Cover Letter which must include the following information and must be signed and stamped by an authorized representative of the Bidder organization:

i. Date of Submission of the Proposal

ii. Term of proposal validity (minimum {90} days)

iii. Name of the company/organization

iv. Name and title of authorized representative of organization

v. Type of company/organization vi. Address vii. Telephone

viii. E-mail ix. Taxpayer Identification Number

x. Other required documents that shall be included as attachments to the cover letter:

Copy of registration or incorporation in the public registry, or equivalent document from the government office where the bidder is registered.
Copy of company tax registration, or equivalent document.
Copy of trade license, or equivalent document.

Bidders must also submit a signed Conflict of Interest Declaration Form. This form will be assessed to establish whether the Bidder has any present or potential future conflict of interest according to the definition in Annex A. If the conclusion is reached that any conflict of interest declared by the Bidder could have a negative impact on the Bidder’s ability to perform the Service, Helen Keller Intl may decide to reject the submitted proposal. Failure to accurately complete the Conflict of Interest Declaration Form may also lead to the rejection of the submitted proposal.

Part 1: TECHNICAL OFFER

The Technical Offer should be in the English language, typed in Microsoft Word, single-spaced, with each page numbered consecutively. A maximum number of pages for each component of the Technical Offer is given below.

The Technical Offer should include the following:

Bidder past performance record/relevant experience– {2} pages maximum

Information related to Bidder’s past performance/prior experience in conducting work in the country/region similar in nature and volume to the services requested (brief description, deliverables, date, client etc.).

Bidders must also provide contacts for at least three (3) professional references for previous work and/or experience under similar SOWs. Contact information should include, at a minimum: name of individual, name of company, brief information on relationship to Bidder, address, email, and phone number. Helen Keller Intl reserves the right to contact any and all references provided. Contact information for references is not subject to the page limitation for this section.

Technical approach – {4} pages maximum

The technical approach must describe the proposed approach to achieving the program objectives and must address the following:

Information as to whether the Bidder currently has a presence in the country/region, and the nature of this presence.
1. A brief description of the Bidder’s understanding of the objectives and scope of work for the consultancy.
2. An overview as to how the Bidder would propose to complete the requested services indicated in this RFP.

Team Structure requirements – {3} pages maximum, excluding CVs
- Team structure: Bidders must describe the structure of the team that will deliver against the objectives and scope of work described in this RFP. Team structures must identify the project manager (or Team Leader) and other team members and the roles and responsibilities that each will have over the duration of the consultancy.
- The minimum requirements and qualifications for the Team Leader who will be leading the team are the following:
- Bachelor’s degree in media or film studies or equivalent
- Have at least eight years of working experience directing and producing high-quality humanangled documentaries/short films.
- Proficient in video editing software.
- Have in-depth knowledge of graphical video design.
- Have a working knowledge of HD formats.
- Have experience working with development agencies on similar projects.
- Have the ability to transcribe a script to an audio-visual document.
- Demonstrates sensitivity to cultural and gender diversity and equity in his/her daily work and personal behaviour.
- Excellent interpersonal and interviewing skills
- Good analytical, communication and writing skills.
- If any members of the proposed team do not currently reside in Nigeria the Bidder must state how the personnel would travel to the country to perform such Services, and the estimated travel time.

At a minimum, the Bidder should provide the following information:

A current CV for the proposed personnel in a format provided in Annex C. The CV must not exceed three pages in length and shall be in chronological order starting with the most recent experience and summarizing relevant experience and qualifications.
- The country of residence for all persons proposed for the provision of this Service (meaning the country in which the person or persons resides and from which they would be flying from in order to reach the Place of Performance to undertake this consulting work).
- If any of the Bidder’s personnel do not reside in the country in which they are assigned to perform the required Services, the Bidder must state how these personnel would travel to perform such Services, and the estimated travel time. The Bidder should specify how many trips might be required, and which team members would join these trips.

The Bidder must notify Helen Keller Intl if it intends to replace a key member of the Bidder’s team (with an explanation for doing so) prior to the award date and provide Helen Keller Intl with the information required for the approval of a replacement proposal. Any replacement shall be subject to the approval of Helen Keller Intl. This is also valid for any replacement taking place during the contract duration.

Helen Keller Intl may choose to contact the Bidder prior to making a final decision. Please confirm whether this would be possible, ensuring that full contact details are also included in the resume (email, telephone number).

Part 2: FINANCIAL OFFER

This contract will be issued as a firm fixed price contract with payment made against deliverables against services/products. Helen Keller Intl will only issue payment via electronic payment methods and all bank accounts must be in the name of the company/organization only.

As part of the Financial Offer, Bidders must include a detailed budget, submitted in Microsoft Excel, expressed in {Naira}, with an accompanying budget narrative, submitted in Microsoft Word, describing the basis for the listed cost elements. Supporting information should be provided in sufficient detail to allow a complete analysis and determination of reasonableness of each cost element. Bidders are required to include and clearly label all costs deemed necessary to complete the work called for hereunder.

