OFFICIAL DOCUMENTS THE WORLD BANK IBRD * IDA I WORLDBANKGROUP Marina Wes Country Director for the West Bank and Gaza Middle East and North Afnca 2018 Mr. Ghassan Kasabreh Director General NGO Development Center P.O. Box 2173 Ramallah. West Bank Re: Grant No. TF0A8275 (Gaza Emergency Cash for Work and Self-Employment Support) Additional Instructions: Disbursement Letter Mr. Kasabreh: I refer to the Grant Agreement ("Agreement") between the INTERNATIONAL DEVELOPMENT ASSOCIATION, acting as administrator of the Trust Fund for Gaza and West Bank (the "World Bank"). established on October 19. 1993, by Resolution No. 93-1 1 and IDA 93- 7. as amended by Resolution No. 95-6 and IDA 95-3 and Resolution No. 96-11 and IDA 96-7. and as further amended by Resolution No. 99-3 and IDA 99-2 and Resolution No. 03-193 and IDA 03- 208. of the Executive Directors of the International Bank for Reconstruction and Development and the International Development Association (the "Trust Fund"), and the NGO Development Center (the "Recipient") for the above-referenced project. of even date herewith. The Agreement provides that the World Bank may issue additional instructions regarding the withdrawal of the proceeds of Grant TF0A8275 ("Grant"). This letter ("Disbursement Letter"). as revised from time to time, constitutes the additional instructions. Disbursement Arrangements, Withdrawal and Reporting of Grant Proceeds The attached World Bank Disbursement Guidelines fbr Projects. dated February 20I7, ("Disbursement Guidelines") (Attachment 1), are an integral part of the Disbursement Letter. The manner in which the provisions in the Disbursement Guidelines apply to the Grant is specified below. Sections and subsections in parentheses below refer to the relevant sections and subsections in the Disbursement Guidelines and, unless otherwise defined in this letter, the capitalized terms used have the meanings ascribed to them in the Disbursement Guidelines. (i) Disbursement Arrangements The table in Schedule I sets out the disbursement methods which may be used by the Recipient. information on registration of authorized signatures. processing of withdrawal applications (including ininimum value of applications and processing of advances). instructions on supporting documentation, and frequency of reporting on the Designated Account. (ii) Electronic Delivery. The World Bank may permit the Recipient to electronically deliver applications (with supporting documents) through the World Bank's web-based portal (https: clieicoiection.\orldbanLore) "Client Connection". This option may be effected if the officials designated in writing by the Recipient who are authorized to sign and deliver Applications have registered as users of "Client Connection". The designated officials may deliver Applications electronically by completing the Form 2380. which is accessible through "Client Connection". By signing the Authorized Signatory Letter. the Recipient confirms that it is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the World Bank by electronic means. The Recipient may continue to exercise the option of preparing and delivering Applications in paper form. The World Bank reserves the right and may. in its sole discretion, temporarily or permanently disallow the electronic delivery of Applications by the Recipient. By designating officials to use SIDC and by choosing to deliver the Applications electronically. the Recipient confirms through the authorized signatory letter its agreement to: (a) abide by the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation, available in the World Bank's public website at htips: \iorldbaik.or, and "Client Connection"; and (b) to cause such official to abide by those terms and conditions. II. Other Important Information For additional information on disbursement arrangements. please refer to the Loan Handbook available on the Bank's website (http:; wie.worldbank.ore;) and "Client Connection". The World Bank recommends that you register as a user of "Client Connection". From this