Supply and delivery of 10th anniversary cake for women in arts manyano

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Bidder’s disclosure

1. Purpose of the form

Any person (natural or juristic) may make an offer or offers in terms of

this invitation to bid. In line with the principles of transparency,

accountability, impartiality, and ethics as enshrined in the Constitution of

the Republic of South Africa and further expressed in various pieces of

legislation, it is required for the bidder to make this declaration in respect

of the details required hereunder.

Where a person/s are listed in the Register for Tender Defaulters and /

or the List of Restricted Suppliers, that person will automatically be

disqualified from the bid process.

2. Bidder’s declaration

2.1 Is the bidder, or any of its directors / trustees / shareholders / members /

partners or any person having a controlling interest1 in the enterprise,

employed by the state? YES/NO

2.1.1 If so, furnish particulars of the names, individual identity numbers, and, if

applicable, state employee numbers of sole proprietor/ directors /

trustees / shareholders / members/ partners or any person having a

controlling interest in the enterprise, in table below.

Full Name Identity Number Name of State

institution

2.2 Do you, or any person connected with the bidder, have a relationship

1 the power, by one person or a group of persons holding the

majority of the equity of an enterprise, alternatively, the person/s

having the deciding vote or power to influence or to direct the

course and decisions of the enterprise.

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with any person who is employed by the procuring institution? YES/NO

2.2.1 If so, furnish particulars:

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

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

2.3 Does the bidder or any of its directors / trustees / shareholders /

members / partners or any person having a controlling interest in the

enterprise have any interest in any other related enterprise whether or

not they are bidding for this contract? YES/NO

2.3.1 If so, furnish particulars:

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

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

3 declaration

I, the undersigned,

(name)............................................................................... in

submitting the accompanying bid, do hereby make the following

statements that I certify to be true and complete in every respect:

3.1 I have read and I understand the contents of this disclosure;

3.2 I understand that the accompanying bid will be disqualified if this

disclosure is found not to be true and complete in every respect;

3.3 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 consortium2 will not be construed as collusive bidding.

3.4 In addition, there have been no consultations, communications,

agreements or arrangements with any competitor regarding the quality,

quantity, specifications, prices, including methods, factors or formulas

used to calculate prices, market allocation, the intention or decision to

submit or not to submit the bid, bidding with the intention not to win the

bid and conditions or delivery particulars of the products or services to

which this bid invitation relates.

3.4 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.

3.5 There have been no consultations, communications, agreements or

arrangements made by the bidder with any official of the procuring

2 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.

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institution in relation to this procurement process prior to and during the

bidding process except to provide clarification on the bid submitted

where so required by the institution; and the bidder was not involved in

the drafting of the specifications or terms of reference for this bid.

3.6 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

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

or any other applicable legislation.

I certify that the information furnished in paragraphs

1, 2 and 3 ABOVE IS CORRECT.

I accept that the state may reject the bid or act

Against me in terms of paragraph 6 of PFMA SCM

Instruction /22 on preventing and combating

Abuse in the supply chain management system should

This declaration prove to be false.

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

Signature Date

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

Position Name of bidder

Request for quotation (RFQ)

VAT (only if VAT registered)

Total Price incl/excl Vat

Quotation request

1. Is the Price Firm..........................................Yes/No

2. Is the Delivery Firm.......................................Yes/No

3. Is the offer strictly to specification if No state deviation?

Signature.............................. Company Stamp and Date

4.3. Name of company/firm...............................................................................

4.4. Company registration number: .....................................................................

4.5. Type of company/ firm

 Partnership/Joint Venture / Consortium

 One-person business/sole propriety

 Close corporation

 Public Company

 Personal Liability Company

 (Pty) Limited

 Non-Profit Company

 State Owned Company

[Tick applicable box]

4.6. I, the undersigned, who is duly authorised to do so on behalf of the company/firm,

certify that the points claimed, based on the specific goals as advised in the tender,

qualifies the company/ firm for the preference(s) shown and I 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 paragraphs 1.4 and 4.2, the contractor may be required to furnish documentary

proof to the satisfaction of the organ of state that the claims are correct;

iv) If the specific goals have been claimed or obtained on a fraudulent basis or any

of the conditions of contract have not been fulfilled, the organ of state may, in

addition to any other remedy it may have –

(a) disqualify the person from the tendering 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

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as a result of having to make less favourable arrangements due

to such cancellation;

(d) recommend that the tenderer or contractor, its shareholders and

directors, or only the shareholders and directors who acted on a

fraudulent basis, be restricted 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, if deemed necessary.

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

Signature(s) of tenderer(s)

Surname and name: ................................................................

Date: ...............................................................

Address: ...............................................................

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

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

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

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a) It is COMPULSORY for the suppliers to complete the

SPECIAL CONDITIONS: MBTC RFQ forms and to attach valid quotations of the

company with a letterhead.

b) The price must be V.A.T. inclusive.

c) Price must include delivery.

d) Supplier to adhere to the closing date and time of the

quotation request.

e) Quotation must be valid for a period of 90 days.

f) Supplier must break down the prices when quoting.

g) Complete the attached SBD 4, SBD 6.1

h) Evaluation criteria: 80/20

i) No prepayment/upfront payment will be paid by

Mandela Bay Theatre Complex.

j) CSD registration is COMPULSORY

h) Evaluation criteria: 80/20

service providers as part of the evaluation process to assess

the quality, presentation, taste, and suitability of the

and serves as a claim form for preference points for specific goals.

1.1 The following preference point systems are applicable to invitations to tender

the 80/20 system for requirements with a Rand value of up to R50 000 000 (all

the 90/10 system for requirements with a Rand value above R50 000 000 (all

a) The applicable preference point system for this tender is the 90/10 preference point

b) The applicable preference point system for this tender is the 80/20 preference point

c) Either the 90/10 or 80/20 preference point system will be applicable in this tender.

1.3 Points for this tender (even in the case of a tender for income-generating contracts)

(b) Specific Goals.

The maximum points for this tender are allocated as follows

Specific goals

Total points for Price and SPECIFIC GOALS 100

this tender to claim points for specific goals with the tender, will be interpreted to mean

that preference points for specific goals are not claimed.

preferences, in any manner required by the organ of state.

Preference points claim form in terms of the preferential

This preference form must form part of all tenders invited. It contains general information