Labor Cost: The Bidder must provide information related to team structure, daily rates and Level of Effort (LoE) (measured in days) for the deliverables listed. Please state assumptions made when submitting the cost information including any additional options, and stating all conditions.

Other Direct Costs: The Bidder should provide a breakdown estimate of other main direct costs which are considered necessary for completion of the work. Other direct costs will cover transportation costs, visa, and per diem. Any other direct costs shall be agreed prior with Helen Keller Intl.
Indirect Rates and Fixed Fee: If it is an Bidder’s regular practice to budget indirect rates, e.g. overhead, fringe, G&A, administrative, or other rate, Bidders must explain the rates and the rates’ base of application in the budget narrative. Helen Keller Intl reserves the right to request additional information to substantiate an Bidder’s indirect rates. Proposed fixed fee must also be explained in the budget narrative and represented as a separate line item in the budget.

SECTION 4: Evaluation Criteria and Basis for Award

Helen Keller Intl will follow a Best Value Trade-Off selection methodology. Helen Keller Intl may award to an eligible, responsible firm whose proposal is most advantageous to the program, with price and other factors considered proposal, including but not limited to compliance with the requirements of the RFP without material deviation. Bidders may not modify non-responsive offers after the proposal deadline in order to make them responsive. However, Helen Keller Intl may request an Bidder to clarify its offer as long as no material deviation exists.

The criteria below will serve as the basis upon which proposals will be evaluated. Selection will be based principally on the technical merits of the proposals, but price and other factors will be considered, and award will be made only if the proposal is determined to be technically acceptable and cost reasonable.

Evaluation Criteria per Solicitation	Total Max Points
Past Performance/ Prior relevant experience
Demonstrated experience developing, directing, and producing video content for different purposes including reels, snippets and documentaries in the development sector. Experience working on producing for nutrition or health projects.
Personnel Qualifications
Degree/Certification in media or film studies or equivalent At least eight years of working experience directing and producing high-quality human-angled documentaries/short films.
Technical Merit
Possess strong content creation skills, including writing, graphic design, video editing and production, graphical video design, photography. Possess proficient knowledge of HD formats, ability to transcribe a script to an audiovisual document and excellent interviewing skills.

Operational Capability
Nigerian owned/managed, locally registered, and incorporated to do business in Nigeria
Total Points

Upon completion of the evaluation of Technical Offers, Helen Keller Intl will evaluate Financial Offers for budget presentation, details of the budget narrative, and cost effectiveness (reasonable, realistic, match the Technical Offer and meet requirements of RFP). No points are assigned to Financial Offers, but these criteria will be considered, in conjunction with the total score of the Technical Offer. This RFP utilizes the tradeoff process and Helen Keller Intl may award a contract to the offeror whose proposal represents the best value to Helen Keller Intl and the program. Helen Keller Intl may award to a higher priced offeror if a determination is made that the higher technical evaluation of that offeror merits the additional cost/price.

SECTION 6: Proposal Validity, Submission Deadline and Instructions

Proposals should have a {90-day} validity period from the proposal submission date, as provided in the Cover Letter.

Proposals must be submitted electronically by the deadline listed on the cover page of this RFP by E-mail to Nigeria-Procurement@hki.org indicating in the subject lin e of the e-mail the company name and the RFP number.

A full proposal submission will include the following documents, all of which must reference the RFP number as stated on the cover page of this document:

Cover Letter
Technical Offer
Financial Offer
Conflict of Interest Disclosure Form
Copies of Bidder legal registration documents
Other pertinent information relevant to the proposal submission

QUESTIONS: No verbal questions will be entertained, either in person or via telephone. However, Helen Keller Intl will take written questions about this RFP until the date specified on the cover page of this document. Any questions related to this RFP should be addressed to Nigeria-Procurement@hki.org In order to ensure fairness, Helen Keller Intl’s response to all questions deemed relevant will be communicated to all potential Bidders, ensuring the original requestor’s anonymity.}

SECTION 7: Negotiations

Best offer proposals are requested. It is anticipated that an award will be made solely on the basis of the original offers received. However, Helen Keller Intl reserves the right to conduct discussions, negotiations and/or request clarifications prior to awarding a contract. Furthermore, Helen Keller Intl reserves the right to conduct a competitive range and to limit the number of bidders in the competitive range to permit an efficient evaluation environment among the most highly-rated proposals. Highest-rated bidders, as determined by the technical evaluation committee, may be asked to submit their best prices or technical responses during a competitive range. At the sole discretion of Helen Keller Intl, bidders may be requested to conduct oral presentations. If deemed an opportunity, Helen Keller Intl reserves the right to make separate awards per component or to make no award at all.

SECTION 8: Terms of the Solicitation

Issuance of this RFP does not constitute an award commitment on the part of Helen Keller Intl, nor does it commit Helen Keller Intl to pay for costs incurred in the preparation and submission of a bid.

