DISBURSEMENT REQUEST FORM OF CIF DISBURSEMENT REQUEST Country Projects Compact Date/ CIF Letter Agreement Date CIF Number Accountable Entity Fiscal Agent Request Date Disbursement Period Beginning Date Disbursement Period Ending Date Disbursement Number Currency (Expressed in USD) Exchange Rate used to calculate U.S. Dollar equivalent of any local currency balance for purposes of this MCC Disbursement Request 1. Disbursement requested from MCC (from Schedule E, Column 2b) 2. Permitted Account(s) Cash requested from MCC (from Section B., Line 6 below) 3. Total CIF Disbursement Request (Line 1 + 2) 3.a. Amount requested in words (in USD) Namibia MCA Namibia 28Jul08 GR07NAM07001 MCA Namibia Emerging Markets Group Ltd. 11Mar09 1Apr09 30Jun09 01 USD 10.000 A. Disbursement Request: The undersigned hereby requests the Millennium Challenge Corporation ("MCC ") to disburse funds under the letter agreement dated as of 28 July, 2008 between MCC and the Government of the Republic of Namibia (the "CIF Letter Agreement ") as follows: $ 826,669 $ $ 826,669 B. Permitted Account Disbursement Request Calculation: 1. Total Forecasted Permitted Account(s) Program Cash Requirements (from Quarterly Financial Report, Schedule E, Column 2a) $ 2. Interest to be Returned to the US Government Next Period (from Interest Summary, Line 7) $ 3 Working Capital Balance: $ 4. Total, (Lines 1 + 2 + 3 ) $ 5. Cash Balance at End of (from Cash Reconciliation, Line 7) $ 6. CIF Permitted Account(s) Disbursement Request From MCC (Line 4 minus Line 5) $ C. Compliance: C. Compliance: the undersigned confirms that the CIF Disbursement requested hereby is in accordance with the terms and conditions set forth in the Compact Agreement. D. Authorization: the undersigned acknowledges that funds disbursed in accordance with this request will be either made (i) directly to thirdparty vendors for goods, works and services received by the accountable entity upon presentation of valid invoices utilizing MCC's Common Payment System or (ii) to the CIF Permitted Account. E. Definitions: Capitalized terms used herein shall have the meanings assigned to such terms in the Compact Agreement. Signed by the CEO of MCA Namibia By: Name: Penny Akwenye Date: Emerging Markets Group, Ltd. as the Standby Fiscal Agent By: Name: Thomas Tschetter Date:
APPENDIX IVB QFR FORMS SCHEDULE A Country: Accountable Entity: CIF Number: Date Submitted: Namibia MCA Namibia GR07NAM07001 11Mar09 A. CIF Adjustment Request Form Original CIF Financial Plan per Compact Agreement Current Approved CIF Proposed Adjustments (Display all #'s as positive) Proposed Adjusted CIF Project (Main) (from Schedule B, Final Column) Increase (+) Decrease () (2+34) Activity (Sub) 1 2 3 4 5 1. Education Project 8,976,296 8,976,296 8,976,296 A. Improving the Quality of General Education Activity 5,775,732 5,775,732 5,775,732 B. Vocational and Skills Training 1,393,045 1,393,045 1,393,045 C. Improving Access to and Management of Textbooks 205,720 205,720 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 1,545,394 E. Access to Tertiary Education Finance F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 56,405 2. Tourism Project 2,475,145 2,475,145 2,475,145 A. Improving Management and Infrastructure in ENP 999,971 999,971 999,971 B. Marketing Namibia in Tourism 500,000 500,000 500,000 C. Ecotourism Development for Communal Conservancies 975,174 975,174 975,174 3. Agriculture Project 1,369,139 1,369,139 1,369,139 A. Land Access and Management B. Livestock 1,369,139 1,369,139 1,369,139 C. Indigenous Natural Products 4. Programme Management and Administration 6,000,000 6,000,000 1,908,000 1,908,000 6,000,000 A. Total MCA Namibia Administration 5,000,000 5,000,000 1,908,000 3,092,000 B. Financial Management and Procurement Controls 1,000,000 1,000,000 1,908,000 2,908,000 C. Financial Audits 5. Monitoring and Evaluation 722,595 722,595 722,595 A. Monitoring and Evaluation 722,595 722,595 722,595 Grand Total 19,543,175 19,543,175 1,908,000 1,908,000 19,543,175
APPENDIX IVB QFR FORMS SCHEDULE B Country: Accountable Entity: CIF Number: Date Submitted: Namibia MCA Namibia GR07NAM07001 11Mar09 B. Summary of CIF Adjustments to Date Project (Main) Original CIF Financial Plan per Compact Agreement Adjustment Reported/Approved xxx Adjustment Reported/Approved xxx Current Approved CIF Adjustment (to Schedule A, Column 2) Activity (sub) 1 2 3 4 1. Education Project 8,976,296 8,976,296 A. Improving the Quality of General Education Activity 5,775,732 5,775,732 B. Vocational and Skills Training 1,393,045 1,393,045 C. Improving Access to and Management of Textbooks 205,720 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 E. Access to Tertiary Education Finance F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 2. Tourism Project 2,475,145 2,475,145 A. Improving Management and Infrastructure in ENP 999,971 999,971 B. Marketing Namibia in Tourism 500,000 500,000 C. Ecotourism Development for Communal Conservancies 975,174 975,174 3. Agriculture Project 1,369,139 1,369,139 A. Land Access and Management B. Livestock 1,369,139 1,369,139 C. Indigenous Natural Products 4. Programme Management and Administration 6,000,000 6,000,000 A. Total MCA Namibia Administration 5,000,000 5,000,000 B. Financial Management and Procurement Controls 1,000,000 1,000,000 C. Financial Audits 5. Monitoring and Evaluation 722,595 722,595 A. Monitoring and Evaluation 722,595 722,595 Grand Total 19,543,175 19,543,175
APPENDIX IVB QFR FORMS SCHEDULE C Country: Namibia CIF Number: GR07NAM07001 Date Submitted: 11Mar09 Schedule C. Actual Expenditure and Commitment Report () Project (Main) Prior Period Actual Redisbursements Permitted Account(s) Prior Period Actual Redisbursements Common Payment System Cumulative Actual Redisbursements at Beginning of Projected Redisbursements for the Permitted Account(s) Projected Redisbursements for the Common Payment System Redisbursement as of the End of the Projected Unliquidated Commitments as of the End of the Projected Cumulative Commitments and Redisbursements as of the End of the Current Approved CIF 7 (Schedule B, Final Column) Projected Balance CIF as of the End of Activity (Sub) 1a 1b 2 3a 3b 4 (Total of 2 + 3a +3b) 5 6 (total of 4 + 5) 8 (total of 7 6) 1. Education Project 8,976,296 8,976,296 A. Improving the Quality of General Education Activity 5,775,732 5,775,732 B. Vocational and Skills Training 1,393,045 1,393,045 C. Improving Access to and Management of Textbooks 205,720 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 E. Access to Tertiary Education Finance F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 2. Tourism Project 2,475,145 2,475,145 A. Improving Management and Infrastructure in ENP 999,971 999,971 B. Marketing Namibia in Tourism 500,000 500,000 C. Ecotourism Development for Communal Conservancies 975,174 975,174 3. Agriculture Project 1,369,139 1,369,139 A. Land Access and Management B. Livestock 1,369,139 1,369,139 C. Indigenous Natural Products 4. Programme Management and Administration 6,000,000 6,000,000 A. Total MCA Namibia Administration 5,000,000 5,000,000 B. Financial Management and Procurement Controls 1,000,000 1,000,000 C. Financial Audits 5. Monitoring and Evaluation 722,595 722,595 A. Monitoring and Evaluation 722,595 722,595 Grand Total 19,543,175 19,543,175
