QUOTATION SUBMISSION FORM

RFQ Reference: RFQ/IOM/026/V/23 Date: 08 May 2023

RFQ ref no: QSF/MCLC/05/23

Requirements (TOR)
TERMS OF REFERENCE

CAPACITY BUILDING FOR PARENTS OF CHILDREN WITH SPECIAL NEEDS

Background

The International Organization for Migration (IOM) is the leading inter-governmental organization in the
field of migration and works closely with governmental, intergovernmental, and non-governmental partners.
IOM is dedicated to promoting humane and orderly migration for the benefit of all by providing services and
advice to governments and migrants.

As of January 2023, there are 6,732 refugees who are under IOM care in Indonesia, of which 1,881 live in
Jabodetabek area under the supervision of the IOM office in Tangerang. Out of those 1,881 refugees, 584 are
children below 18 years of age, and 22 of them have been identified as having special needs, including ADHD,
ASD, Speech Delay, Receptive – Expressive Language Disorder, etc.

As part of IOM’s assistance, the children are eligible to receive therapy at a special needs clinic for a limited
period of time, where it is expected that the parents will learn through live observation during the sessions
as well as discussion with the therapist on how they can continue the treatment for their children at home
and after the therapy is no longer assisted by IOM.

The parents come from different nationalities as well as cultural and educational backgrounds, and their
ability to support their children with their condition and to continue the treatment at home has been
inconsistent. This is due to several factors including lack of understanding about their children’s condition,
lack of awareness of the importance of their role in the development of their children, and lack of knowledge
and skill to assist their child.

To address those issues, we plan to conduct a series of activities aiming to increase the parents’ knowledge,
awareness and understanding of their children’s condition and to improve their ability in assisting their
children at home.

Program Objective

To improve the parents’ understanding and ability to support their children’s special needs condition.

Program Output

IN/168 (Rev.3): Procurement Manual_ Annex 19_ effective on 17 March 2023

1
 1. Parents are aware and knowledgeable about their children’s specific special needs condition.
2. Parents are aware of their role in the development of their children.
3. Parents have the practical knowledge on how to support their children at home.

Type of Activity

1. Group sessions to raise awareness and knowledge of the parents on their children’s condition and
importance of their role in their children’s development.
2. Capacity building activity to improve the parents’ ability in supporting children with special needs.

Targeted Participants
No. Location
1 South Jakarta
2 West Jakarta
3 Tangerang
4 South Tangerang
TOTAL
Number of Parents Nationality
1 Somalia (1)
8 Afghanistan (4), Somalia (3), Sudan (1)
3 Afghanistan (3)
7 Afghanistan (5), Somalia (1), Sudan (1)
19

No. Issue Nationality Number Location

of Parents
1 Autism Spectrum Disorder Afghanistan 3 West Jakarta (3)
Sudan 1 South Tangerang (1)
Somalia 3 South Jakarta (1), West Jakarta (1), South
Tangerang (1)
2 Attention Deficit Hyperactivity Afghanistan 4 Tangerang (2), South Tangerang (2)
Disorder Sudan 1 South Tangerang (1)
3 Receptive/Expressive Language Afghanistan 2 West Jakarta (1), South Tangerang (1)
Disorder Sudan 1 West Jakarta (1)
4 Sensory Processing Disorder Somalia 1 West Jakarta (1)

5 Speech Delay Afghanistan 2 South Tangerang (1), Tangerang (1)

Sudan 1 South Tangerang (1)
Somalia 1 Tangerang (1)
TOTAL 20 1 parent has 2 children with special needs (ASD &
ADHD)

Activity Timeline / Delivery Requirements:

Timeline (Tentative) Activity Remarks
23, 24, 25 May 2023 Support Group Sessions  Divided into 2 groups
( 10 am - 12 pm )  Conducted at classrooms in accommodations
 3 sessions for each group, duration 1,5 – 2 hours
30 May 2023 Capacity Building Activity  Conducted in meeting room/hotel,
( 10 am - 12 pm )  Full day training
1 and 3 June 2023 Support Group Sessions  Divided into 2 groups
( 10 am - 12 pm ) Conducted at classrooms in accommodations
 3 sessions for each group, duration 1,5 - 2 hours

Financial Offer

Currency of the Quotation: IDR

INCOTERMS: N/A

IN/168 (Rev.3): Procurement Manual_ Annex 19_ effective on 17 March 2023

2
 Item
Description UOM Qty Unit price Total price
No

1. Trainer Fee for Support Group Sessions session 12 Rp 4.400.000,- Rp 52.800.000,-

Trainer Fee for Capacity Building all-inclusive

2. certificate printing, Module, Stationaries & Package 1 Rp 6.000.000,-
tools

Total Price Rp 58.800.000,-

Transportation Price Rp 4.200.000,-
Insurance Price -
Installation Price Rp 1.500.000,-
Training Price -
Other Charges (specify) -
Total Final and All-inclusive Price Rp 64.500.000,-

COMPANY PROFILE (Vendor Information Form)1

Item Description Detail

Legal name of bidder* PT Multifacet Education Consultancy

Legal Address (house no, street name, Ruko Bintaro Baru Jl. Jombang Raya No 28 - 29, Kel. Perigi, Kel. Pondok
zip code, city*, region*, country*) Aren, Tangerang Selatan

Website www.mclc-specialneeds.com

Registration date* and VAT number* Click or tap here to enter text. Click or tap here to
enter text.

Legal structure Institution

Business type/industry category* ☐ Direct Producer/Manufacturing ☒ Reseller/Distributor/Service

Provider

Are you a UNGM registered vendor? ☐ Yes ☒ No

If yes, insert UNGM Vendor Number

Do you provide services/goods ☐ Yes ☒ No

internationally? If no, in which country: Click or tap here to enter
text.

Contact information* Company Tel/Mobile: 081218282991

Company Email: mclc.jakarta@gmail.com
Company Website: www.mclc-specialneeds.com
Contact Person 1:081218282991
Contact Person 2: 081380601993

Disability inclusive business* ☒ Yes ☐ No

1
If company id not registered in UNGM or with IOM. If supplied to IOM already, please indicate if there are any changes
to be incorporated in the vendor information sheet signed earlier
IN/168 (Rev.3): Procurement Manual_ Annex 19_ effective on 17 March 2023

3
 Item Description Detail

Women-owned/controlled* ☒ Yes ☐ No
Bank Information Bank Name: BCA
Bank Address: Bintaro
IBAN: -
SWIFT/BIC: CENAIDJA
Account Currency: IDR
Bank Account Number: 680.140.9030
Other relevant information: PT Multifacet Education Consultancy

BIDDER’S DECLARATION OF CONFORMITY2

Yes No
☒ ☐ On behalf of the vendor, I hereby represent and warrant that neither the vendor, nor any person
having powers of representation, decision-making or control over it or any member of its
administrative, management or supervisory body, has been the subject of a final judgement or final
administrative decision for one of the following reasons: bankruptcy, insolvency or winding-up
procedures; breach of obligations relating to the payment of taxes or social security contributions;
grave professional misconduct, including misrepresentation, fraud; corruption; conduct related to a
criminal organisation; money laundering or terrorist financing; terrorist offences or offences linked to
terrorist activities; child labour and other trafficking in human beings, any discriminatory or
exploitative practice, or any practice that is inconsistent with the rights set forth in the Convention on
the Rights of the Child or other prohibited practices; irregularity; creating or being a shell company.
☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor is financially sound and duly
licensed.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor has adequate human
resources, equipment, competence, expertise and skills necessary to complete the contract fully and
satisfactorily, within the stipulated completion period and in accordance with the relevant terms and
conditions.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor complies with all applicable
laws, ordinances, rules and regulations.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor will in all circumstances act
in the best interests of IOM.
☒ ☐ On behalf of the vendor, I further represent and warrant that no official of IOM or any third party has
received from, will be offered by, or will receive from the vendor any direct or indirect benefit arising
from the contract.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor has not misrepresented or
concealed any material facts during the contracting process.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor will respect the legal status,
privileges and immunities of IOM as an intergovernmental organization.

☒ ☐ On behalf of the vendor, I further represent and warrant that neither the vendor nor any persons
having powers of representation, decision-making or control over the vendor or any member of its

2
This form is mandatory to fill in and sign by every vendor who submits quotation
IN/168 (Rev.3): Procurement Manual_ Annex 19_ effective on 17 March 2023

4
Yes No
administrative, management or supervisory body are included in the most recent Consolidated United
Nations Security Council Sanctions List (the “UN Sanctions List”) or are the subject of any sanctions or
other temporary suspension. The vendor will immediately disclose to IOM if it or they become subject
to any sanction or temporary suspension.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor does not employ, provide
resources to, support, contract or otherwise deal with any person, entity or other group associated
with terrorism as per the UN Sanctions List and any other applicable anti-terrorism legislation.

☒ ☐ On behalf of the vendor, I further represent and warrant that, the vendor will apply the highest
ethical standards, the principles of efficiency and economy, equal opportunity, open competition and
transparency, and will avoid any conflict of interest.

☒ ☐ On behalf of the vendor, I further represent and warrant that the vendor undertakes to comply with
the Code of Conduct, available at https://www.ungm.org/Public/CodeOfConduct.

☒ ☐ It is the responsibility of the vendor to inform IOM immediately of any change to the information
provided in this Declaration.
☒ ☐ On behalf of the vendor, I certify that I am duly authorized to sign this Declaration and on behalf of
the vendor I agree to abide by the terms of this Declaration for the duration of any contract entered
into between the vendor and IOM.

☒ ☐ IOM reserves the right to terminate any contract between IOM and the vendor, with immediate effect
and without liability, in the event of any misrepresentation made by the vendor in this Declaration.

Signature:
Name: Romelen Papa
Title: Director
Date: 12 May 2023

IN/168 (Rev.3): Procurement Manual_ Annex 19_ effective on 17 March 2023