EXPRESSION OF INTEREST (EoI)

DATABASE FOR THE MAINTENANCE PROGRAMME IN KWAZULU NATAL PROVINCE FOR A PERIOD OF 36 MONTHS

BID NUMBER

IDTKZN17DSD126

Closing Date & Time 06 September 2017 12:00pm

Enquiries Name : Solomon Dube

Tel: 031 369 7400

Email: solomond@idt.org.za

Evaluation Criteria Bidders must meet all the criteria in order to be evaluated on Functionality.

Compulsory Requirements 1. Must be EME (Turnover not exceeding R10m) 2. Declaration of Interest SBD 4, 3. Bidders Past Supply Chain Practices SBD 8 4. Certificate of Independent Bid Determination SBD 9 5. Active CIDB 1,2,3 in GB,CE,EB,EP 6. COID(A)

SERVICES OFFERED (Tick a Maximum of 3 only.)

1. Installation of Water Tanks

2. Construction and Servicing of Sceptic Tanks

3. Drilling and Equipping of Boreholes

4. General Maintenance of DSD Service Centres

5. Supply of Park Homes

Districts Nominated (Tick)

Amajuba District Umgungundlovu District

Ethekwini District Umkhanyakude District

Harry Gwala District Umzinyathi District

Ilembe District Uthukela District

King Cetshwayo District Zululand District

Ugu Districts

INFORMATION BELOW TO BE COMPLETED BY SUPPLIER:

SERVICE PROVIDER NAME:…………………………………………………………………………………. CSD NUMBER…………………………………………………………………………………………………… TEL………………………………………………………………………………….........

EMAIL ……………………………………………………………………………

TERMS AND CONDITIONS

Submissions must be hand delivered on or before the due date and closing time as indicated above. No late submissions will be considered.

Any amendments to the rates offered or description given must be signed by the person who signed the quotation

Only authorized representatives of the supplier may duly sign submissions The IDT will not accept liability for submissions not duly signed.

The IDT reserves the right to award the quotations in whole or part or not to award at ll.

By being enlisted on the database , the IDT does not infer an award of any work or make a financial commitment

The IDT reserves the right to cluster projects as it deems fit for operational reasons

The Districts are only a guide, The IDT will cluster projects in line with the Client’s needs

SPECIAL CONDITIONS

SCOPE OF SERVICES/TERMS OF REFERENCE

1. Schedule of service: Drilling and Equipping of boreholes Installation of Water Tanks Construction and Servicing of Septic Tanks Supply and erection of park homes General Maintenance to DSD Structures

2. Quality and standard of service required: To the client’s satisfaction 3. Manpower required: Mainly unskilled workers 4. Materials to be provided by the service provider for carrying out the service: As per the

specifications on the drawings with Schedule of Quantities 5. Other requirements: Any deemed necessary during the execution of work

I / We, the undersigned, here by agree to provide all or any portion of the service at the price and under the terms and conditions shown above, subject to and in accordance with the terms of quotations shown in this invitation document. Name:………………………………………………………………………………………………… Authorized Signature: …………………………………Date:……………………………………… Company: ……………………………………………………………………………………………..

All queries relating to this expression of interest (EoI) may be addressed in writing to the IDT’s Representatives in writing Mr. Solomon Dube, Tel No. 031-369 7400, , e- mail: solomond@idt.org.za.

Telegraphic, telephonic, telex, facsimile, e-mail and late Quotations WILL NOT be accepted. All Service Providers must submit the original Quotation documentation issued by the IDT. All Service Providers must comply and must be found on the CSD registered report.

SUBMISSION DATA

Clause numbe

r

DATABASE FOR THE DROUGHT RELIEF MAINTENANCE PROGRAMME IN KWAZULU NATAL PROVINCE FOR A PERIOD OF 36

MONTHS

The Employer is IDT

Contract period:

TBA DAYS

Central Supplier Database (CSD) on Tax Compliance

No contract may be awarded to a person who has non-compliant tax status found on CSD or South African Revenue Service (“SARS”) certifying the taxes of that person to be in order or that suitable arrangement have been made with SARS”

Expression of Interest (EoI) Submissions

22 The Marine Building, 12th Floor 22 Dorothy Nyembe Street Durban 4000

EVALUATION OF EXPRESSION OF INTEREST

The bidders will be evaluated further on functionality once they have successfully passed the eligibility criteria.

