EXPRESSION OF INTEREST GOVERNMENT OF ANDHRA PRADESH

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EXPRESSION OF INTEREST GOVERNMENT OF ANDHRA PRADESH RURAL WATER SUPPLY AND SANITATION DEPARTMENT NTR SUJALA PATHAKAM, ANDHRA PRADESH Date of Issue: Closing Date: 13-04-2018 25-04-2018 Expression of Interest No: 01/2018-19 dated 10.04.2018. Background Terms of Reference (ToR) Expression of Interest (EoI) for inviting Agencies to Implement NTR Sujala Pathakam in Andhra Pradesh Government of Andhra Pradesh has taken a policy decision to implement NTR Sujala Pathakam to provide potable water of 20 ltrs for Rs.2.00 to each household. Accordingly, Government has issued guidelines vide G.O.Ms.No.127, PR & RD (RWS.II) Department, dt.30.8.2014. Further to this different models were implemented across the state of Andhra Pradesh, broadly categorized into two models, Decentralized small plants and Centralized big plants. The Centre for Economic and Social Studies (CESS) was requested to make an assessment of both types of plants and CESS recommended centralized model implemented by NTR Memorial Trust at Kuppam. Based on this Government of Andhra Pradesh issued guidelines for up scaling the scheme vide G.O.MS.No. 18 of PR&RD (RWS.II) Dept Dated: 08-03-2016. Now, GOAP intends to scale up the scheme as per the guidelines mentioned in the G.O.MS.No. 18 of PR&RD (RWS.II) Dept. Dated: 08-03-2016. The Government is keen on implementation of NTR SUJALA to enhance the quality and achieve the objectives of the scheme within given time frame. In this context, the Department of RWSS, GoAP has analysed the various models and issued guidelines for implementation mentioned in the G.O.MS.No. 18 of PR&RD (RWS.II) Dept, Dated: 08-03-2016. Government after careful examination accorded administrative sanction for establishing 103 cluster based NTR Sujala Hub & Spoke Models with an estimated cost of Rs.402.40 Crores under NTR Sujala Pathakam Grant over a period of two years i.e from 2017-19 vide G.O.Ms.No.60, PR &RD (RWS.II) Department, Dt.29.01.2018. The GOs issued can be downloaded from http://www.goir.ap.gov.in/ for your ready reference. Call for Expression of Interest As part of the above mentioned initiative, Letters of Expression of interest (EOI) are invited from qualified and experienced implementation agencies, who wish to implement NTR SUJALA Pathakam across Andhra Pradesh as per the comprehensive Sujala Cluster Model guidelines to be issued by the Department of Rural Water Supply & Sanitation, GoAP.

Objectives The objectives of this Expression of Interest are to prequalify the implementation agencies, who can bid for the establishing and maintaining the Sujala Clusters across the State of Andhra Pradesh under BOT (Build- Operate-Transfer) model. Eligibility Criteria for implementation agencies to send Expression of Interest (Eol): The Agencies who are interested for implementation of NTR SUJALA should fulfill the following criteria to be eligible for sending their Expression of Interest (EoI): 1. Registered Individual / Company/ Partnership Firm/ Proprietary Firm/ Trust/ Society. 2. Experience of working with the moralized communities for a period of minimum three years in any of the government schemes and donor funded programmes in establishing of water treatment plants in India. 3. Proven track record of minimum one year of experience in implementation of water and sanitation related activities 4. Minimum turnover of Rs.1000 lakhs per year. 5. Should have executed Water Treatment Plants with a cumulative capacity of 50,000 LPH during last three financial years. 6. Be willing to undergo specified trainings and capacity building programs as prescribed by the Department of RWS&S, GoAP. 7. Have established systems and procedures in ensuring high standards with regard to financial management, governance and human resources management. 8. Be in statutory compliance with the laws of the land as applicable to the Implementation Agency. 9. Not blacklisted by the government or resource agencies. Expression of Interest with requisite documents should be submitted on or before 25-04-2018 upto 05:00 P.m. Expression of Interest with requisite documents should be submitted through email and in sealed cover with the subject "Expression of Interest for Implementation of NTR Sujala Clusters". Expression of Interest shall be sent to Chief Engineer-IV, O/o the Engineer-in-chief, 1 st Floor, C Block, Vasudha Shelters, Saipuram Colony, Gollapudi, Vijayawada - 521 225, A.P. Persons to contact: Sri M. Sivamohan, Deputy Executive Engineer, O/o the O/o the Engineer-in-chief, 1 st Floor, C Block, Vasudha Shelters, Saipuram Colony, Gollapudi, Vijayawada - 521 225, A.P., Phone No. 9100120513. The submission can be made to the given ID through mail, attaching all the documents as a single zip file and send to ce_rws4@ap.gov.in along with a copy to eic.rwss@gmail.com. Postal Address: The Chief Engineer-IV, Rural Water Supply & Sanitation Department Government of Andhra Pradesh 1 st Floor, C Block, Vasudha Shelters, Saipuram Colony, Gollapudi, Vijayawada - 521 225, Vijayawada, A.P EoI provided in any other format or not responding to each of the items listed in the format may not be considered.

