This Partner’s Plan explains the roles and responsibilities of both partners in the C.U.R.E. Cargo program. It is a roadmap for our process to successfully deliver lifesaving C.U.R.E. Cargo. The goal of this partnership is to improve access to quality healthcare in the communities where the Partner operates.
C.U.R.E. Cargo: Project C.U.R.E.’s Cargo program delivers donated medical supplies and equipment to under-resourced hospitals, clinics and community health centers in developing countries. The primary method of delivery is semi-truck sized 40-foot ocean-freight cargo containers. C.U.R.E. Cargo donations can also be delivered by air freight, wheeled semi-trucks (Mexico) or 20-foot ocean-freight cargo containers. For requests smaller than an ocean freight container, Project C.U.R.E. offers an alternative of C.U.R.E. Kits.
Both Partners agree that under no circumstances will the medical supplies and equipment donated through the C.U.R.E. Cargo program be sold, traded or otherwise transferred to another party, institution or Partner unless both Project C.U.R.E. and the Partner agree in writing.
Project C.U.R.E. is a 501 (c)(3) nonprofit organization dedicated to providing humanitarian aid. Both Partners understand that deposits and payments are requested within 30 days. Donations to Project C.U.R.E. are tax deductible as allowed by law and donations are non-refundable.
Delivery Schedule: The Project C.U.R.E. Cargo program is designed to be completed within six months of receipt of a Request for Assistance. That is a goal. Things may happen that will delay the schedule. To realize the six-month goal, it is important that both Project C.U.R.E. and the Partner adhere to deadlines and schedules. Missed deadlines will result in a delay in the delivery of the C.U.R.E. Cargo container. A full timeline is attached to this agreement as Attachment A.
Needs Assessment Study: Before delivering any medical supplies or equipment to a medical facility, a trained Project C.U.R.E representative will conduct an on-site Needs Assessment Study. This Needs Assessment process distinguishes Project C.U.R.E as a leader in the humanitarian medical relief arena and ensures that the C.U.R.E. Cargo container will meet the specific needs of the recipient Hospital/Clinic, equipping the medical staff with the tools to improve diagnosis, treatment and care. The Needs Assessment Study will include a detailed meeting with representatives of the Hospital/Clinic and an on-site tour of the facility. Over the past 35 years, Project C.U.R.E. has developed an extensive Needs Assessment questionnaire to gather the essential information for use in understanding the most appropriate medical supplies and equipment to be donated to the Hospital/Clinic.
- The Partner will secure the requisite on-site meeting opportunities at the Hospital/Clinic that are listed below. The Needs Assessment visit will include approximately 3.0 to 4.0 hours with Hospital/Clinic representatives. The Needs Assessment concludes with a tour of the Hospital/Clinic.
- It is important that the Needs Assessment Representative will be allowed to photograph the existing facility, rooms and equipment for purposes of documentation. This visual record helps the Project C.U.R.E. team in the selection of the appropriate supplies and equipment.
Needs Assessment Deposit. The Partner will provide a $4,000 deposit to reimburse Project C.U.R.E. for the expenses involved in the required Needs Assessment study. This reimbursement includes the Needs Assessment Representative’s international airfare, travel documents and visas, vaccinations and other travel related expenses. The Needs Assessment Representative will volunteer their time. A reimbursement in the amount of $1,500 will be charged against the deposit for the International Headquarters staff. Any portion of the deposit that is not used to reimburse the airfare and related international travel costs will be credited to the project funding.
Needs Assessment Schedule: The Needs Assessment process is led by the Director of Monitoring and Evaluation who will coordinate with the Partner and the CCM to plan the Needs Assessment visit. The Director of Monitoring and Evaluation’s contact information is:
Name: Lilli LeBeau
Email Address: [email protected]
Phone Number: 720-490-4002
The first step is to secure the dates of the Needs Assessment Study. The Director of Monitoring and Evaluation will provide an Itinerary Planning Document and a Contact Information Form. The Partner will return the completed documents within two weeks of receipt. The Partner will also receive a Needs Assessment Advance Survey to be completed before the full Needs Assessment trip.
Up to ten Hospitals/Clinics may be included in a single Needs Assessment Study. More than ten Hospital/Clinic facility visits can be arranged with special accommodations and additional reimbursements.