Stage 1: Assessment of functionality. Only service providers who achieved a minimum of 50% of the total available functionality points will qualify for stage two of the evaluation process.

Bidders will be evaluated on functionality as follows: EVALUATION FOR GRADES 2 & 3

EXPERIENCE- COMPLETED PROJECTS: 50 Points

5 Positive notice of completion or appointment letters 50 points 4 Positive notice of completion or appointment letters 40 points 3 positive notice of completion or appointment letters 30 points 2 positive notice of completion or appointment letters 20 points 1 positive notice of completion or appointment letter 10 points Non-Submission 00 points NB// The bidder must submit signed letter/certificate from the client indicating client name,

project description, contact details preferable landline number, amount of the service rendered or to be rendered and date of the letter/certificate.

CLIENT REFERENCE LETTERS FOR COMPLETED PROJECTS ABOVE 15 Points

3 Positive reference letters 15 points 2 Positive reference letters 10 points 1 Positive reference letter 05 points Non-Submission 00 points

The bidder must submit reference (letters) from the client(s) of similar project submitted on the first criteria in order to assess the performance of the bidder in that particular project and the letter must meet the conditions as outlined above. PROOF OF BASIC RELEVANT EQUIPMENT FOR RELEVANT SERVICES 15 Points

Proof of equipment ownership (provide logbook as proof of ownership 15 Points Proof of lease agreement ( provide lease agreement or letter from the owner) 10 Points Proof of hire 05 Points Non-Submission 00 points

RELEVANT CV OF KEY PERSONNEL 20 Points

CV of the key personnel with more than 5 years relevant experience 20 Points CV of the key personnel between 3 to 5 years relevant experience 15 Points CV of the key personnel between 1 to 3 years relevant experience 10 Points CV of the key personnel between below 1 year relevant experience 05 Points Non-Submission 00 points

TOTAL 100 Points

EVALUATION FOR GRADES 1

CLIENT REFERENCE LETTERS FOR RELEVANT PROJECT(S) 20 Points

2 Positive reference letters 20 points 1 Positive reference letters 10 points Non-Submission 00 points

RELEVANT CV OF KEY PERSONNEL 10 Points

CV of the key personnel with more than 3 years relevant experience 10 Points CV of the key personnel between 1 to 3 years relevant experience 08 Points CV of the key personnel between below 1 year relevant experience 05 Points Non-Submission 00 points

PROOF OF BASIC RELEVANT EQUIPMENT FOR RELEVANT SERVICES NOMINATED (OWNERSHIP, HIRE OR LEASE) 10 Points

Proof of equipment ownership (provide logbook as proof of ownership 10 Points Proof of lease agreement ( provide lease agreement or letter from the owner) 08 Points Proof of hire 05 Points Non-Submission 00 points

TOTAL (40) Points

STAGE2:

The 80/20 preferential point system will be applied, where 80 points will be allocated for price and 20 points for B-BBEE Status. Bidders must submit a certified BBBEE certificate issued by an Accounting Officer as contemplated in the CCA or a Verification Agency accredited by SANAS or a Registered Auditor. Stage two will only be applicable to at the request for quotation stage.

List of Returnable Documents

List of returnable documents are for ensuring that everything the employer requires a tenderer to submit with his tender is included in, or returned with, his tender submission. Tick below if returnable

document is attached or completed properly.

ITEM

LIST OF RETURNABLE DOCUMENTS

TICK IF

ATTACHED

1. Certified B-BBEE Certificate Minimum Level 1 for EME

2. CSD Registration (with Copy of Tax Clearance Certificate with PIN)

3. Declaration of Interest (SBD4)

4. Certificate of Independent Bid Determination (SBD9)

5. Declaration of Bidder’s Past Supply Chain Management Practices (SBD8)

6 Proof Completed Projects Appointment letters and Notice of Completion Certificates

7. CVs of Key Staff and owner (brief CV not more than 2 pages

8. Contactable References per projects submitted ( list)

9 CIDB CRS Number

10. Certificate of Authority For Signatory

PREFERENCE POINTS CLAIM FORM IN TERMS OF THE PREFERENTIAL PROCUREMENT REGULATIONS 2017.