Submission Requirements 1. Agency Profile- Filled Application Form (Format 1) 2. Copy of Registration Certificate. 3. Copy of PAN card, GST Registration. 4. Copy of Income Tax returns for the years of 2016-2017 (AY 2017-18), 2015-2016(AY 2016-17) and 2014-2015(AY 2015-16) along with Profit and Loss Statements. 5. Copy of 12 A, 80 G, 35 AC Certificates, if applicable. 6. Organization Structure/ Organogram. 7. List and background details of the members of the GB/EC (Format 2) 8. Annual report for three years 2016-2017, 2015-2016 and 2014-2015 9. Audited statement of accounts for three years 2016-2017 (Provisional), 2015-2016 and 2014-2015 10. Auditor certification in original authenticating the projects/ work executed over the past three financial years in support of eligibility criteria No. 4. 11. Copy of Work Completion/ experience certificates. 12. List of staff, their education, position, experience, etc (Format 3) 13. Third party evaluation report on the programmes rolled out / executed by the organization (Format 5) 14. Resources mobilized for three years 2016-2017, 2015-2016 and 2014-2015 (Format 4) 15. Copy of MoU between the Agency and government for any of the schemes/programmes 16. One page write up on innovation methods and strategies to make the implementation of NTR SUJALA successful model for others to replicate and upscale 17. Declaration that the Agency is not blacklisted by the government or resource agencies. 18. Joint Venture is allowed for physical and financial. If applicable, the details of joint venture shall also include S. No. 2,3,4,8&9. However, the prime bidder should have 51% financial eligibility in the Joint Venture. Note: Please ensure photocopies of the documents are legible. Please ensure that the Chief Functionary of the Agency attests the documents If the documents are two-sided, please ensure that a photocopy of both sides is taken and also that both the sides are attested. Please ensure that all these documents are attached to the form in the same order as given in the list above Sd/- Chief Engineer-IV, RWS&S, Vijayawada

Implementation of NTR SUJALA Profile of Agency (Format 1) A. General Information Legal Name of the Agency with Acronym Year of Establishment Registered Address (full address with Pin code) Phones Fax E-mail Website Address for Communication (full address with pin code) Phones Fax Phones Fax E-mail Chief Functionary Name Designation Phone E-mail Affiliation / Membership in professional bodies and mentioning the present status (active / inactive) Any religious or political affiliation (Yes/No).

B. Legal Status Type of Organisation (Society/Trust/Section 25 Company/others) Registration No & Date Section 12 A Section 80G Section 35 AC/Any other Permanent Account No (PAN) Tax Deduction Account No (TAN) FCRA Registration No & date (Valid up to) C. About Organisation Vision Mission Core Values Objectives Operational Areas. (States/Districts/Mandals/Villages) Target Communities Thematic Areas of work Strengths of the organization Weaknesses of the organisation No of members in the GB No of members in the EC Frequency of GB & EC Meetings Minutes Books of GB & EC meetings maintained or not Is any board member related?

D. Finance Details Financial Years Total Budget (Rs) Total Expenditure (Rs) 2014-2015 2015-2016 2016-2017 Is filing of IT returns and other compliances regular? Is there audit/finance committee Is there a regular internal audit system Name & address of the statutory Auditors Is there a financial manual & procedures? Policy of Conflict of Interest Names of the cheque signatories E. Human Resources Staff Number (M & F) Full time Part time Volunteers Trainees Consultants/others Is HR Policy & guidelines available? Is Gender Policy available? Committee to address sexual harassment at workplace (formed or not) F. Key Areas of Work Type of Activity for last three years (2014-15 2015-2016 and 2016-2017) Partnership/Collaboration with (Government, donors, CSR, Others)

Partnership with Government Mention the areas of partnership/collaboration with the government and activities undertaken during past five years Experience in Water and Sanitation Work Describe the activities done in water and sanitation by the organisation Achievements /Awards and Recognition: Infrastructure Facilities: Sl. No. Asset Value (Rs in Lakhs) Source of Funds 1 Land 2 Building under construction 3 Furniture and Fixtures 4 Office Equipments 5 Computers 6 Vehicles

List and back ground details of the members of the GB/EC (Format 2) List of GB Members Sl. No Name M/F Position Joined on Background/Experience List of EC Members or Board Sl. No Name M/F Position Joined on Background/Experience List of staff, their education, position, experience, etc (Format 3) S No Staff Name M/F Position Joined on Education Specialization Resources mobilized for three years 2016-17, 2015-16 and 2014-15 (Format 4) Sl. No. Year Amount (Rs) Purpose / Project Source (Govt, Donors /CSR etc)

Third Party Evaluation of Projects / programmes (Format 5) Sl. No Name of the Project / Name of the Funding Agency Organisation Evaluated Submission of Evaluation Report (Yes / No)

Format for Self Declarations to be furnished: I, as a chief functionary of located at solemnly declare the following. 1. I / We have gone through carefully through the EOI doucment for prequalificaiton to implement NTR Sujala Clusters in the State of Andhra Pradesh as per the guidelines of the Department of RWS&S, GoAP 2. I / We also solemnly declare that the information furnished in the EOI format 1 is correct to the best of our knowledge. And incase the information provided is found incorrect, we understand that application for prequalification will be rejected. 3. I / We hereby confirm and declare that our agency is not banned or blacklisted by any Government Agencies or Quasi Government Agencies or Public Sector Undertakings 4. I / We herby solemnly declare that our organization is fulfilling all the necessary statutory obligations as applicable to us as per laws of the land. And we also declare that upon receiving the request from the Department of RWS&S we shall submit all relevant documents as a proof of statutory compliance 5. I / We declare that after getting shortlisted in the prequalificaiton process as per the EOI, we do not have any objection in attending the training and capacity building programs for the efficient implementation of NTR Suajla Clusters as directed by the Department of RWS&S, GoAP at our own cost 6. I / We declare that after getting shortlisted in the prequalificaiton process as per the EOI, we do not have any objection in signing the legally binding Non Disclosure Agreement (NDA) with the Department of RWS&S, GoAP and its Partners * Shall be printed on Agency Letter head, signed, stamped and to be scanned to attach to email