ESPIG - Request for Additional Supervision Fees

March 2017

This template is applicable only for grants approved up to and including June 2016, for which supervision fees may apply

OVERVIEW

Country: Click here to enter text.

Grant agent: Click here to enter text.

Coordinating agency: Click here to enter text.

Amount of ESPIG: Click here to enter amount.

Starting date of ESPIG: Click here to enter text.

Planned closing date of ESPIG: Click here to enter text.

Amount of the original supervision fees: Click here to enter amount.

Amount requested for additional supervision fees: Click here to enter amount.

Date of submission of request: Click here to enter a date.

| Request for Additional Supervision FeesMarch 2017

Note to the user

This template is applicable only for grants approved up to and including June 2016

The grant agent should use this template to provide additional details and justification when the supervision fees1 are expected to exceed the standard guidance approved by the Board of Directors (see Annex 1).

Supervision fees are the costs for program management and administration by the grant agent to support the implementation of the ESPIG funded Program, including costs for the period of grant implementation as well as six months prior to the start of grant implementation and six months following the end of implementation. The grant agent should strive to ensure that costs are kept to the minimum necessary to fulfill its role as grant agent.

The grant agent should attach an Expenditure Report and submit the completed request to the Secretariat:

gpe_grant_submission@globalpartnership.org ,

Copying to the coordinating agency, the ministry focal point and the country lead within the Secretariat.

1

The term ‘supervision fees’ is used and applied for grants approved prior to the second round of applications in 2016, and refers to a fee allocated in addition to the grant amount to cover the costs of the grant agent other than headquarters’ costs covered by agency fees. For grants approved at or after the second round of applications in 2016, the costs of the grant agent to perform the role must be financed from within the overall country allocation, and is referred to as grant agent costs. Revisions to the grant agent costs are subject to the reprogramming provisions outlined in the ESPIG Policy.

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| Request for Additional Supervision FeesMarch 2017

I. BACKGROUND

1. Explain the rationale of the request for additional supervision fees - why it is needed, and how it will affect implementation. The rationale should be clear about implementation arrangements and relative to progress and remaining activities, in 300 word or less:

Click here to enter text.

II. EXPENDITURE TO DATE

1. Provide a financial overview of grant agent expenditures to date in the table below* (Indicate years as relevant and adapt the table, by copying/pasting rows as needed).

Attach an Expenditure Report on what was spent to date with the existing allocation.

Expense categories2 (Year 1) (Year 2) (Year 3) (Year 4) Cumulative disbursements

1.

2.

3.

4.

Total:* Any other format used by the grant agent will be accepted. Please make sure to include it in the package.

2 Such as staff costs, travel expenses, consultant fees, workshop, financial management, procurement, associated overhead costs.

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| Request for Additional Supervision FeesMarch 2017

III. ADDITIONAL SUPERVISION FEES

1. List and explain in bullet points how the additional supervision fees will be used, indicating what they will cover, distinguishing between costs required for compliance/oversight and costs required for provision of capacity building and technical assistance support to the developing country partner.

2. Clearly indicate the related deliverables.

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3. Provide a brief overview of the budget estimate for the supervision fees for the remaining period of the ESPIG in the table below, taking into account available funds within the existing allocation (Indicate years as relevant add/erase rows as necessary):

Expense categories Quantity Unit Unit costs US$

Total costsUS$

1.

2.

3.

4.

5.

6.

7.

8.

Total budget:

Available within existing allocation:

Additional funding required:

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| Request for Additional Supervision FeesMarch 2017

ANNEX 1

Standard guidance on supervision fees3

Extract from: Guidelines on Supervision Allocations for GPE Grants Annex 8, Board Document BOD/2013/11 DOC 06A, p. 60.

The table4 below provides an indication of the range of supervision costs that would be generally acceptable to GPE. Requests for amounts that are higher than those outlined in the table will need to be appropriately justified.

Grant Size NON-FRAGILE FRAGILE

Up to US$5 million US$200,000 (50,000 per year) US$300,000 (75,000 per year)

US$5 million – US$10 million US$300,000 (75,000 per year) US$450,000 (112,500 per year)

US$10 million – US$25 million US$400,000 (100,000 per year) US$600,000 (150,000 per year)

US$25 million – US$50 million US$500,000 (125,000 per year) US$750,000 (187,500 per year)

US$50 million+ US$600,000 (150,000 per year) US$900,000 (225,000 per year)

3 The guidance is applicable only for grants approved up to and including June 2016.4 The figures are for a 3-year period, and include a 6-month provision of cost before and after grant implementation.

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