website you will be able to prepare and deliver Applications, monitor the near real-time status of the Grant. and retrieve related policy. financial, and procurement information. For more information about the website and registration arrangements. please contact the World Bank by email at clientconnectionii\vorldbank.oru. If you have any queries in relation to the above, please contact Eric Ranjeva. Finance Officer at eranievaavorldbank.oru, with copy to Georges Tony Abou Rjaily, Finance Analyst at zabouriaiil iorldbank.or using the above reference. Yours sincerely. Cuy Marina Wes Countr Director for the West Bank and Gaza Middle East and North Africa 3J - Attachieits 1. Form of Authorized Signatory Letter 2. Statement of Expenditure (SOE) 3. Designated Account Reconciliation Statement -4- Schedule 1: Disbursement Arrangements Haste Information Country West Bank and Gaza Closing Date Section IV.B.2. of Schedule 2 Recipient NGO Development Center to the Grant Agreement. G ranlt Number TF0A8275 Name of the Project Gaza Emergency Cash for Work and Disbursement Four months after the closing Self-Employment Support Deadline Date date. Subsection 3. 7 * Disbursoment Methods, and Supporting Documentation Disbursement Methods Supporting Documentation Methods Available Sectioin 2 (*b) Sbsections 4.3 and 4 4 (**) Direct Payment Yes Copy of Records Reimbursetment Yes Statement of Expenditure in the format attached to Annex 2 * Statement of Expenditure in the format attached to Annex 2 Designated Account Yes * Bank Statement Reconciliation in the fot mat attached to Annex 3 Special Commitment Yes Copy of Letter of Credit Designated Aecount (Section 5 and 6*) Type Segregated Ceiling Fixed Financial Institution - Bank of Palestine - Ramallah Curren-c USD NameOS 4,000.000 for the first 18 months following Frequenty of Reporing' Monthly Amount Project Effectiveness and I .000.000 Subsection 6.3thereafter Minimum~Value oflppic'aions (subsecllon 3.5) The Minimumt Value of Applications for Reimbursement, Direct Payment and Special Commitment Issuance is 20 percent of the Desienated Account outstanding advance. Authorized Signatures (Pbsfetionfl and 57 TheformforAthorised S'ignatoris Letuer is provided in Alltachment I o this letter IWithdrawal aOnWAOm anta1i Applcations, (Subsection 3.3 and 3.4 **) A letter in the Form attached (Attachment 2) should be furnished to the World Bank at the address indicated below providi1g the name(s) and specimen signature(s) of the official(s) authorized to sign Applications: The World Bank West Bank & Gaza Office Jerusalem. Dahiet Al-Barid P-.O. Box 54842 Attention: Marina Wes. Country Director -5- Please provide completed and signed (a) applications for withdrawal, together with supporting documents, and (b) applications for special comnnitments. together with a copy ofthe commercial bank letter of credit,j to the address indicated below: The World Bank Radnicka Cesta 80. IX Zagreb 10000 Croatia Attention: World Bank Group Financing & Accounting (ex-Loan Department) ** Sections and subsections indicated relate to the Disbursement Guidelines for Investment Project Financing dated February 2017 -6- Attachment I Form of Authorized Signatory Letter [Letterhead] NGO Development Center [Street address] [City] [Country] [DATE] The World Bank 1818 H Street, N.W. Washington, D.C. 20433 United States of America Attention: [Country Director] Dear [Country Director]: Re: Grant No. TF0A8275 (Gaza Emergency Cash for Work and Self-Employment Support) I refer to the Grant Agreement ("Agreement") between the [International Bank for Reconstruction and Development/International Development Association] ("World Bank")], acting as [an implementing agencv of the Global Environmental Facility] [administrator of the Global Partnership on Output-based Aidj [administrator of name of the trust find], and [name of recipient] (the "Recipient"), dated ,providing the above Grant. For the purposes of Section 3.04 (b) of the Standard Conditions, as defined in the Agreement, any ['one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign applications for withdrawal [and applications for a special commitment] under this Grant. For the purpose of delivering Applications to the World Bank, 2[each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting [individually] 4[jointly], to deliver Applications, and evidence in support thereof on the terms and conditions specified by the World Bank. 5[This confirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to Instruction to the Recipient when sending this letter to dhe World Bank: Stipulate if more than one person needs to sign Applications, and hoxy many or \%hich positions. and if any thresholds appl%. Pleaise dlelete this/ootnote in final ltter that is sent to the flor/l Bonk 2 Instruction to the Recipient: Stipulate if more than one person needs to jointy sign Applications. if so. please indicate the actual number. Please delete du.hs lomotoe i final letter that is sent to the Worii Bank. Instruction to the Recipient. use this bracket if any one of the authorized persons may sign: if this is not applicable, please delete. Please delete this ifootote in inal leter that is sent to the l l Book Instruction to the Recipient: I'se this bracket only ifseveral indi\iduals must jointly sign each Application: ilfthis is not applicable. please delete. Please delete this fPtnote in final letter that is sent to the Worl Buik -7- the World Bank by electronic means. In full recognition that the World Bank shall rely upon such representations and warranties, including without limitation, the representations and warranties contained in the Ternis and Conditions of Lse of Secure Identiflcation Credentials in connection with Use of Electronic Means to Process Apphcations and Supporting Doctneintation ("Terms and Conditions of Use of SIDC"), the Recipient represents and warrants to the World Bank that it will cause such persons to abide by those terms and conditions.] This Authorization replaces and supersedes any Authorization currently in the World Bank records with respect to this Agreement. [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: [Name], [position] Specimen Signature: Yours truly, / signed / [Position] Instruction to the Recipient Add this paragraph it the Recipient X%ishes to authoriZe the listed persoIns to accept Secure Identiicationt Credentials and to deliver Applications by electironic mcns itf this is not applicable. please delete the paragraph. Pleas d'Iele this footntot inl liial letter that is sent to the Wf orld Banik -8 - Attacmient 2: form of Statement of Expenditures Statemtent of Expenditures (SOE) for all other expenditures Payments made during the period from to Loan No.: Application No.: SOE No.: l 2 3 4 5 6 7 8 9 10 l l A ticle Suppirer s Type ol Good or Service Currency Currencv and % Financed Amount Currency aid 1xchange Date of Reizrks Name (CW/(ni/CS/OP/TR) / and Toial Toral AIonI by I:iugible Ior Amonil Paid Rate Paymei Brief Descripiion Amont of ol linvoice IBRD/Il/i lFil Fiianleing (5 x Irom Contract Covered by D) Designated Applieanon Account (i Applicable) TOTA LS Supporting docuentCs lor this SOE retailned at (location) -9- Attach ment 3 DESIGNATED ACCOUNT RECONCILIATION STATEMENT I\ I CREDIT PPF COFINANCIER NIMBER ACCOINI NI MBER W1'll (B\NK) L FOTAL. ADVANCED BY \ ORLD BANK (OR COINANCIER) 2 LESS TOTILAL AMOUNT RECOVERED BY WORLD BANK - 3 EQL:\S PRESENT OU:TSTANDlNG AMOUINT ADVANCE) TO TilE SECI\l ACC0I N F(NUMBER I LL:SS NI MBER 2) 4. BALANCE 0F SPECIAL ACCOL'NT PER A "TACHE*D BANK SI AIEM ENT AS 0F DATLE y PLUS: TOTAL A.MOU NI CLAIM,ElD [N IlIIS APPLICATION NO. + 6. PLUS: lOTAL. AMOUNT WIT-IDRAWN AND NO I YEI CLAIMED REASON: * 7. PLiS: AMOUNTS CIAIMED IN PREVIOUS APPLICATlONS NOT YET CREDITED AT DATE OF BANK STATEMENTS APPLICATION NO. AMOUNT * SUBTOTAL OV PREVIOUS APPICATIONS NOT YET CREDITED ÷ 9 MINUS: INTEREST EARNED 9 l'OTAL ADVANCE ACCOUNTED FOR (NO. 4 THROUG-1 NO. 9) = l0. EXPLANATION OF ANY DIFFERENCE BETWEEN THE TOTALS APPEARING ON LINES 3 AND 9: 11. DATE: SIGN \ Il RE: ITL: