tenderbulletins.co.za · All steel to be hot-dipped galvanized to SANS 763 The Project Manager reserves the right to inspect the product being manufactured at the suppliers manufacturing

Supplier Name:……………………………………………………………………………………………………

REQUEST FOR QUOTATION FOR GOODS AND SERVICES FOR THE CITY OF UMHLATHUZE

Procurement Less than R200 000 (including vat)

(For publication in the City of uMhlathuze Notice Boards and website)

The City of uMhlathuze request your quotation on the goods and/or services listed hereunder and/or on the available RFQ forms.

Please furnish all information as requested and return your quotation on the date stipulated. Late and incomplete submissions

will invalidate the quotation submitted.

ADVERTISEMENT DATE

17 June 2020

PROCUREMENT OFFICER

Ningi Ngilande

TEL.NO.

035 907 5717

RFQ NO. 100023285 DESCRIPTION OF GOODS AND SERVICES

CLOSING DATE FOR QUOTATION

24 June 2020

TIME 12H00 SUBMISSION OF QUOTATION DEPOSITED IN THE QUOTATION BOX AT

uMHLATHUZE MUNICIPALITY SCMU RECEPTION, END OF BETA STRAAL, ALTON, RICHARDS BAY

CUMPULSORY SITE MEETING NO

SITE MEETING DATE AND TIME

SITE MEETING VENUE

TECHNICAL ENQUIRIES FOR ADDITIONAL INFORMATION:

Mondli Ngongoma 035 907 5716

TAX CLEARANCE CERTIFICATE/ PIN MUST BE SUBMITTED IF QUOTATION IS MORE THAN R30 000.00

SIGNATURE OF BIDDER

CAPACITY

PLEASE NOTE THAT NO PRICE INCREASE WILL BE APPROVED AFTER SUBMISSION OF QUOTATION.

REQUEST FOR QUOTATION (RFQ) NUMBER: 100023285

Delivery Address: STORES AND PROCUREMENT, BETASTRAAL, ALTON, RICHARDS BAY

ITEM NO.

DESCRIPTION Quantity Required

Delivery Period/ Lead

Time

Price per Unit (Excluding

VAT)

Total (Excluding Vat)

1.

SUPPLY AND DELIVERY OF MATERIAL AS PER SPECS BELOW

NB: ANY AND ALL ALTERATIONS MUST BE SIGNED FOR BY THE BIDDER CONFIRMING THAT ALL ALTERATION WAS MADE BY THE BIDDER. PLEASE NOTE THAT PRICE CHANGES WITHOUT A SIGNATURE WILL BE DISQUALIFIED.

Sub Total

VAT @15%

Grand Total

ALL BIDDERS MUST PLEASE MAKE SURE THAT THEY KNOW WHAT THER ARE QUOTING FOR.

Conditions

1. All prices quoted must be exclusive of Value Added Tax (VAT). 2. Prices quoted must include delivery charges and good must be delivered to the address indicated. 3. All prices submitted must be firm. “Firm” prices are deemed to be fixed prices, which are only subject to the following

statutory changes, namely VAT and any levy related to customs and excise. 4. Quantities are given in good faith and without commitment to the City of uMhlathuze. 5. Vendors not registered for Value Added Tax with SARS will be treated as Non VAT vendors 6. Certified copy BEE certificate must be supplied together with quote. 7. Suppliers submitting quotation should be registered with Central Suppliers Database, CSD number must be supplied 8. Letter of Good standing must be provided.

NB: If quotation exceeds R30 000 (VAT incl.), the successful bidder will be required to submit a valid TAX CLEARANCE CERTIFICATE prior to the order being placed.

NOTE: “Council may not necessarily accept the lowest or any other offer, and reserves the right to select in its favour any, all, or no portion of any offer made.”