APPENDIX IVB QFR FORMS SCHEDULE D CIF Number: GR07NAM07001 Date Submitted: 11Mar09 Schedule D. Commitment Forecast Report (Next Period) Current Approved CIF Commitments and Redisbursements as of the Forecasted Commitments for the Next Period Commitment Budget at the End of Next Period Projected Uncommitted Balance of CIF Financial Plan at the End of Next Period End of the (from Schedule C, Column 6) (2+3) (14) (from Schedule B, Final Project (Main) Column) Activity (Sub) 1 2 3 4 5 1. Education Project 8,976,296 205,720 205,720 8,770,576 A. Improving the Quality of General Education Activity 5,775,732 5,775,732 B. Vocational and Skills Training 1,393,045 1,393,045 C. Improving Access to and Management of Textbooks 205,720 205,720 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 E. Access to Tertiary Education Finance F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 2. Tourism Project 2,475,145 2,475,145 A. Improving Management and Infrastructure in ENP 999,971 999,971 B. Marketing Namibia in Tourism 500,000 500,000 C. Ecotourism Development for Communal Conservancies 975,174 975,174 3. Agriculture Project 1,369,139 424,283 424,283 944,856 A. Land Access and Management B. Livestock 1,369,139 424,283 424,283 944,856 C. Indigenous Natural Products 4. Programme Management and Administration 6,000,000 3,725,830 3,725,830 2,274,170 A. Total MCA Namibia Administration 5,000,000 817,830 817,830 4,182,170 B. Financial Management and Procurement Controls 1,000,000 2,908,000 2,908,000 (1,908,000) C. Financial Audits 5. Monitoring and Evaluation 722,595 722,595 A. Monitoring and Evaluation 722,595 722,595 Grand Total 19,543,175 4,355,833 4,355,833 15,187,342
APPENDIX IVB QFR FORMS SCHEDULE E CIF Number: GR07NAM07001 Date Submitted: 11Mar09 Schedule E. Forecasted Program Direct Disbursement Cash Requirements (NBC) for Next Period Redisbursement as of the End of the Forecasted Cash Requirements for the Next Period Permitted Account(s) Forecasted Cash Disbursement Requirements for the Next Period Common Payment System Forecasted Cummulative Redisbursements As of the End of Next Period Project (Main) 1 2a 2b 3 Activity (Sub) (from Schedule C, Column 4) (1 + 2a + 2b) 1. Education Project A. Improving the Quality of General Education Activity B. Vocational and Skills Training C. Improving Access to and Management of Textbooks D. Regional Study and Resource Centers E. Access to Tertiary Education Finance F. CrossProject Support (HIV/AIDS Plans/Training) 2. Tourism Project A. Improving Management and Infrastructure in ENP B. Marketing Namibia in Tourism C. Ecotourism Development for Communal Conservancies 3. Agriculture Project 8,839 8,839 A. Land Access and Management B. Livestock 8,839 8,839 C. Indigenous Natural Products 4. Programme Management and Administration 817,830 817,830 A. Total MCA Namibia Administration 817,830 817,830 B. Financial Management and Procurement Controls C. Financial Audits 5. Monitoring and Evaluation A. Monitoring and Evaluation Grand Total 826,669 826,669
APPENDIX IVB QFR FORMS CASH RECONCILIATION AND INTEREST SUMMARY CIF Number: GR07NAM07001 Date Submitted: 11Mar09 Cash Reconciliation 1. Cash Balance From Beginning of in Permitted Account(s) $ 2. a. Add: MCC Disbursement(s) Received in Permitted Account(s) 2. b. Interest Earned and Received $ 2. c. Amount and Source of Other Cash Received 3. Total Sources of Cash This Period, (Lines 2.a + 2.b + 2.c) 4. Total Cash Available Held in Permitted Account(s), (Lines 1 + 3) $ 5. a. Less: Total Program ReDisbursements (Schedule C, Column 3a ) $ 5. b. Interest Returned to the US Government (if applicable) $ 6. Total Uses of Cash This Period, (Lines 5.a + 5.b) 7. Cash Balance in Permitted Account(s) at End of the, (Lines 4 6) $ Interest Summary 1. Cumulative Interest Earned and Received as of Beginning of $ 2. Interest Earned and Received During the $ 3. Total Interest Earned as of End of the, (Lines 1 + 2) $ 4. Cumulative Interest Returned to the US Government as of Beginning of the $ 5. Interest Returned to the US Government During the $ 6. Total Cumulative Interest Returned During the, (Lines 4 + 5) $ 7. Interest Due to Be Returned to the US Government, (Lines 3 6) $
