SOFALAM — Consultation Request

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Organization Information

Annex A — Submission Form

Fields marked * are required.

Legal Identity

Organization / Company Name *

💡 Individual consultant without an organization? Enter your full name here.

This field is required.

Organization Type *

Year of Establishment

Legal Registration Number

Leave blank if you are an individual consultant.

Tax Identification (NIF)

Leave blank if you are an individual consultant.

Primary Contact

Contact Person – Full Name *

Position / Title *

Email Address *

Phone Number

Address *

Geographic Coverage

Departments of Operation

Ouest Centre Artibonite Other (specify in proposal)

Service Areas (Select all that apply)

Process improvement / Lean Six Sigma GBV case management systems Digital referral and information management systems Protection programming and consent standards Reintegration and livelihoods pathways Monitoring, evaluation, and data quality

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Technical Proposal

60% weight in evaluation

Consulting Role / Service Description *

Executive Summary *

Maximum 300 words. Capture your main approach and relevant strengths.

Understanding of the Assignment *

Methodology and Approach *

Work Plan and Timeline

Activity / Deliverable	Start Date	End Date	Expected Output

Team Composition

Name	Role / Title	Experience (years)	% Time on Assignment

References (minimum 2 similar assignments)

Client Organization	Assignment Title	Year	Value (USD)	Contact Email

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Financial Proposal

40% weight in evaluation — max $2,000 USD

⚠️ This form is limited to engagements of $2,000 USD or less. If your total exceeds this limit, please use the Full RFP Portal.

Currency and Validity

Proposed Currency *

Offer Validity (days) *

VAT / Tax Rate (%)

Budget Breakdown

Description / Deliverable	Unit	Qty	Unit Price	Subtotal

Subtotal:0.00

Tax:0.00

Total:0.00

Payment Schedule

Milestone / Deliverable	Expected Date	% of Total	Amount

Financial Notes

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Annexes

Complete all required annexes below

Organization / Consultant Name

Address

Contact Person

Email

Registration Number

Year Established

Principal Areas of Activity

Authorized Signatory – Full Name *

Signature Date *

For each deliverable, confirm technical compliance and acceptance conditions.

Deliverable	Technical Specs Offered	Quality Standard	Acceptance Criteria

Deviations from Specifications (if any)

⚠️ This declaration is mandatory. Proposals without a signed ethics declaration will be disqualified.

Organization / Consultant *

Address *

Legal Representative *

Declaration Date *

Commitments – Confirm each item

Anti-corruption: We confirm zero tolerance for bribery, kickbacks, or favoritism in all business dealings with SOFALAM. Child protection and decent work: We prohibit child labor and uphold workers' rights in all activities. Gender equality and non-discrimination: We promote gender equality and do not discriminate based on gender, ethnicity, disability, or religion. Environmental responsibility: We adhere to sustainable practices and minimize environmental impact. No conflict of interest: No director, shareholder, or employee has a professional, family, or financial relationship with SOFALAM's selection committee or project beneficiaries. Accuracy of information: We certify that all information provided in this proposal is accurate and complete to the best of our knowledge.

Authorized Signatory Name *

Capacity / Title *

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Supporting Documents

Upload files (PDF, DOC, DOCX, JPG — max 10MB each)

Required Documents

CVs of Key Personnel *

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Drop files here or click to upload

PDF, DOC, or DOCX — multiple allowed

Reference Letters / Certificates of Good Execution

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Drop files here or click to upload

PDF, DOC, DOCX, JPG, PNG — multiple allowed

Optional Documents

The following documents are not required for short-term consultation requests but may strengthen your proposal.

Business Registration Certificate

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Drop file here or click to upload

PDF, DOC, DOCX, JPG, PNG — max 10MB

Tax Clearance Certificate (DGI)

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Drop file here or click to upload

PDF, DOC, DOCX, JPG, PNG — max 10MB

Financial Statements (latest 2 years) or Bank Reference

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Drop files here or click to upload

PDF, DOC, DOCX, XLSX

Any Additional Documentation

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Any other supporting documents

PDF, DOC, DOCX, XLSX, JPG, PNG

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Review & Submit

Verify your submission before sending

Final Confirmation

I confirm that all sections of this proposal are complete and accurate. I confirm that the Ethics Declaration (Annex C) has been signed by an authorized representative. I confirm that all required supporting documents have been uploaded. I confirm compliance with SOFALAM's procurement policies, including anti-corruption, child protection, gender equality, and confidentiality requirements.

Secure Submission
Your proposal data and uploaded files will be securely stored in SOFALAM's Azure cloud system. A unique submission ID will be generated for tracking and follow-up.

Ready to submit

Submit a Proposal

Short-Term Consulting Services

Organization Information

Technical Proposal

Financial Proposal

Annexes

Supporting Documents

Review & Submit

Proposal Submitted Successfully