SUPPLY CHAIN MANAGEMENT UNIT END OF BETASTRAAL ALTON RICHARDS BAY3900

VAT.NO:4690193521 BIDDER:

REQUEST FOR QOUTATION

RFQ NUMBER: RFQ DATE:

TEL NO: CONTACT PERSON

FAX NO: NAME: NINGI NGILANDE

TEL NO: 035 907 5717 City of uMhlathuze Vendor No. ……………………………………… CSD No. ……………………………………………

OFFICE USE ONLY: PRICE/S TO BE VAT EXCLUSIVE

Please submit all Quotations to the fax number stated above

RFQ’S above R30 000-00 to a maximum of R200 000 will be evaluated on the basis pf the 80:20 point system as stipulated in the Preferential Procurement Policy Framework Act (Act number 5 of 2000). Point will be allocated as follows:

Points for price: 80

Points for B-BBEE (Max of 20):

B-BBEE status Level of Contributor Number of Points (80/20 system)

1 20

2 18

3 16

4 12

5 8

6 6

7 4

8 2

Non- Compliant Contributor 0

CHECKLIST

RFQ NO: ………………..

PLEASE USE THE CHECKLIST TO CONFIRM THAT ALL COMPULSORY DOCUMENTS HAVE BEEN ATTACHED TO YOUR

QOUTATION.

No. Details √

1. MBD 4: Declaration of Interest (attached)

2. Certified Copy of BBBEE Certificate

3. Original Tax Clearance Certificate

4. Relevant Previous work experience report

5. CIDB Registration -1 GB/CE only

6. All alterations have been signed.

7. Central supplier database registration number- attached printed registration report

8. Letter of good standing

9.. Quotation is signed.

PLEASE NOTE THAT NOT SUBMITTING THE COMPULSORY DOCUMENTS MAY LEAD TO

DISQUALIFICATION

Signature: …………………………… NAME:………………………………………………….

City of

uMHLATHUZE STAD DOLOBHA

(K282) Private Bag X1004, Richards Bay 3900 Privaatsak X1004, Richardsbaai 3900

Isikhwamaseposi X1004, Richards Bay 3900 Tel.: 035-907 5000

Fax.: 035-907 5444/5/6/7 E-mail: [email protected]

Website: http://www.richemp.org.za

BUILDINGS AND STRUCTURES SECTION

SUPPLY AND DELIVER MATERIAL FOR VARIOUS HALLS

Company :

Representative:

Company Stamp:

Tel. No. : _

Fax No. : _

e-Mail : _

QUOTATION PRICE (Brought forward from Schedule of Quantities)

IN FIGURES :_R_______________________________________________Excl VAT__

IN WORDS :(__________________________________________________________)

mailto:[email protected]

http://www.richemp.org.za/

PRO FORMA

FORM OF OFFER AND ACCEPTANCE

(Agreement)

Offer

The Employer, identified in the Acceptance signature block, has solicited offers to

enter into a contract in respect of the following works:


Tenderer, identified in the Offer signature block below, has examined the documents

listed in the Tender Data and addenda thereto as listed in the Returnable Schedules,

and by submitting this Offer has accepted the Conditions of Tender.

By the representative of the Tenderer, deemed to be duly authorised, signing this

part of this Form of Offer and Acceptance, the Tenderer offers to perform all of the

obligations and liabilities of the Contractor under the Contract including compliance

with all its terms and conditions according to their true intent and meaning for an

amount to be determined in accordance with the Conditions of Contract identified in

the Contract Data.

THE OFFERED TOTAL OF THE PRICES EXCLUSIVE OF VALUE ADDED TAX

IS: R..............................……………………………………………………

………………………………………………………………………(in words);

R………………………………………………………..(In figures)

This Offer may be accepted by the Employer by signing the Acceptance part of this

Form of Offer and Acceptance and returning one copy of this document to the

Tenderer before the end of the period of validity stated in the Tender Data,

whereupon the Tenderer becomes the party named as the Contractor in the

Conditions of Contract identified in the Contract Data.

For the Tenderer :

Signature ……………………………………..

Name ………………………………………

Capacity ……………………………………….

Name and address of organisation ………………………………………

………………………………………

………………………………………

Signature and name of witness:

……………………………………..

Signature

……………………………………

Name

Date ……………………………..

Acceptance

By signing this part of this Form of Offer and Acceptance ,the Employer identified

below accepts the Tenderer’s Offer. In consideration thereof , the Employer shall pay

the Contractor the amount due In accordance with the Conditions of Contract

identified in the Quotation Document. Acceptance of the Tenderers Offer shall form

an Agreement between the Employer and the Tenderer upon the terms and

conditions contained in this Agreement and in the Contract that is the subject of this

Agreement.