Attached files are integral part of this RFP.
Helen Keller Intl may contact Bidders to confirm contact person, address, bid amount and to confirm that the proposal was submitted for this solicitation.
False Statements: Bidders must provide full, accurate and complete information as required by this solicitation and its attachments.
Conflict of Interest Disclosure: In Annex A Bidders must provide disclosure of any past, present or future relationships with any parties associated with the issuance, review or management of this solicitation and anticipated award. Failure to provide full and open disclosure may result in Helen Keller Intl having to re-evaluate selection of a potential Bidders.
Right to Select/Reject: Helen Keller Intl reserves the right to select and negotiate with those firms it determines, in its sole discretion, to be qualified for competitive proposals and to terminate negotiations without incurring any liability. Helen Keller Intl also reserves the right to reject any or all proposals received without explanation.
Reserved rights: All RFP responses become the property of Helen Keller Intl and Helen Keller Intl reserves the right in its sole discretion to:
- To disqualify any offer based on Bidder’s failure to follow solicitation instructions;
- To waive any deviations by Bidders from the requirements of this solicitation that in Helen Keller Intl’s opinion are considered not to be material defects requiring rejection or disqualification or where such a waiver will promote increased competition;
- Extend the time for submission of all RFP responses after notification to all Bidders;
- Terminate or modify the RFP process at any time and re-issue the RFP to whomever Helen Keller

Intl deems appropriate;

Issue an award based on the initial evaluation of offers without discussion;
- Award only part of the activities in the solicitation or issue multiple awards based on solicitation activities.
Bidders and its proposed personnel shall disclose any factors that could limit the organization’s ability to independently perform the services such as relationship with counterpart employees, past employment, etc.

ANNEX A: Conflict of Interest Disclosure

Helen Keller Intl Code of Conduct & Ethics Policy: In accordance with the Helen Keller Intl Code of Conduct and Ethics Policy, Helen Keller Intl requires full and open disclosure when dealing with procurement. As such, Helen Keller Intl employees must avoid any conflict of interest or the appearance of a conflict of interest. Helen Keller Intl employees must at all times provide full disclosure of their actions or relationships with prospective vendors, contractors, or consultants. Helen Keller Intl employees shall not solicit, request, accept, or agree to accept any gift from a vendor or prospective vendor.

Helen Keller Intl reserves the right to reject any or all quotes when considered to be in the best interest of the organization and/or the people it serves. All parties submitting a proposal in response to this Request for Proposal are obligated to disclose the existence of any actual or possible conflict of interest relating to every country included within their proposal in the attached Conflict of Interest Declaration Form.

Failure to fully disclose such information could lead Helen Keller Intl to reject a proposal. If a party has no conflict to declare for any of the countries covered in their proposal, they may submit one form, listing all of the countries covered.

“Conflict of Interest” means a situation in which an Bidder, or an Affiliate (as defined below), or a subcontractor (if any) of an Bidder, has interests (financial, organizational, personal, reputational or otherwise) that would or may appear to make it difficult for an Bidder to fulfill its obligations to Helen Keller Intl in its role as the vendor in an objective, independent and professional manner, or a situation in which it is reasonable to foresee that such an interest would arise. A Conflict of Interest may arise in the following circumstances, which are not exhaustive:

a Bidder has been, or is involved in the design of a proposal or request for funding that has been, or will be submitted to Helen Keller Intl;
an Bidder has been, or is involved in the provision of advice to an entity that is a Principal Recipient or a Sub-recipient;
a Bidder has been, or is involved in, or has provided advice in relation to the procurement of goods and/or services by a Principal Recipient and/or a Sub-recipient;
a Bidder has been, or is involved in the provision of auditing services to a Principal Recipient and/or a

Sub-recipient; or

a Bidder has submitted an expression of interest, tender, bid or otherwise indicated interest in providing services of any nature to a Principal Recipient or a Sub-recipient that remains valid at the time of, and for the duration of the term of this Contract.

“Affiliate” means a business concern, individual or other entity that, directly or indirectly:

(i) controls or can control an Bidder;

(ii) is controlled by, or can foreseeably be controlled by, an Bidder; or

(iii) along with an Bidder, is controlled by, or can foreseeably be controlled by, the same third party.

Bidder Conflict of Interest Declaration Form

Please check one box below, as appropriate:

			The Bidder hereby declares that it has read and understood the Conflict of Interest rules set forth in the Request for Proposals (RFP) and warrants that no Conflict of Interest exists on the part of the Bidder or an Affiliate of the Bidder, with regard to the services to be performed under the RFP. The Bidder hereby agrees to comply with the Conflict of Interest rules set forth in the Request for Proposals (RFP).

			The Bidder wishes to disclose a real or potential Conflict of Interest situation(s) and propose mitigating action(s). Note: if this box is checked, please describe in an attachment, in detail, the situation and present a proposed mitigation plan / arrangement for consideration by Helen Keller Intl.

Bidder:

Signature:
Printed Name:
Title:
Date:

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