Closed: Stationery supply tender: public protector western cape

Technical Specifications

Source: Appointment of a service provider for Stationery Western Cape Office 003.pdf (TENDER)

1.1 Public Protector South Africa (PPSA) is a Chapter 9 institution constituted under Section 181 of

the Constitution of the Republic of South Africa, in which the PPSA has the power to:

1.1.1 Investigate any conduct in state affairs or in the public administration in any sphere of

government that is alleged or suspected to be improper or that will result in impropriety or

prejudice.

1.1.2 Report on that conduct; and

1.1.3 Take appropriate remedial action.

PPSA is independent and subject only to the Constitution and the law, always impartial and

must exercise its powers and perform its functions without fear, favour or prejudice. PPSA is

accountable to the National Assembly and must report on its activities and performance to the

National Assembly at least once a year. PPSA has the power as regulated by the national

legislation to investigate any conduct in state affairs, or in the public administration in any

sphere of government that is alleged or suspected to be improper or to result in any impropriety

or prejudice.

Objective of a bid

2.1 Appointment of a service provider to supply and deliver Stationery for Public Protector South

Africa – Western Cape Office.

Specification for stationery

Item Description

A4 Printing Paper 30 Boxes (5 rims in the box)

Pencils X2 boxes (10 in a box)

Pritt 5 (45g)

Staplers 4

Notes pad 25

Delivery Address: Cape Town

51 Wale Street/Bree Street

4th floor

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

Quotation

4.1 Bidders must submit quotation on letter head as per clause 3 of the specification.

The bid will be evaluated as outlined below:

5.1 Phase 1 evaluation: Bidders must ensure that they complete and sign documents as

indicated below, and the documents must be submitted as part of the bid document by the

closing date and time:

5.1.1 Signed SBD 1: Invitation to Bid

5.1.2 Signed SBD 4: Bidders disclosure.

5.1.3 Signed SBD 6.1: Preference Points claim form in terms of the Preferential Procurement

Regulations 2022

5.1.4 The bidder must be registered on Central Supplier Database (CSD): The bidder must ensure

that their company is registered on CSD (attach the CSD report with the bid document or

provide bidder CSD registration number).

5.1.5 Submit proof for the points claimed under specific goals.

5.2.5.1 Documents Requirement for verification of Points allocation:

Procurement Requirement Required Proof Documents

Enterprises with ownership of 51% or more by

CIPC registration documents

person/s who are black person/s.

B-BBEE certificate/Sworn affidavit
South African Identification Document

Enterprises with ownership of 51% or more by

CIPC registration documents

person/s who are women

B-BBEE certificate/Sworn affidavit
South African Identification Document

Enterprises with ownership of 51% or more by

CIPC registration documents

person/s who are youth

B-BBEE certificate/Sworn affidavit
South African Identification Document

Enterprise with ownership of 51% or more by

Letter from the Doctor confirming Disability

person/s with disability

South African Identification Document

Important notes

NB Bidders must ensure that the pricing quotation covers all the items as per clauses 3

above including VAT.

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

The quotation document to be submitted through the PPSA quotations email

[email protected] or [email protected]

Phase 2 Evaluation: Only bidders that qualified through Phase 1 evaluations will be further

evaluated for Pricing and specific goals.

7.1 Pricing is 80 points, and Specific goals are 20 points.

A maximum of 20 points may be awarded to a bidder for specific goals specified for the tender

as follows:

Specific goals Points

Historically Disadvantaged individual (HDI)

Enterprises with ownership of 51% or more by person/s who are 10

black person/s.

Enterprises with ownership of 51% or more by person/s who are 5

women

Enterprises with ownership of 51% or more by person/s who are 3

youth

Enterprise with ownership of 51% or more by person/s with 2

disability

Enterprises with ownership of less than 51% by person/s who are black 0

or less than 51% by person/s who are women or less than 51% by

person/s who are youth or less than 51% by person/s with

disability

Total 20

7.2 The points scored for the specific goal will be added to the points scored for price and the

total will be rounded off to the nearest two decimal places

7.3 The contract will be awarded to the tenderer, scoring the highest points.

7.4 If two or more tenders score an equal total number of points, the contract will be

awarded to the tenderer that scored the highest points for specific goals, and if two

or more tenderers score equal total points in all respects, the award must be

decided by the drawing of lots.

Additional required information

8.1. Bidder to submit company profile

Conditions of bids

9.1 PPSA reserve the rights:

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

9.1.1 The PPSA reserves the right to disqualify any bidder which does not comply with anyone or

more of the required information as indicated below:

9.1.2 If the bidder/s submit their bids without all the data and information requested.

9.1.3 Proposal that did not submit mandatory documents stipulated in the RFQ document;

9.1.4 Proposal that fails to comply with the specification.

9.1.5 Proposal that contains any information that is found to be incorrect or misleading in anyway or

Bidders who submit information that is fraudulent, factually untrue or inaccurate information.

9.1.6 Bidders who submit incomplete information and documentation according to the requirements

of this RFQ document;

9.1.7 Bidders who receive information not available to other potential bidders through fraudulent

means;

9.1.8 Bidder local content requirement does not comply with National Treasury designated sectors as

updated from time to time.

9.1.9 PPSA Further reserves the right to:

9.1.9.1 Not to award or cancel this bid at any time.

9.1.9.2 To negotiate with one or more Preferred or Reserved Bidders identified in the evaluation

process, regarding any terms and conditions, including price without offering the same

opportunity to any other Bidder who has not been awarded the status of the Preferred or

Reserved Bidder.

9.1.9.3 To award in part or in full.

9.1.9.4 To award this bid to one or more bidders.

9.1.9.5 To negotiate prices of items that are contracted and should these items be available at a

competitive price than the contracted price, PPSA will request the current bidder to reduce their

price to be inline failing which; these will be purchase out of contract.

9.1.9.6 To cancel and/or terminate the bid process at any stage, including after the Closing Date

and/or after presentations have been made, and/or after bids have been evaluated and/or after

the Preferred Bidders have been notified of their status as such.

9.1.9.7 To carry out explanatory meetings in order to verify the nature and quality of the services bided

for, whether before or after adjudication of the bid at bidder’s corporate offices and / or at client

sites if so required.

9.1.9.8 To award the contract to a Bidder whose bid was not the lowest in price.

9.1.9.9 To award the bid to a Bidder who is not the highest scoring Bidder.

9.1.9.10 To correct any mistakes at any stage of the bid that may have been in the bid documents or

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

occurred at any stage of the bid process.

9.1.9.11 To amend any bid conditions, bid validity period, RFQ specifications, or extend the bid closing

date, all before the bid closing date. All bidders, to whom the RFQ documents have been

issued and where the PPSA have record of such bidders, may be advised in writing of such

amendments in good time and any such changes will also be posted on the PPSA’s website

under the relevant tender information. All prospective bidders should therefore ensure that they

visit the website regularly and before they submit their bid response to ensure that they are kept

updated on any amendments in this regard.

9.1.9.12 Not to accept the lowest priced bid or any bid in part or in whole. It normally awards the

contract to the bidder who proves to be fully capable of handling the contract and whose bid is

functionally acceptable and/or financially advantageous to the PPSA.

9.1.9.13 To request all relevant information, agreements and other documents to verify information

supplied in the bid response.

9.1.9.14 To conduct background checks, including FICA verification, on the bidding entity and any of

its directors / trustees / shareholders / members

Undertakings by the Bidder

10.1 By submitting a bid in response to the RFQ, the bidder will be taken to offer to render all or any

of the services described in the bid response submitted by it to the PPSA on the terms and

conditions and in accordance with the specifications stipulated in this RFQ document.

10.2 The bidder shall prepare for a possible presentation should PPSA require such and the bidder

shall be notified before the actual presentation date. Such presentation may include a practical

demonstration of services as called for in this RFQ.

10.3 The bidder agrees that the offer contained in its bid shall remain binding upon him/her and

receptive for acceptance by the PPSA during the bid validity period indicated in the RFQ and

calculated from the bid closing hour and date such offer and its acceptance shall be subject to

the terms and conditions contained in this RFQ document read with the bid.

10.4 The bidder furthermore confirms that he/she has satisfied himself/herself as to the correctness

and validity of his/her bid response; that the price(s) and rate(s) quoted cover all the

work/item(s) specified in the bid response documents; and that the price(s) and rate(s) cover all

his/her obligations under a resulting contract for the services contemplated in this RFQ; and

that he/she accepts that any mistakes regarding price(s) and calculations will be at his/her risk.

10.5 The successful bidder accepts full responsibility for the proper execution and fulfilment of all

obligations and conditions devolving on him/her under the supply agreement and SLA to be

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

concluded with PPSA, as the principal(s) liable for the due fulfilment of such contract.

10.6 The bidder accepts that all costs incurred in the preparation, presentation and demonstration of

the solution offered by it shall be for the account of the bidder. All supporting documentation

and manuals submitted with its bid will become PPSA property unless otherwise stated by the

bidder/s at the time of submission.

10.7 No attempt may be made, whether directly or indirectly, to canvass any member of PPSA

employees before the award of the contract.

10.8 Any enquiries must be referred, in writing, to the specified persons.

Contract requirements

11.1 Contract period

The start date of the project implementation will be confirmed with the successful bidder upon

contract negotiations. The initiative is based on deliverables.

General terms and conditions of contract

Bidders must complete the attached the General Terms and Conditions of the contract.

Price basis

13.1 Bidders shall take into account that PPSA’s total requirements will be allocated to one bidder.

13.2 Bidders shall quote prices in South African Rand and Value Added Tax shall be included:

13.2.1 For PPSA to be in a position to facilitate the evaluation of bids and the administration of the

contract it is required that bidders must provide pricing which is all inclusive.

13.3 Bidders shall quote on the basis indicated in the Pricing Schedule.

13.4 Prices tendered for must be inclusive of all required deliverables as per specification.

13.5 PPSA requires an all-inclusive and fully transparent cost structure.

13.6 Where figures are referred to in numerals and in words and there is a conflict between the two,

the words will prevail.

13.7 The successful bidder shall commit to the programme of continuous improvement, which will

result in cost-efficiencies during the duration of the contract.

13.8 Bidders must warrant to PPSA and indicate that the pricing quoted is free of any errors or

omissions and that the Bidder is able to deliver the contract on the prices quoted.

Payment terms

14.1 The standard 30 day payment period will apply on the payment of all invoices from receipt of

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

valid invoice.

Tax clearance certificate

15.1 Government is committed to reducing supply chain related fraud and ensuring that persons

conducting business with the State are not afforded any scope to abuse the supply chain

management system.

15.2 It is therefore essential to ensure that persons conducting business with the State are tax

compliant when participating in tenders or other bidding processes. On 18 April 2016, the South

African Revenue Service (SARS) introduced an enhanced TCS system aimed at improving

compliance and making it easier for taxpayers to manage their tax affairs.

15.3 Implementation of the tax compliance status system:

15.3.1 In order to comply with the new TCS system and the condition of bids that a successful bidder’s

tax matters must be in order, Accounting Officers and accounting authorities of all PFMA

complaint institutions must:

15.3.1.1 Designated officials, preferably from Supply Chain Management Unit, whose function

will be to verify the tax compliance status of a bidder on the South African Revenue

Services’ Tax compliance status system housed on eFilling.

15.3.1.2 Utilise the SBD1 issued by National Treasury when inviting bids,

15.3.1.3 As a bid condition, accounting officer or accounting authorities must request bidders to

Master Registration Number (Supplier Number) in order to enable the institution to verify

the supplier’s tax status on the Central Supplier Database.

15.4 The CSD and tax compliance status PIN are the approved methods to be used to prove tax

compliance as the South African Revenue Services (SARS) no longer issues Tax Clearance

Certificates but has made provision online, via e-Filing, for bidders to print their own Tax

Clearance Certificates which they can submit with their bids or price quotations.

15.5 Accounting Officers are therefore required to accept printed or copies of Tax Clearance

Certificates submitted by bidders and verify their authenticity on e-Filing. The verification result

will be filed for audit purposes.

15.6 Where a bidder does not submit a tax compliance status PIN but provides a Central Supplier

Database (CSD) number, the accounting officer and accounting authority must utilise the CSD

number via its website www.csd.gov.za to access the supplier records and to verify the bidder’s

tax compliance status. A printed screen view at the time of verification should then be attached

to the supplier’s records for audit purposes.

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

Counter Conditions

Bidder’s attention is drawn to the fact that amendments to any of this condition of bid by bidders

may results in the invalidation of the bids.