During the Needs Assessment Study, the Partner will provide:
✔ Clean, safe hotel accommodations and meals for the Assessor(s),
✔ Transportation to and from the airport, hotel and proposed Hospitals and Clinics;
✔ Interpreters (if needed);
✔ Meetings with appropriate representatives at the proposed Hospital(s)/Clinic(s),
✔ Necessary meetings with the Government/Ministry of Health officials for approval of the donation and assistance in securing the necessary clearance for importing the C.U.R.E Cargo containers.
Following the Needs Assessment Study, Project C.U.R.E. will provide to the Partner a report to document the following C.U.R.E. Cargo project details:
✔ A list of the medical supply and equipment needs of the proposed Hospital(s)/Clinic(s);
✔ An analysis of the local medical professionals’ capacity to install, utilize and maintain the donated medical equipment;
✔ An opinion as to the likelihood of the use of the donation to benefit those in need;
✔ An outline of the importation, customs and delivery process;
✔ A plan for the logistics of the delivery of the C.U.R.E. Cargo container.
C.U.R.E. Cargo Reimbursement : The cost to deliver a forty-foot, ocean freight container of donated medical supplies and equipment is on average, approximately $25,000. That estimate is an average and the final reimbursement may be different depending on the costs of international ocean freight and other expenses incurred in the process. That estimate does not include Additional Items to Purchase listed in the paragraphs below. The Partner agrees to reimburse Project C.U.R.E. for the total expenses incurred in the delivery of the C.U.R.E Cargo containers.
Both parties understand that Project C.U.R.E. incurs per-container expenses of $15,000 for all U.S. based operations, including the collection, warehousing, processing, testing and repair, preparation, loading and delivery and the Partner agrees to reimburse Project C.U.R.E. for these expenses. This $15,000 reimbursement amount will be applied to all C.U.R.E. Cargo projects regardless of the final destination or method of shipment.
In addition to the pre-container reimbursement of $15,000 explained above, the Partner agrees to reimburse Project C.U.R.E. for the ocean-freight delivery expenses incurred to transport the C.U.R.E. Cargo container from the Project C.U.R.E. distribution warehouse to the Partner’s point of entry (The two primary arrangements are Door-to-Door or Door-to-Port. The Partner will bear all transportation expenses from the Project C.U.R.E. distribution warehouse under the Ex-Works option. These options are described in more detail below.)
The Partner agrees to reimburse Project C.U.R.E. for any additional expenses incurred in the delivery of the C.U.R.E. Cargo container delivery process.
Additional Items for Purchase: The Partner may request that additional items be included in the C.U.R.E. Cargo shipment. Project C.U.R.E.’s cost for the additional items will be added to the Partner’s final reimbursement statement. The actual cost of these items depends on market conditions, availability and other considerations. These may include but are not limited to the following:
- Electrical Transformers. Project C.U.R.E. can purchase high-quality electrical transformers to utilize U.S. standard 110v equipment for countries using a 220v/240v power supply. The cost of the transformers would be included in the reimbursement to Project C.U.R.E. on the final statement of funds.
- Cargo Container. Project C.U.R.E. can purchase the ocean freight cargo container from a shipping company for later use by the Partner at the Hospital/Clinic. Project C.U.R.E. would acquire a container that would meet the seaworthy requirements for an ocean freight container, and the expense of the container would be included in the reimbursement statement.
- Specialized Equipment. The Partner can request that Project C.U.R.E. procure specialized medical equipment not otherwise in inventory. The specific equipment would be identified and the Partner would agree to the purchase prior to Project C.U.R.E.’s acquisition. The cost of the specialized equipment would be included in the reimbursement statement.
Cargo Inspection Expense: Some countries may require a mandatory pre-inspection of the C.U.R.E. Cargo contents. The cost of an inspection varies between $500 and $2,000, depending upon the country. The Partner is responsible for Inspection charges. Additional details will be provided during the planning process.