This preference form must form part of all bids invited. It contains general information and serves as a claim form for preference points for Broad-Based Black Economic Empowerment (B-BBEE) Status Level of Contribution

QUOTATION GENERAL CONDITIONS

Preference points for this bid shall be awarded for:

Price; and B-BBEE Status Level of Contribution

POINTS

PRICE 80 B-BBEE STATUS LEVEL OF CONTRIBUTION 20 Total points for Price and B-BBEE must not exceed 100

Failure on the part of a bidder to fill in and/or to sign this form and submit original or originally certified B-BBEE Verification Certificate from a Verification Agency accredited by the South African Accreditation System (SANAS) or a Registered Auditor approved by the Independent Regulatory Board of Auditors (IRBA) or an Accounting Officer as contemplated in the Close Corporation Act (CCA) together with the bid, will be interpreted to mean that preference points for B-BBEE status level of contribution are not claimed.

DEFINITIONS

“all applicable taxes” includes value-added tax, pay as you earn, income tax, unemployment Insurance fund contributions and skills development levies;

“B-BBEE” means broad-based black economic empowerment as defined in section 1 of the Broad -Based Black Economic Empowerment Act;

“B-BBEE status level of contributor” means the B-BBEE status received by a measured entity based on its overall performance using the relevant scorecard contained in the Codes of Good Practice on Black Economic Empowerment, issued in terms of section 9(1) of the Broad-Based Black Economic Empowerment Act;

“bid” means a written offer in a prescribed or stipulated form in response to an invitation by an organ of state for the provision of services, works or goods, through price quotations, advertised competitive bidding processes or proposals;

“Broad-Based Black Economic Empowerment Act” means the Broad-Based Black Economic Empowerment Act, 2003 (Act No. 53 of 2003);

“comparative price” means the price after the factors of a non-firm price and all unconditional discounts that can be utilized have been taken into consideration;

“consortium or joint venture” means an association of persons for the purpose of combining their expertise, property, capital, efforts, skill and knowledge in an activity for the execution of a contract;

“contract” means the agreement that results from the acceptance of a bid by an organ of state;

“EME” means any enterprise with an annual total revenue of R5 million or less .

“Firm price” means the price that is only subject to adjustments in accordance with the actual increase or decrease resulting from the change, imposition, or abolition of customs or excise duty and any other duty, levy, or tax, which, in terms of the law or regulation, is binding on the contractor and demonstrably has an influence on the price of any supplies, or the rendering “non-firm prices” means all prices other than “firm” prices;

“person” includes a juristic person;

“rand value” means the total estimated value of a contract in South African currency, calculated at the time of bid invitations, and includes all applicable taxes and excise duties;

“sub-contract” means the primary contractor’s assigning, leasing, making out work to, or employing, another person to support such primary contractor in the execution of part of a project in terms of the contract;

“total revenue” bears the same meaning assigned to this expression in the Codes of Good Practice on Black Economic Empowerment, issued in terms of section 9(1) of the Broad-Based Black Economic Empowerment Act and promulgated in the Government Gazette on 9 February 2007; “trust” means the arrangement through which the property of one person is made over or bequeathed to a trustee to administer such property for the benefit of another person; and “trustee” means any person, including the founder of a trust, to whom property is bequeathed in order for such property to be administered for the benefit of another person.

ADJUDICATION USING A POINT SYSTEM

The bidder obtaining the highest number of total points will be awarded the contract.

Preference points shall be calculated after prices have been brought to a comparative basis taking into account all factors of non-firm prices and all unconditional discounts;.

Points scored must be rounded off to the nearest 2 decimal places.

In the event that two or more bids have scored equal total points, the successful bid must be the one scoring the highest number of preference points for B-BBEE.

However, when functionality is part of the evaluation process and two or more bids have scored equal points including equal preference points for B-BBEE, the successful bid must be the one scoring the highest score for functionality. Should two or more bids be equal in all respects, the award shall be decided by the drawing of lots.

POINTS AWARDED FOR PRICE (During Implementation)

THE 80/20 (applicable to this bid) PREFERENCE POINT SYSTEMS

A maximum of 80 points is allocated for price on the following basis:

80/20

Where Ps = Points scored for comparative price of bid under consideration Pt = Comparative price of bid under consideration Pmin = Comparative price of lowest acceptable bid

Points awarded for B-BBEE Status Level of Contribution

In terms of Regulation 5 (2) and 6 (2) of the Preferential Procurement Regulations, preference points must be awarded to a bidder for attaining the B-BBEE status level of contribution in accordance with the table below:

B-BBEE Status Level of Contributor

Number of points

(80/20 system)

1 20

2 18

3 14

4 12

5 8

6 6

7 4

8 2

Non-compliant contributor 0

B-BBEE Table

Type of B-BBEE Contributor Status (tick box(es) below as applicable)

Exempted Micro Enterprise (EME), with R10m or less Turnover

1 If it is indicated that the company/firm/entity is a verified B-BBEE contributor, then the verified status level of

contributor must be inserted in the box provided (insert a number from 1 to 8 as applicable

Bidders who qualify as EMEs in terms of the B-BBEE Act must submit a certificate issued by an Accounting Officer as contemplated in the CCA or a Verification Agency accredited by SANAS or a Registered Auditor. Registered auditors do not need to meet the prerequisite for IRBA’s approval for the purpose of conducting verification and issuing EMEs with B-BBEE Status Level Certificates.

Bidders other than EMEs must submit their original and valid B-BBEE status level verification certificate or a certified copy thereof, substantiating their B-BBEE rating issued by a Registered Auditor approved by IRBA or a Verification Agency accredited by SANAS. A trust, consortium or joint venture, will qualify for points for their B-BBEE status level as a legal entity, provided that the entity submits their B-BBEE status level certificate. A trust, consortium or joint venture will qualify for points for their B-BBEE status level as an unincorporated entity, provided that the entity submits their consolidated B-BBEE scorecard as if they were a group structure and that such a consolidated B-BBEE scorecard is prepared for every separate bid.

Tertiary institutions and public entities will be required to submit their B-BBEE status level certificates in terms of the specialized scorecard contained in the B-BBEE Codes of Good Practice.

A person will not be awarded points for B-BBEE status level if it is indicated in the bid documents that such a bidder intends sub-contracting more than 25% of the value of the contract to any other enterprise that does not qualify for at least the points that such a bidder qualifies for, unless the intended sub-contractor is an EME that has the capability and ability to execute the sub-contract. A person awarded a contract may not sub-contract more than 25% of the value of the contract to any other enterprise that does not have an equal or higher B-BBEE status level than the person concerned, unless the contract is sub-contracted to an EME that has the capability and ability to execute the sub-contract.

SUB-CONTRACTING

Will any portion of the contract be sub-contracted? YES / NO (delete which is not applicable)

If yes, indicate:

(i) what percentage of the contract will be subcontracted? ..........……………….…%

(ii) the name of the sub-contractor?

………………………………………………..

(iii) the B-BBEE status level of the sub-contractor? ……………….……………..

(iv) whether the sub-contractor is an EME? YES / NO (delete which is not

applicable)

DECLARATION WITH REGARD TO COMPANY/FIRM Name of company/firm : ……………………………………………………………………..

VAT registration number : ……………………………………………………………………..

Company registration number : ……………………………………………………………………..

YPE OF COMPANY/ FIRM

Partnership/Joint Venture / Consortium

One person business/sole propriety

Close corporation

Company

(Pty) Limited [TICK APPLICABLE BOX] DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ………….. ................................................................................................ …………………….…

……………… ............................................................................................................................

COMPANY CLASSIFICATION

Manufacturer

Supplier

Professional service provider

Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] Total number of years the company/firm has been in business? ………………………………… I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm,

certify that the points claimed, based on the B-BBE status level of contribution indicated in paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that:

(i) The information furnished is true and correct; (ii) The preference points claimed are in accordance with the General

Conditions as indicated in paragraph 1 of this form. (iii) In the event of a contract being awarded as a result of points claimed as

shown in paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct;

(iv) If the B-BBEE status level of contribution has been claimed or obtained on

a fraudulent basis or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –

(a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a

result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as

a result of having to make less favourable arrangements due to such cancellation;

(d) restrict the bidder or contractor, its shareholders and directors, or only

the shareholders and directors who acted on a fraudulent basis, from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and

(e) forward the matter for criminal prosecution

WITNESSES:

1. ………………………………………

SIGNATURE(S) OF BIDDER(S) DATE:………………………………..

B-BBEE CERTIFICATE/ SWORN AFFIDAVIT FOR EMEs Attached hereto is my / OUR ORIGINAL (CERTIFIED COPY) B-BBEE Certificate issued by a verification agency accredited by SANAS/Sworn Affidavit. My failure to submit the certificate with my / our tender document will lead to the conclusion that I am / we do not wish to claim preference points in terms of my / our B-BBEE status.

CENTRAL SUPPLIER DATABASE (CSD) ON TAX COMPLIANCE IMPORTANT NOTES: 1. The following is an abstract from the Preferential Procurement Regulations 2017 promulgated

with the Preferential Policy Framework Act No 5 of 2000:

"CSD Tax Compliance’’

No contract may be awarded to a person who has non-compliant tax status found on CSD or South African Revenue Service (“SARS”) certifying the taxes of that person to be in order or that suitable arrangement have been made with SARS" In the event the bidder is non tax compliant at the time of closure, the bidder agrees to correct such non-compliance within 24 hours after which they will be disqualified

Copy of Tax Clearance Certificate with PIN

Failure to comply with CSD tax compliance will inevitably invalidate the tender.

MBD 4 DECLARATION OF INTEREST

1. Any legal person, including persons employed by the IDT, or persons who act on behalf of the

IDT, or persons having a kinship with persons employed by the IDT, including a blood relationship, may make an offer or offers in terms of this invitation to tender. In view of possible allegations of favoritism, should the resulting tender, or part thereof, be awarded to persons employed by the IDT, or to persons connected with or related to them, it is required that the tenderer or his/her authorized representative shall declare his/her position in relation to the evaluating/adjudicating authority and/or take an oath declaring his/her interest, where:

the tenderer is employed by the IDT, or acts on behalf of the IDT; and/or

the legal person on whose behalf the tender document is signed, has a relationship with persons / a

person who are / is involved in the evaluation of the tender, or where it is known that such a

relationship exists between the persons for or on whose behalf the declarant acts and persons who

are involved with the evaluation of the tender.

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

the tender.

2.1 Are you or any person connected with the tenderer, employed by the IDT? ..... *YES / NO

2.1.1 If so, state particulars: ...............................................................................................

......... ......... .........

......... ......... .........

......... ......... .........

2.2 Do you, or any person connected with the tenderer have any relationship (family, friend,

other) with a person employed by the IDT and who may be involved with the evaluation

and/or adjudication of this tender? ………………………………

*YES / NO

2.2.1 If so, state particulars :

2.3 Are you or any person connected with the tenderer, aware of any relationship (family,

friend, other) between the tenderer and any person employed by the IDT concerned who

may be involved with the evaluation and/or adjudication of this tender?

*YES / NO

2.3.1 If so, state particulars: ......... ......... .........

......... ......... .........

......... ......... .........

DECLARATION

I, THE UNDERSIGNED

(name) ……………………………………………………………………….hereby certify that the

information furnished in paragraphs 2.1 to 2.3.1 above is correct.

I accept that the IDT as a state owned entity of the Government of the Republic of South Africa may act against me should this declaration prove to be false. Signature: ............................................... Date: .................................................

Identity number: ……………………………………………….

Position: ....... ..................................Name of Tenderer: ..............................................................

CERTIFICATE OF INDEPENDENT BID DETERMINATION

1 This Standard Bidding Document (SBD) must form part of all bids¹ invited.

2 Section 4 (1) (b) (iii) of the Competition Act No. 89 of 1998, as amended, prohibits an

agreement between, or concerted practice by, firms, or a decision by an association of

firms, if it is between parties in a horizontal relationship and if it involves collusive

bidding (or bid rigging).² Collusive bidding is a pe se prohibition meaning that it cannot

be justified under any grounds.

3 Treasury Regulation 16A9 prescribes that accounting officers and accounting authorities must take all reasonable steps to prevent abuse of the supply chain management system and authorizes accounting officers and accounting authorities to:

a. disregard the bid of any bidder if that bidder, or any of its directors have abused

the institution’s supply chain management system and or committed fraud or any other improper conduct in relation to such system.

b. cancel a contract awarded to a supplier of goods and services if the supplier

committed any corrupt or fraudulent act during the bidding process or the execution of that contract.

4 This SBD serves as a certificate of declaration that would be used by institutions to

ensure that, when bids are considered, reasonable steps are taken to prevent any form

of bid-rigging.

5 In order to give effect to the above, the attached Certificate of Bid Determination (SBD

9) must be completed and submitted with the bid:

* Includes price quotations, advertised competitive bids, limited bids and proposals.

Bid rigging (or collusive bidding) occurs when businesses, that would otherwise be

expected to compete, secretly conspire to raise prices or lower the quality of goods

and / or services for purchasers who wish to acquire goods and / or services through

a bidding process. Bid rigging is, therefore, an agreement between competitors not to

compete.

MBD 9

CERTIFICATE OF INDEPENDENT BID DETERMINATION

I, the undersigned, in submitting the accompanying bid:

________________________________________________________________________

(IDTKZN17DSD126 and Drought relief maintenance programme)

in response to the invitation for the bid made by:

___________________________________________________________________________

(Independent Development Trust)

do hereby make the following statements that I certify to be true and complete in every respect:

I certify, on behalf of:_______________________________________________________that:

(Name of Bidder)

1. I have read and I understand the contents of this Certificate;

2. I understand that the accompanying bid will be disqualified if this Certificate is found not to be

true and complete in every respect;

3. I am authorized by the bidder to sign this Certificate, and to submit the accompanying bid, on

behalf of the bidder;

4. Each person whose signature appears on the accompanying bid has been authorized by the

bidder to determine the terms of, and to sign the bid, on behalf of the bidder;

5. For the purposes of this Certificate and the accompanying bid, I understand that the word

“competitor” shall include any individual or organization, other than the bidder, whether or not

affiliated with the bidder, who:

(a) has been requested to submit a bid in response to this bid invitation;

(b) could potentially submit a bid in response to this bid invitation, based on their

qualifications, abilities or experience; and

(c) provides the same goods and services as the bidder and/or is in the same line

of business as the bidder

6. The bidder has arrived at the accompanying bid independently from, and without consultation,

communication, agreement or arrangement with any competitor. However communication

between partners in a joint venture or consortium³ will not be construed as collusive bidding.

7. In particular, without limiting the generality of paragraphs 6 above, there has been no

consultation, communication, agreement or arrangement with any competitor regarding:

(a) prices;

(b) geographical area where product or service will be rendered (market

allocation)

(c) methods, factors or formulas used to calculate prices;

(d) the intention or decision to submit or not to submit, a bid;

(e) the submission of a bid which does not meet the specifications and conditions of

the bid; or

(f) bidding with the intention not to win the bid.

8. In addition, there have been no consultations, communications, agreements or arrangements

with any competitor regarding the quality, quantity, specifications and conditions or delivery

particulars of the products or services to which this bid invitation relates.

9. The terms of the accompanying bid have not been, and will not be, disclosed by the bidder,

directly or indirectly, to any competitor, prior to the date and time of the official bid opening or

of the awarding of the contract.

³ Joint venture or Consortium means an association of persons for the purpose of combining their expertise, property, capital, efforts, skill and knowledge in an activity for the execution of a contract.

10. I am aware that, in addition and without prejudice to any other remedy provided to combat

any restrictive practices related to bids and contracts, bids that are suspicious will be reported

to the Competition Commission for investigation and possible imposition of administrative

penalties in terms of section 59 of the Competition Act No 89 of 1998 and or may be reported

to the National Prosecuting Authority (NPA) for criminal investigation and or may be restricted

from conducting business with the public sector for a period not exceeding ten (10) years in

terms of the Prevention and Combating of Corrupt Activities Act No 12 of 2004 or any other

applicable legislation.

………………………………………………… ……………………………

Signature Date

…………………………………………………. ……………………………

Position Name of Bidder

SBD 8

DECLARATION OF BIDDER’S PAST SUPPLY CHAIN MANAGEMENT PRACTICES

1 This Standard Bidding Document must form part of all bids invited. 2 It serves as a declaration to be used by institutions in ensuring that when goods and

services are being procured, all reasonable steps are taken to combat the abuse of the supply chain management system.

3 The bid of any bidder may be disregarded if that bidder, or any of its directors have-

a. abused the institution’s supply chain management system; b. committed fraud or any other improper conduct in relation to such system; or c. failed to perform on any previous contract.

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

Item Question Yes No

4.1 Is the bidder or any of its directors listed on the National Treasury’s Database of Restricted Suppliers as companies or persons prohibited from doing business with the public sector? (Companies or persons who are listed on this Database were informed in writing of this restriction by the Accounting Officer/Authority of the institution that imposed the restriction after the audi alteram partem rule was applied). The Database of Restricted Suppliers now resides on the National Treasury’s website(www.treasury.gov.za) and can be accessed by clicking on its link at the bottom of the home page.