MCC CIF Detailed Finacial Plan Compact or Grant Number: GR07NAM07001 Date Submitted: 11Mar09 Forecasted Commitments (in USD) Disbursement Period: Forecasted Commitments for > CIF Quarter 1 CIF Quarter 2 CIF Quarter 3 Commitments and Redisbursement as of the End of the Current Period (From QFR Calendar Month/Quarter > Schedule C Column 6) Apr09 May09 Jun09 Apr '09 Jun '09 Jul '09 Sep '09 Oct '09 Dec '09 Under / (Over) Budget Difference Current Approved (From QFR Schedule B Column 5) Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column N+3 Column N+4 1. Education Project A. Improving the Quality of General Education Activity 5,315,842 459,890 5,775,732 B. Vocational and Skills Training 2,058,698 (665,653) 1,393,045 C. Improving Access to and Management of Textbooks 205,720 205,720 0 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 E. Access to Tertiary Education Finance 0 F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 TOTAL Project #1 205,720 205,720 7,374,540 1,396,036 8,976,296 2. Tourism Project A. Improving Management and Infrastructure in ENP 788,607 211,364 999,971 B. Marketing Namibia in Tourism 555,651 (55,651) 500,000 C. Ecotourism Development for Communal Conservancies 975,174 0 975,174 TOTAL Project #2 2,319,432 155,713 2,475,145 3. Agriculture Project A. Land Access and Management 181,390 (181,390) B. Livestock 424,283 424,283 944,856 1,369,139 C. Indigenous Natural Products 0 TOTAL Project #3 424,283 424,283 181,390 763,466 1,369,139 4. Programme Management and Administration A. Total MCA Namibia Administration 409,948 186,241 221,641 817,830 732,724 3,449,447 5,000,000 B. Financial Management and Procurement Controls 2,908,000 2,908,000 (1,908,000) 1,000,000 C. Financial Audits 0 TOTAL Programme Administration 409,948 186,241 3,129,641 3,725,830 732,724 1,541,447 6,000,000 5. Monitoring and Evaluation A. Monitoring and Evaluation 100,000 622,595 722,595 TOTAL Monitoring and Evaluation 100,000 622,595 722,595 GRAND TOTAL 409,948 186,241 3,759,644 4,355,833 10,708,086 4,479,257 19,543,175
MCC CIF Detailed Finacial Plan Compact or Grant Number: GR07NAM07001 Date Submitted: 11Mar09 Forecasted Cash (in USD) Disbursement Period: CIF Q1 1 January 1, 2009 to March 31, 2009 Forecasted Cash for > CIF Quarter 1 CIF Quarter 2 CIF Quarter 3 Redisbursement as of the End of the Current Period (From QFR Calendar Month/Quarter > Schedule C Column 4) Apr09 May09 Jun09 Apr '09 Jun '09 Jul '09 Sep '09 Oct '09 Dec '09 Under / (Over) Budget Difference Current Approved (From QFR Schedule B Column 5) Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column N+3 Column N+4 1. Education Project A. Improving the Quality of General Education Activity 253,135 253,135 5,269,461 5,775,732 B. Vocational and Skills Training 253,509 352,403 787,132 1,393,045 C. Improving Access to and Management of Textbooks 20,572 82,288 102,860 205,720 D. Regional Study and Resource Centers 1,545,394 1,545,394 E. Access to Tertiary Education Finance 0 F. CrossProject Support (HIV/AIDS Plans/Training) 56,405 56,405 TOTAL Project #1 527,217 687,827 7,761,253 8,976,296 2. Tourism Project A. Improving Management and Infrastructure in ENP 32,859 49,288 917,824 999,971 B. Marketing Namibia in Tourism 23,152 34,728 442,120 500,000 C. Ecotourism Development for Communal Conservancies 162,529 243,794 568,852 975,174 TOTAL Project #2 218,540 327,810 1,928,796 2,475,145 3. Agriculture Project A. Land Access and Management 36,278 36,278 (72,556) B. Livestock 8,839 8,839 26,518 26,518 1,307,265 1,369,139 C. Indigenous Natural Products 0 TOTAL Project #3 8,839 8,839 62,796 62,796 1,234,709 1,369,139 4. Program Management and Admininstration A. Total MCA Namibia Administration 409,948 186,241 221,641 817,830 732,724 684,124 2,765,323 5,000,000 B. Financial Management and Procurement Controls 290,800 654,300 54,900 1,000,000 C. Financial Audits 0 TOTAL Programme Administration 409,948 186,241 221,641 817,830 1,023,524 1,338,424 2,820,223 6,000,000 5. Monitoring and Evaluation A. Monitoring and Evaluation 10,000 22,500 690,095 722,595 TOTAL Monitoring and Evaluation 10,000 22,500 690,095 722,595 GRAND TOTAL 409,948 186,241 230,480 826,669 1,842,076 2,439,355 14,435,075 19,543,175