Ocean Freight Rate Quote: For Door to Door and Door to Port C.U.R.E. Cargo projects, Project C.U.R.E. will obtain shipping quotes from preferred international freight forwarding companies. Both parties understand that Project C.U.R.E. will use their best efforts to secure the most economical delivery expenses possible on behalf of the Partner. Unless otherwise agreed, the Ocean Freight Rate will include the services of a Customs Clearing Agent. Project C.U.R.E. will inform the Partner of the rate quote from the freight forwarding company. Rate quotes are valid for only 30 days as shipping rates continually change. If there is a delay in accepting the rate quote, a different quote will be required and that may result in an increase in the ocean freight transportation costs.
Reimbursement Statement/Invoice: Project C.U.R.E. will provide a Reimbursement Statement/Invoice to the Partner for the costs of the C.U.R.E. Cargo delivery. The Partner is requested to provide payment within 30 days of the receipt of the Reimbursement Statement. The total reimbursement is calculated as follows:
Project C.U.R.E. Reimbursement ($15,000)
+ Ocean Freight (for door-to-door and door-to-port projects)
+ Additional Items Purchased
+ Cargo Inspection (if any)
Total Reimbursement to Project C.U.R.E.
C.U.R.E. Cargo Inventory: Based on the findings of the Needs Assessment Study, Project C.U.R.E. will determine the most appropriate medical supplies and equipment for the Hospital/Clinic. The Partner may submit a list of requested items.
- The Partner understands that Project C.U.R.E. will use best efforts to procure the requested medical supplies and equipment for the Partner. These items will be procured from U.S. hospitals, clinics, medical manufacturers, medical wholesalers and private donors.
- The Partner also agrees that Project C.U.R.E. cannot guarantee that all requested items will be available to the Partner. In addition, both parties agree that some items may not be appropriate and/or the top priority for the C.U.R.E. Cargo process and may be reserved for later container shipments.
- The Partner understands that C.U.R.E. Cargo inventory will be a mix of consumable medical supplies and medical equipment. As an average, the wholesale value of the donated medical supplies and equipment is approximately U.S. $350,000 to U.S. $450,000. However, both parties agree that this is an average, and the specific wholesale valuation of the contents of the C.U.R.E. Cargo inventory will be determined by the inventory of the C.U.R.E. Cargo container.
C.U.R.E. Cargo Approval: Following the Needs Assessment Study, a Planning Manifest list will be developed based on the findings of the Needs Assessment visit to the Hospital/Clinic. This Planning Manifest is a comprehensive list of all of the medical supplies and equipment that are a “best fit” for the Hospital/Clinic as determined from the Needs Assessment Study. Project C.U.R.E.’s Director of Logistics will provide the Planning Manifest to the Partner for review and approval. The Director of Logistics contact information is:
Name: Steven Wagener
Email: [email protected]
The Partner will consult with the appropriate personnel at the Hospital/Clinic and will approve the items on the Planning Manifest within 30 days of receipt. If there are items on the list that are not acceptable to the Partner or the Hospital/Clinic representative, those items should be noted within 30 days. In that case, Project C.U.R.E. will remove those inappropriate items and replace them with medical supplies and equipment that are acceptable to the Partner and/or the Hospital/Clinic Representative.
Delivery Options: The Partner has several delivery options for the C.U.R.E. Cargo process. These are detailed as:
- Door to Door: This option will deliver the C.U.R.E. Cargo container from the Project C.U.R.E. warehouse directly to the Partner’s recipient hospital/clinic. The door-to-door option includes the in-country transportation from the receiving port to the final location. For projects where the contents of a single C.U.R.E. Cargo container is shared between several recipient Hospitals or Clinics, Project C.U.R.E. will deliver to a single facility. The Partner will be responsible for the final distribution of the donation to the additional facilities.
- Door to Port: This option will deliver the C.U.R.E. Cargo container from the Project C.U.R.E. warehouse to the port of entry in the recipient country. The Partner will be responsible for the transportation of the C.U.R.E. Cargo container from the incoming port of entry to the hospital/clinic.
- Ex-Works Project C.U.R.E. The Ex-Works (EXW) option places the entire responsibility of shipping, customs and delivery on the Partner. The donated medical supplies and equipment will be available at the Project C.U.R.E. distribution warehouse in the United States. The Partner will be responsible for the transportation from Project C.U.R.E.’s warehouse to the recipient Hospital/Clinic.
For this C.U.R.E. Cargo project, the Partner has selected the following Delivery Option (Please check he appropriate box from the list above).