Yes

No

4.1.1 If so, furnish particulars:

4.2 Is the bidder or any of its directors listed on the Register for Tender Defaulters in terms of section 29 of the Prevention and Combating of Corrupt Activities Act (No 12 of 2004)? The Register for Tender Defaulters can be accessed on the National Treasury’s website (www.treasury.gov.za) by clicking on its link at the bottom of the home page.

Yes

No

4.2.1 If so, furnish particulars:

4.3 Was the bidder or any of its directors convicted by a court of law (including a court outside of the Republic of South Africa) for fraud or corruption during the past five years?

Yes

No

4.3.1 If so, furnish particulars:

4.4 Was any contract between the bidder and any organ of state terminated during the past five years on account of failure to perform on or comply with the contract?

Yes

No

4.4.1 If so, furnish particulars:

CERTIFICATION

I, THE UNDERSIGNED (FULL NAME)………………………………………………… CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION

FORM IS TRUE AND CORRECT. I ACCEPT THAT, IN ADDITION TO CANCELLATION OF A CONTRACT, ACTION

MAY BE TAKEN AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE.

………………………………………... ………………………….. Signature Date

………………………………………. ………………………….. Position Name of Bidder

CERTIFICATE OF AUTHORITY FOR SIGNATORY

Indicate the status of the tenderer by ticking the appropriate box hereunder. The tenderer must complete

the certificate set out below for the relevant category, and attach their Registration Certificates for

Companies, Close Corporations and Partnerships, or Agreements and Powers of Attorney for

Joint Ventures, or ID documents to the page provided at the end of this form.

(I)

COMPANY

(II)

CLOSE

CORPORATION

(III)

PARTNERSHIP

(IV)

JOINT VENTURE

(V)

SOLE

PROPRIETOR

(I) CERTIFICATE FOR COMPANY I, ………………………………………………………, Id number ………………………………. chairperson

of the Board of Directors of ……………………………………………… hereby confirm that by resolution

of the Board (copy attached) taken on ................................... 20......, Mr/Ms ……………………..acting

in the capacity of …………………………………….., was authorised to sign all documents in

connection with the tender for Contract No ……………… and any contract resulting from it, on behalf

of the company.

Chairman: .......................................................................................

As Witnesses: 1. .....................................................................................

3. Date: ………………….. ...................................................................

(II) CERTIFICATE FOR CLOSE CORPORATION

We, the undersigned, being the key members in the business trading as ……………………………. hereby authorise Mr/Ms ..................... …………., acting in the capacity of ………………………….. , to sign all documents in connection with the tender for Contract No ......... and any contract resulting from it, on our behalf.

NAME ADDRESS SIGNATURE DATE

ID No………………..

ID No………………...

ID No………………..

ID No………………..

Note : This certificate is to be completed and signed by all of the key members upon whom

rests the direction of the affairs of the Close Corporation as a whole.

(III). CERTIFICATE FOR PARTNERSHIP

We, the undersigned, being the key partners in the business trading as, .................................................

............................................................ hereby authorize Mr/Ms ............................................................

acting in the capacity of ......................................................................................... , to sign all

documents in connection with the tender for Contract No .................................... and any contract resulting from it, on our behalf.

NAME ADDRESS SIGNATURE DATE

Note : This certificate is to be completed and signed by all of the key partners upon whom rests

the direction of the affairs of the Partnership as a whole.

(IV) CERTIFICATE FOR JOINT VENTURE

We, the undersigned, are submitting this tender offer in Joint Venture and hereby authorize Mr/Ms

…………………………………………… , authorized signatory of the company, ........................................

acting in the capacity of lead partner, to sign all documents in connection with the tender offer for

Contract No ....................................... and any contract resulting from it, on our behalf.

This authorization is evidenced by the attached power of attorney signed by legally authorized signatories of all the partners to the Joint Venture.

NAME OF FIRM ADDRESS AUTHORISING SIGNATURE,

NAME AND CAPACITY

Lead partner

Note : This certificate is to be completed and signed by all of the key partners upon whom rests

the direction of the affairs of the Partnership as a whole.

(V) CERTIFICATE FOR SOLE PROPRIETOR I, …………………………………………….., hereby confirm that I am the sole owner of the business trading as ………………………………………………………. Signature of Sole owner: ……………………………… As Witnesses: 1. ……………………………… 2. ……………………………… Date: ………………………………