Attachment D

Memorandum of Negotiations (Grants)

I. Name of grantee: Yayasan LPA Karya Bhakti

II. Type of grant: Standard Cost Reimbursement Grant

III. Initial grant budget proposal Year 3: IDR 758.372.625

IV. Final and approved grant budget:

Original budget Year 1: IDR 566.083.713

Increase budget Year 2: IDR 810.963.067

Increase budget Year 3: IDR 621.756.629

The total approved budget ceiling for Yayasan LPA Karya Bhakti is IDR 621,756,629 for 12 months.
This grant obligates IDR 429,371,086 for 8 months; the remaining funds will be obligated subject to
project extension, availability of fund and grantee performance.

Total budget (Year 1-3) IDR 1,998,803,409 equivalent with USD 177,293.2 (OANDA on April 10,
2014)

V. Brief description of the grant program:

 What is the overall purpose of the grant?

The purpose of this grant is to deliver comprehensive HIV services as part of a continuum of care
program and document the success of the program so that it can be replicated and implemented at
scale to reduce the rate of new HIV infections and HIV-related morbidity and mortality. Yayasan LPA
Karya Bhakti will also advocate for the creation of an enabling environment to support long term
behavior change and for quality HIV care in Jakarta. Organizational capacity development will be
provided by SUM II to assist the CSO to leverage funds from other sources for ongoing sustainability
beyond the life of the SUM Program.

 What specific objectives will be accomplished by the grant?

1. Serve as MEMBER CSO within a technical cluster with Yayasan Intermedika as the LEAD
CSO. The role of Yayasan Intermedika is to build the cluster’s identity and vision, facilitate
capacity building activities with the purpose of improving MEMBER CSO’s service delivery,
networking and advocacy skills.

2. To accelerate improvement of the organization’s management capacity and systems during the
grant period. At the end of the program year the organization will have made significant
improvement in implementing cost-effectively HIV prevention and care services among
MSM in Jakarta.

3. To reach 3.214 MSM in Jakarta through behavior change communication services during the
grant period.

4. To provide STI testing and treatment to 1.285 MSM in Jakarta during the grant period.

5. To provide HIV counseling and testing services to 1.285 MSM in Jakarta and to support HIV
positive individuals to access treatment and care.

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6. To increase the participation of peer educators and community support groups to improve
access to HIV care, support and treatment services for PLHIV.

NOTE: These targets will be revised during a joint workplanning process planned for early
in the grant cycle to further refine the grantee’s intended achievements and better define the
strategies they will use to meet the new targets. The revised targets will be included in a
modification which will be submitted to USAID once the workplanning has been completed.

 How will these specific objectives be accomplished through the activities that will be performed
under the grant?

Please find the activity plan, attached.

 How will the accomplishment of these specific objectives be measured and documented?

Please see the Monitoring and Evaluation Plan, attached. Under the One Strategy Approach,
Yayasan LPA Karya Bhakti will participate and collaborate with Yayasan Intermedika on the process
to develop a single integrated work plan and M&E framework to ensure that the technical cluster
MEMBER CSOs are all working towards the same goal and indicators.

SUM officers in regional office will monitor and evaluate Yayasan Intermedika’s performance
regularly and work with them to solve problems that may occur during implementation period.

VI. Solicitation process and selection criteria:

A. Description of the solicitation process.

In Cycle I, Yayasan LPA Karya Bhakti was selected by the KPAP (Provincial AIDS Commission),
Department of Health, and AIDS NGO Forum, with technical assistance from SUM II. After
selection, Organizational Performance and Technical Capacity assessments were undertaken, followed
by a workshop to develop the Cycle I Scope of Work.

Cycle II was a follow-on grant to Cycle I. We consider that Yayasan LPA Karya Bhakti has shown
acceptable performance in technical and organizational management.

In this Cycle III is a pilot project with a focus on community empowerment to prevent HIV through
implementing the One Strategy Approach. Yayasan LPA Karya Bhakti has a strong community
empowerment program which enables them to respond to HIV issues among the MSM community.
SUM II intends to support the CSO’s efforts to expand their scope and coverage of HIV programming
by supporting their participation in a technical cluster with other CSOs and by collaborating with
Yayasan Intermedika who also work with gay men and MSM as well.

B. Selection criteria.

The following criteria are used to identify this CSO:

1. Contributes to the HIV response

2. Led by and/or focused on reaching key populations
3. Has core or significant funding from other source(s)
4. Has an annual work plan and M&E plan.
5. Currently implementing HIV activities for key populations
6. Networks with health service providers in target area
7. Committed to implementing and working closely with key populations to achieve the program
goal and objectives

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8. Has direct experience working with and implementing HIV activities with key populations in the
target area
9. Active in AIDS NGO Forum
10. Good performance in financial management and administration

C. Technical evaluation.

Strengths:

Yayasan LPA Karya Bhakti has previous experience working with and implementing HIV activities
with key populations in the target area and has a proven track record from past performance with
other donors.

Weaknesses:
This cycle will implement the One Strategy Approach in which Yayasan Intermedika will lead in
project implementation; there may be some possibility of organizational conflict if Yayasan
Intermedika does not manage the project properly.

D. Cost analysis.

During the budget negotiation process, we rationalized the unit cost of proposed office rent and
operational expenses, adjust activities cost to be held in the city in term of intercity and add personnel
cost with counselor and case manager position.

E. Past performance:

The grant is a follow on grant from the CSO’s previous SUM II grant. The CSO has me the
previous performance criteria and has demonstrated a good track record during the previous cycle,
no evidence of fraud, and targets were achieved.

F. Responsibility determination:

a. Financial Management: Yayasan LPA Karya Bhakti has a financial management SOP and
implements it for daily financial transactions and operational activities. They have capable finance
staff with adequate work experience in finance. Therefore, SUM II staff will work closely with
Yayasan Intermedika to ensure that SUM II financial system and procedures are properly
implemented.

b. Property Standards: Yayasan LPA Karya Bhakti has a property list of procurements from their
previous year work plan/s and regularly reports to SUM II as required.

c. Procurement Standards: Yayasan LPA Karya Bhakti has procurement standards guidelines.
They will also follow guidelines from SUM II for procurement to meet SUM II and USAID
standards and procedures.

d. Report and records: Yayasan LPA Karya Bhakti’s financial reporting records expenditures for
each program/project by the same or equivalent cost categories as shown in approved contract.

Risk Rating: After reviewing all the pre award documents, the Grant Manager should identify the risk
rating of the proposed applicant: High, Medium or Low Risk.

Medium risk.

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G. Required certifications:

No match found in Bridger Insight.

VII. Award decision:

Final Decision: Yayasan LPA Karya Bhakti is eligible to receive the grant.

Prepared by:

Heri Santosa
Grant Manager

Date: April 28, 2014

Endorsed by: Yen Yerus Rusalam

Chief-of-Party

Date: April 28, 2014

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