Loading, Shipping and Documentation: Project C.U.R.E. will contract with the freight forwarding company to transport the container from the Project C.U.R.E. distribution warehouse to either the port of entry for door-to-port projects, or to the recipient hospital for door-to-door projects. Project C.U.R.E. is responsible for the accurate selection and secure packing of the approved supplies and equipment. When the Project C.U.R.E. Cargo container leaves the distribution warehouse, Director of Logistics will deliver to the Partner and/or Consignee all documentation by either email or in certain cases by express delivery. Project C.U.R.E. will assist in providing customs clearance instructions at destination, as well as securing a Customs Clearing Agent unless otherwise agreed. Any additional items such as equipment instruction manuals, installation instructions or other documents will be delivered to the Partner after the C.U.R.E. Cargo container has been loaded. Project C.U.R.E. will provide to the Partner a photograph of the condition of the container as it leaves the Project C.U.R.E. warehouse.
Customs Clearance. The Partner agrees to assume the responsibility for clearing the container(s) through customs. Project C.U.R.E. will identify a Customs Clearing Agent as a part of the Cargo Container process. The Partner may obtain a waiver of customs clearance fees, taxes or tariffs from the government. All duty-free exemptions must be received prior to container shipment to avoid taxes and duties levied on the container upon arrival. Alternatively, the Partner may be responsible for the following Customs charges:
- destination port fees,
- clearance and unloading fees
- duty, tariff or taxes
- storage, demurrage and detention fees
Impact Evaluation. Upon arrival of the container, the Partner will confirm that the shipment arrived in satisfactory condition. Following the unloading of the container, Project C.U.R.E.’s Director of Monitoring and Evaluation will send to the Partner an Impact Evaluation Survey. This report will document how the medical supplies and equipment in the Cargo container were utilized and how the Cargo donation had an impact on medical care at the facility. The Partner agrees to complete the Impact Evaluation Survey within 4 months of the arrival of the container and to provide feedback including but not limited to:
- Photos and videos of container arrival and equipment installation (at and soon after arrival)
- Completion of the Project C.U.R.E. Impact Evaluation Survey and provide additional feedback in the form of testimonials, suggestions, and stories which are highly valued and critical to the success of Project C.U.R.E.’s work with the Partner.
Additional Project C.U.R.E. Cargo Containers. Project C.U.R.E. will endeavor to assist the Partner until the Partner determines that they no longer require additional C.U.R.E. Cargo donations. In the event that a Partner requests additional Cargo containers within five years of the Needs Assessment Study, an additional Needs Assessment Study is not required. If the period between the delivery of the Cargo container and the new request is longer than 5 years, it is likely that too many variables have changed in that time and a new Needs Assessment Study is warranted. In any circumstance, it is agreed that there is not a limit to the number of Cargo containers that the Partner can request from Project C.U.R.E. so long as those donations are used in the Partner Hospital/Clinic and not transferred to another facility without a Needs Assessment Study. In the event that the Partner wishes to request additional Cargo containers, that request would be delivered to the CCM named above.
C.U.R.E. Clinics/C.U.R.E. College. Project C.U.R.E. also offer a C.U.R.E. Clinics program in which medical professionals from the United States travel to the Partner’s location to assist in the practice of medicine together with the doctors and nurses at the Partner Hospital/Clinic. The C.U.R.E. College programs are designed to train medical professionals at the Partner Hospital/Clinic in specific medical procedures. If the Partner is interested in the Clinics/College programs, that request would be made to the CCM for coordination with the Director of C.U.R.E. Clinics/College. Project C.U.R.E. will only provide Clinics/College programs to Partners who have received a Project C.U.R.E. Cargo container.
This document is not intended to be a legal contract. Instead, this Partner’s Plan outlines the important considerations and steps for a successful C.U.R.E. Cargo process. This document will serve as a reference during the C.U.R.E. Cargo delivery. In the event that this document does not address important questions that may arise from the Partner, Project C.U.R.E. is committed to answer those additional questions. By signing this Partner’s Plan below, both the Partner and Project C.U.R.E.’s Client Care Manager acknowledge that they have read the Partner Plan and understand the process of delivering a C.U.R.E. Cargo container. Together, Project C.U.R.E. and the Partner will provide a strong healthcare system and improve the quality of life for the people in the communities they serve.