Supply of branded office cutlery and related items for umgeni water services

Close Corporation / Company / Partnership / Trust /Sole proprietor or Sole trader

Company Name:

Registration Number:

Resolution Of The Directors Of The Company etc. resolved that , in his/her

capacity as , is authorized to make applications on behalf of the

Close Corporation / Company / Partnership / Trust /Sole proprietor or sole trader for:

Any documentation relating to the business (which is not necessarily a change of ownership). The

nominated person will also have access to webpage for the business. Signature(s) for Close

Corporation / Company / Partnership / Trust/ Sole proprietor or sole trader.

(Sole member still must sign this resolution)

Signature of members:

Name Signature Date

1.

2.

3.

4.

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REQUEST FOR QUOTATION

Form No: UW-RFQ-1

Version No: 1/2024

Effective Date: Jul 2024

RFQ Number: Q26/003/MD

1.

2.

NB: FAILURE TO COMPLETE, SIGN AND DATE THE RESOLUTION AS OUTLINED ABOVE WILL

RESULT IN THE TENDERER RENDERED INCOMPLETE, ALTERNATIVELY THE TENDERER MAY

ATTACH A SIGNED COMPANY RESOLUTION ON A COMPANY LETTERHEAD

of 20

REQUEST FOR QUOTATION

Form No: UW-RFQ-1

Version No: 1/2024

Effective Date: Jul 2024

RFQ Number: Q26/003/MD

SBD 4 - 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 with any person who is

employed by the procuring institution? YES/NO

2.2.1 If so, furnish particulars:

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.

of 20

REQUEST FOR QUOTATION

Form No: UW-RFQ-1

Version No: 1/2024

Effective Date: Jul 2024

RFQ Number: Q26/003/MD

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:

No specific requirements found