The terms of the contract ,are contained in

Part 1 Agreement and Contract Data(which includes this Agreement0

Part 2 Pricing Data

Part 3 Scope of works

Part 4 Site information

And drawings and documents or parts thereof which may be incorporated by

reference into parts 1 to 4 above.

Deviations from the amendments to the documents listed in the Tender Data and

any addenda thereto listed in the Tender Schedules as well as any changes to the

terms of the Offer agreed by the tenderer and the Employer during this process of

offer and acceptance ,are contained in the schedule of Deviations attached to and

forming part of this Agreement .No amendments to or deviations from said

documents are valid unless contained in this schedule, which must be duly signed by

the authorised representatives of both parties.

The Tenderer shall within three days after receiving a completed copy of this

Agreement ,including the Schedule of Deviations (if any)contact the employers agent

(whose details are given in the Quotation Document) to arrange for the delivery of

any bonds, guarantees ,proof of insurance and any other documentation to be

provided in terms of the conditions of Contract identified in the Contract Data at or

just after the date this Agreement comes into effect .Failure to fulfil any of these

obligations in accordance with those terms shall constitute a repudiation of this

Agreement.

Notwithstanding anything contained herein,this agreement comes into effect on the

date when the Tenderer receives one fully completed original copy of this document

,including the Schedule of Deviations (if any) .Unless the Tenderer now ( the

Contractor ) within five days of the date such receipt notifies the Employer in writing

of any reason why he cannot accept the content of this agreement ,this shall

constitute a binding contract between the parties,

For the Employer

…………………………………………….

Signature

…………………………………………….

Name

……………………………………………

Capacity

Name and address of organisation

…………………………………………...

……………………………………………

……………………………………………

Signature and name of witness:

……………………………………………

Signature

……………………………………………

Name

Date ………………………………….

CIDB Registration Number of Tenderer: ………………………………..

QUOTATION NO.


MATERIAL SPECIFICATION

1. SCOPE OF WORK

The scope of works cover Supply and deliver material for Various Halls.

1.1 Standardized Specification

1.1.1 The following standard specifications will apply:

SANS 1200 AA General Small Works 1986 As amended

SANS 1200 GA Concrete Small Works 1982 As amended

SANS 0400 The Application of the National

Building Regulations

1990 Part K Clause KK11

1.2 Project Specification

1.2.1 The following project specifications will apply:.

All steel to be hot-dipped galvanized to SANS 763

The Project Manager reserves the right to inspect the product being manufactured at the

suppliers manufacturing facility and the contractor will supply the Project Manager with the

required test certificates to prove compliance as and when requested.

1.3 Gate size – 2.1m(height) x 3m(length) using 50mm x 50mm square tubing with 25mm x

25mm vertical square tuning Spacing to be 120mm in between All components of the gate to hot-dip galvanized Supply cylinder lock set with three keys for both gates 1.5 D10 Gate motor •Input Voltage : 90-240V AC ± 10%, 50Hz •Motor Voltage : 24V DC •Motor Power Supply : Battery Driven – (standard capacity 2 x 7Ah) •Push Force–rated : 30kgf •Gate Speed : 22-26m/min •Duty Cycle - mains present : 45% •Daily Operations–max : 750 •Gate Mass : 1000kg •Onboard Receiver Specification : Centurion code-hopping ,multichannel, 433MHz,

capacity - 500 transmitter buttons

2. CONTRACT PERIOD AND COMPLETION DATE

The contract is valid for 2 weeks, which period shall include any statutory and builders

holidays falling within this period.

3. PENALTIES FOR LATE COMPLETION

A penalty of R500,00 per day shall be raised for every day or part thereof that the work

remains incomplete after the date specified in clause 3 above.

4. HOURS OF WORK

Normal hours of work shall be defined as:

Mon day to Friday: 07H00 to 16H30.

The undertaking of work outside normal working hours should be subject to the approval of the

Project Leader.

5. PROGRAMME AND METHOD OF WORK

The Contractor’s method of work and programme of work shall be submitted to the

Project Leader. For the purpose of this contract, the site is where the Contractor is working

at any given time.

6. OCCUPATIONAL INJURIES AND DISEASES ACT:

OCCUPATIONAL HEALTH AND SAFETY ACT

6.1 The Contractor shall comply with the Compensation for Occupational Injuries and Diseases

Act 1993 (Act 130 of 1993), and any amendment thereof.

6.2 The Contractor undertakes to carry out its obligations in accordance with the requirements of

the Occupational Health and Safety Act, 1993 (Act 85 of 1993) and Regulations and comply

with all requirements of the Act.

7. CLEARING OF SITE

All excess and discarded material shall be totally removed from the area. The works will

not be deemed to be complete unless the site is cleared to the satisfaction of the Project

Leader. Burying of discarded material will not be permitted.

8. INFORMATION TO BE OBTAINED ON SITE

The tenderer may visit the site of the proposed work and acquaint himself with the nature of the work, the condition under which the work is to be performed, the means of access to the site, any limitations or restrictions that may be imposed by City of uMhlathuze or other authorities and in general with all matters that may influence or affect the contract and shall be deemed to have allowed in his tender for any additional cost involved due to the foregoing, an no claims for any extras in connection with the position or nature of the work will be entertained.

9. GENERAL

9.1 The Contractor must verify all levels and dimensions on site before any work commences and

any discrepancies must be discussed with the Project Leader.

9.2 All workmanship and materials must comply with the latest relevant SANS codes and

specification.

10 MEASUREMENT AND PAYMENT

10.1 Invoice to be submitted on completion of work.

10.2 All tendered rates to be exclusive of VAT.

QUOTATION NO.


SCHEDULE OF QUANTITIES

ITEM NO. DESCRIPTION UNIT QTY RATE AMOUNT

1 Interlocking Pavers

1.1 200x100x80mm Grey (Pallets) No. 15

Total carried forward to summary sheet

2 Gates

2.1 3m length x 2.1m height galvanized gate No. 4


3. Motors

3.1 D10 gate motor No. 4


QUOTATION NO.


SUMMARY OF SCHEDULES

Section No. Description Amount ( R )

1 INTERLOCKING PAVERS

2 GATE

3 MOTOR

TOTAL COST

Value Added Tax at 15%

TOTAL AMOUNT OF TENDER CARRIED FORWARD TO FORM OF OFFER AND ACCEPTANCE

WITNESSES

1. ………………………………… CONTRACTOR: ………………………….

2. ………………………………… DATE: ……………………………….…….

WITNESSES

1. ……………………………………. ………………………………………..…..

PROJECT MANAGER

2. ……………………………………. DATE: …………………………….………

City of uMhlathuze | Supply Chain Management Unit

4

MEMORANDUM OF AGREEMENT ITO S37 OF THE OCCUPATIONAL HEALTH AND SAFETY ACT

85 OF 1993

(Hereinafter referred to as the Act)

ENTERED INTO AND BETWEEN

THE CITY OF uMHLATHUZE

(Hereinafter referred to as the Employer)

and

(Hereinafter referred to as The Contractor)

Compensation Fund Registration Number:


5

Whereas the Employer called under contract no. __________ for the executing of the following

_________________________________________________________________________________________

at ___________________________________________________________________________ (“Premises”)

and whereas the contractor _______________________________________________________________

undertook to carry out the work and whereas the Employer and Contractor have

agreed to regulate as between them and as provided for in terms of section 37(2) of

the Occupational Health and Safety Act, No 85 of 1993, (OHS Act).

Acts or Omissions by Employees or Mandataries:

1. Whenever an employee does or omits to do any act which it would be an offence in

terms of this Act for the employer of such employee or a user to do or omit to do,

then, unless it is proved that —

(a) the employee was acting without the connivance or permission of the employer

or any such user;

(b) it was not under any condition or in any circumstance within the scope of the

authority of the employee to do or omit to do an act, whether lawful or

unlawful, of the character of the act or omission charged; and

(c) all reasonable steps were taken by the employer or any such user to prevent

any act or omission of the kind in question; the employer or any such user

shall be presumed to have done or omitted to do that act, and shall be liable

to be convicted and sentenced in respect thereof; and the fact that he/she

issued instructions forbidding any act or omission of the kind in question shall

not be accepted as sufficient proof that he/she took all reasonable steps to

prevent the act or omission.

2. The provisions of subsection (1) shall mutatis mutandis apply in the case of a

mandatory of any employer or user, except if the parties have agreed in writing to

the arrangements and procedures between them to ensure compliance by the

mandatory with the provisions of this Act.

3. Whenever any employee or mandatory of any employer or user does or omits to do

an act which it would be an offence in terms of this Act for the employer or any

such user to do or omit to do, he/she shall be liable to be convicted and sentenced

in respect thereof as if he/she were the employer or user.

4. Whenever any employee or mandatory of the State commits or omits to do an act

which would be an offence in terms of this Act, had he/she been the employee or

mandatory of an employer other than the State and had such employer committed

or omitted to do that act, he/she shall be liable to be convicted and sentenced in

respect thereof as if he/she were an employer.

5. Any employee or mandatory referred to in subsection (3) may be so convicted and

sentenced in addition to the employer or user.

6. Whenever the employee or mandatory of an employer is convicted of an offence

consisting of a contravention of

Section 23, the court shall, when making an order under Section 38(4), make such an

order against the employer and not against such employee or mandatory.

Now therefore the undersigned agree to:

1. The Contractor warrants that all his and his contractors’ employees are covered in

terms of the provisions of the Compensation for Occupational Injuries and


6

Diseases Act 1993 which cover shall remain in force whilst any such employees are

on the premises.

2. The Contractor warrants that he is in possession of the following insurance cover

which shall remain in force whilst he and/or his Contractor and/or his employees

are present on the

premises or which shall remain in force for the duration of his contractual

relationship with the Employer whichever period is longer:

• Public liability insurance covers- to be produced together with submission of

this agreement.

• Any other insurance cover that will adequately make provision for any possible

losses and/or claims arising from his and/or his contractors and/or his

Employees’ acts and/or omissions on the premises.

3. The Contractor undertakes to ensure that he and/or his contractors and/or their

respective employees will at all times comply with all the requirements of the OHS

Act and without derogating from this general undertaking, also comply with the

following conditions:

• All work performed on the premises must be performed under the close

supervision of the contractor’s employees who are trained by the Contractor to

understand the hazards associated with any work that the contractor performs

on the stated premises.

• The Contractor shall assume the responsibility in terms of Section 16(1) of the

Act. If the Contractor delegates any duty in terms of Section 16(2), a copy of

such written delegation shall immediately be forwarded to the Employer.

• The Contractor shall ensure that he familiarizes himself with the requirements

of the OHS Act, and that he, his employees and any Contractor comply with the

same.

• The Contractor shall conduct a hazard analysis and ensure that his and any

contractor employees are made aware of all the hazards identified. This

analysis needs to be reviewed prior to commencement of a new task. The

analysis is to be disclosed in order to confirm whether the work can go on.

The Contractor must provide the Employer with written proof that his employees

and those of the sub contractor have been made aware of the hazards identified.

The Contractor must provide the Employer with updated copies of the analysis.

• Discipline regarding Occupational Health and Safety shall be strictly enforced

by the Contractor in his capacity as an Employer, which shall be monitored by

the Employer to ensure enforcement.

• Personal Protective Equipment as defined in the Act and regulations shall be

issued free of charge by the Contractor to all employees as required before

commencement of work and worn as prescribed. The Contractor shall ensure

compliance and such compliance shall be monitored from time to time by the

Employer.

• Safe work practices shall be enforced by the Contractor and all employees shall

be made conversant with the contents of these practices. Compliance with such

procedures shall be monitored by the Contactor in the form of audits and

planned task analysis, and such enforcement shall be monitored by the

Employer from time to time.


7

• The Contractor shall ensure that no unsafe equipment/machinery and/or

articles will be allowed and/or used on the premises. Compliance therewith

shall be monitored by the Employer on a continuous basis.

• All incidents referred to in Section 24 of the Act shall be reported by the

Contractor to the Department of Labour as well as to the Employer. The

Employer shall further be provided with copies of all documentation relating to

any incident.

• The Employer hereby obtains an interest in the issue of any formal inquiry

conducted in terms of Section 32 of the Act into any incident involving a

Contractor and/or his employees and/or his Contractor.

• No use shall be made of any machinery/article/substance/personal protective

equipment that belongs to the Employer without prior written approval.

• Work for which the issuing of a permit is required shall not be performed prior

to the obtaining of a duly completed and approved permit.

• No alcohol or other intoxicating substance shall be allowed on the premises.

Anyone found to be or suspected of being under the influence of alcohol or any

other intoxicating substance shall be removed from the premises.

• Full co-operation shall be given if and when Employer's employees inquire into

Occupational Health and Safety issues.

• The Contractor expressly agrees to comply with the procedures and

arrangements as required by the Act in the execution of the work.

4. The Contractor confirms that he has been informed that he must report to

Employer management (in writing) anything that he deems to be unhealthy and/or

unsafe and that he has versed his employees and/or contractors in this regard.

5. The Contractor warrants that he shall not endanger the health and safety of any of

the Employer’s employees, persons on the premises or the immediate environment

in any way whilst performing any work on the premises.

___________________________________ Date _____________________

1. Signed by the City of uMhlathuze Representative

Section 16(2) Assignee

___________________________________ Date ____________________

2. Signed by Contractor or his Authorized Representative


8

DECLARATION OF INTEREST

1. No bid will be accepted from persons in the service of the state .

2. Any person, having a kinship with persons in the service of the state, including a blood

relationship, may make an offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, it is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority and/or take an oath declaring his/her interest.

3 In order to give effect to the above, the following questionnaire must be completed and

submitted with the bid. 3.1 Full Name: ………………………………………………………………………… 3.2 Identity Number: ………………………………………………………………… 3.3 Company Registration Number: ………………………………………………… 3.4 Tax Reference Number: ………………………………………………………… 3.5 VAT Registration Number: ……………………………………………………… 3.6 Are you presently in the service of the state YES / NO 3.6.1 If so, furnish particulars. ………………………………………………………………


9

……………………………………………………………… 3.7 Have you been in the service of the state for the past YES / NO

twelve months? 3.7.1 If so, furnish particulars.

………………………………………………………………

………………………………………………………………

3.8 Do you, have any relationship (family, friend, other) with persons in the service of the state

and who may be involved with the evaluation and or adjudication of this bid? 3.8.1 If so, furnish particulars. ……………………………………………………………… ……………………………………………………………… 3.9 Are you, aware of any relationship (family, friend, other) YES / NO

between a bidder and any persons in the service of the state who may be involved with the evaluation and

or adjudication of this bid?

3.9.1 If so, furnish particulars

…………………………………………………………….

……………………………………………………………. 3.10 Are any of the company’s directors, managers, principal YES / NO shareholders or stakeholders in service of the state? 3.10.1 If so, furnish particulars. ……………………………………………………………… ……………………………………………………………… 3.11 Are any spouse, child or parent of the company’s directors, YES / NO

managers, principal shareholders or stakeholders in service of the state?

3.11.1 If so, furnish particulars. ………………………………………………………………


10

CERTIFICATION

I, THE UNDERSIGNED (NAME) ……………………………………………………………………… CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION FORM IS CORRECT. I ACCEPT THAT THE STATE MAY ACT AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE.

………………………………………………… …………………………………

Signature Date

…………………………………………………. …………………………………

Position Name of Bidder


11

uMH Q4

DECLARATION OF INTEREST MBD 4 1. No bid will be accepted from persons in the service of the state¹. 2. Any person, having a kinship with persons in the service of the state, including a blood relationship, may make an

offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, it is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority.

3. In order to give effect to the above, the following questionnaire must be completed and submitted with the

bid. 3.1 Full Name of bidder or his or her representative:…………………………………………………………………………… 3.2 Identity Number:…………………………………………………………………………………………………………………. 3.3 Position occupied in the Company (director, trustee, hareholder²):………………………………………………………… 3.4 Company Registration Number:………………………………………………………………………………………………... 3.5 Tax Reference Number:…………………………………………………………………………………………………………. 3.6 VAT Registration Number:………………………………………………………………………………………………………. 3.7 The names of all directors / trustees / shareholders members, their individual identity numbers and state employee

numbers must be indicated in paragraph 4 below. 3.8 Are you presently in the service of the state? Yes No

(Mark appropriate block with “X”) 3.8.1 If yes, furnish particulars ……………………………………………………………………… ……………………………………………………………………… ¹MSCM Regulations: “in the service of the state” means to be:-

(a) a member of – (i) any municipal council; (ii) any provincial legislature; or (iii) the national Assembly or the national Council of provinces;

(b) a member of the board of directors of any municipal entity; (c) an official of any municipality or municipal entity; (d) an employee of any national or provincial department, national or provincial public entity or constitutional institution

within the meaning of the Public Finance Management Act, 1999 (Act No.1 of 1999); (e) a member of the accounting authority of any national or provincial public entity; or (f) an employee of Parliament or a provincial legislature.


12

² Shareholder” means a person who owns shares in the company and is actively involved in the management of the company or business and exercises control over the company.

3.9 Have you been in the service of the state for the past twelve months? Yes No (Mark appropriate block with “X”)

3.9.1 If yes, furnish particulars ……………………………………………………………………… ………………………………………………………………………

3.10 Do you have any relationship (family, friend, other) with persons in the service of the state and who may

be involved with the evaluation and or adjudication of this bid? Yes No (Mark appropriate block with “X”)

3.10.1 If yes, furnish particulars …………………………………………………………………. …………………………………………………………………. 3.11 Are you, aware of any relationship (family, friend, other) between any other bidder and any persons in

the service of the state who may be involved with the evaluation and or adjudication of this bid? Yes No

(Mark appropriate block with “X”)

3.11.1 If yes, furnish particulars …………………………………………………………………. …………………………………………………………………. 3.12 Are any of the company’s directors, trustees, managers, principle shareholders or stakeholders in

service of the state. Yes No (Mark appropriate block with “X”)

3.12.1 If yes, furnish particulars …………………………………………………………………. …………………………………………………………………. 3.13 Are any spouse, child or parent of the company’s directors trustees, managers, principle shareholders or

stakeholders in service of the state? Yes No

(Mark appropriate block with “X”)

3.13.1 If yes, furnish particulars. …………………………………………………………………. …………………………………………………………………. 3.14 Do you or any of the directors, trustees, managers, principle shareholders, or stakeholders of this


13

company have any interest in any other related companies or business whether or not they are bidding for this contract .

Yes No (Mark appropriate block with “X”)

3.14.1 If yes, furnish particulars. …………………………………………………………………. ………………………………………………………………….

3. Full details of directors / trustees / members / shareholders.

Full Name Identity Number State Employee Number

CERTIFICATION OF CORRECTNESS OF INFORMATION SUPPLIED IN THIS DOCUMENT I/ WE, THE UNDERSIGNED, WHO WARRANT THAT I AM DULY AUTHORISED TO DO SO ON BEHALF OF THE

TENDERER, CERTIFY THAT THE INFORMATION SUPPLIED IN TERMS OF THIS DOCUMENT IS CORRECT AND TRUE, THAT THE SIGNATORY TO THIS DOCUMENT IS DULY AUTHORISED AND ACKNOWLEDGE THAT:

(1) The tenderer will furnish documentary proof regarding any tendering issue to the satisfaction of uMhlathuze

Municipality, if requested to do so. (2) If the information supplied is found to be incorrect and/or false then uMhlathuze Municipality, in addition to any

remedies it may have, may: (a) Recover from the contractor all costs, losses or damages incurred or sustained by uMhlathuze Municipality as a

result of the award of the contract, and/or (b) Cancel the contract and claim any damages which uMhlathuze Municipality may suffer by having to make less

favourable arrangements after such cancellation. DATE : ……………………………………………… SIGNATURE : …………………………………………

CAPACITY : ……………………………………………… NAME OF BIDDER : …………………………………………………

Documents

tenderbulletins.co.za · All steel to be hot-dipped galvanized to SANS 763 The Project Manager reserves the right to inspect the product being manufactured at the suppliers manufacturing