Fronting

17.1 The PPSA support the Broad Black Based Economic Empowerment and recognises that the

real empowerment can only be achieved through individuals and businesses conducting

themselves in accordance with the Constitution and in an honest, fair, equitable, transparent

and legally compliant manner. Based on the above (PPSA) condemns any form of fronting.

17.2 The PPSA, in ensuring that bidders conduct themselves in an honest manner will, as part of the

bid evaluation processes, conduct or initiate the necessary enquiries/investigations to

determine the accuracy of the representation made in the bid documents. Should any of the

fronting indicators as contained in the Guidelines on Complex Structures and Transactions and

Fronting, issued by the Department of Trade and Industry, be established during such enquiry

/investigation, the onus will be on the bidder / contractor to prove that fronting does not exist.

Failure to do so within a period of 14 days from date of notification may invalidate the

bid/contract and may also result in the restriction of the bidder /contractor to conduct business

with the public sector for a period not exceeding ten years. The matter may be reported to the

National Prosecuting Authority (NPA) for criminal investigation and charges in terms of the

Prevention and Combating of Corrupt Activities Act No or any other applicable

legislation.

Promotion of Emerging Black owned bidders

18.1 It is the PPSA’s objective to promote transformation across all industries and/ or sectors of the

South African economy and as such, bidders are encouraged to partner with a black owned

entity (being 50%+1 black owned and controlled). Such partnership may include the formation

of a Joint Venture and/ or subcontracting agreement etc., where a portion of the work under this

tender would be undertaken by black owned entities. To give effect to this requirement, bidders

are required to submit a partnership / subcontracting proposal detailing the portion of work to

be outsourced, level of involvement of the black owned partner and where relevant, submit a

consolidated B-BBEE scorecard in-line with the provisions of the PPPFA Regulations which will

be considered as part of the B-BBEE scoring.

Supplier Performance Management

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

19.1 Supplier Performance Management is viewed by the PPSA as a critical component in ensuring

value for money acquisition and good supplier relations between the PPSA and all its suppliers.

19.2 The successful bidder shall upon receipt of written notification of an award, be required to

conclude a Service Level Agreement (SLA) with the PPSA, which will form an integral part of

the supply agreement. The SLA will serve as a tool to measure, monitor and assess the

supplier‘s performance and ensure effective delivery of service, quality and value-add to

PPSA’s business.

19.3 Successful bidders will be required to comply with the above-mentioned conditions, and also

provide a scorecard on how their product / service offering is being measured to achieve the

objectives of these conditions.

20 Supplier Development

20.1 The PPSA promotes enterprise development. In this regard, successful bidders may be

required to mentor SMMEs and/ or designated group which are at least 51% owned by:

20.1.1 black people

20.1.2 black people who are youth

20.1.3 black people who are women

20.1.4 black people that formed a cooperative (primary, secondary or tertiary cooperative) or

20.1.5 black people living in rural areas or underdeveloped area or township.

Screening

21.1 Acceptance of this bid may be subject to the condition that the successful bidder must be

cleared by the appropriate authorities to render the service within the organ of the state.

PPSA requires bidder(s) to declare

In the Bidder’s Technical response, Bidder(s) are required to declare the following:

22.1 Confirm that the bidder(s) is to: –

22.1.1 Act honestly, fairly, and with due skill, care and diligence, in the interests of PPSA;

22.1.2 Have and employ effectively the resources, procedures and appropriate technological systems

for the proper performance of the services;

22.1.3 Act with circumspection and treat PPSA fairly in a situation of conflicting interests;

22.1.4 Comply with all applicable statutory or common law requirements applicable to the conduct of

business;

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

22.1.5 Make adequate disclosures of relevant material information including disclosures of actual or

potential own interests, in relation to dealings with PPSA;

22.1.6 Avoidance of fraudulent and misleading advertising, canvassing and marketing;

22.1.7 To conduct their business activities with transparency and consistently uphold the interests and

needs of PPSA as a client before any other consideration; and

22.1.8 To ensure that any information acquired by the bidder(s) from PPSA will not be used or

disclosed unless the written consent of the client has been obtained to do so.

Conflict of interest, corruption and fraud

23.1 PPSA reserves its right to disqualify any bidder who either itself or any of

whose members (save for such members who hold a minority interest in the bidder through

shares listed on any recognised stock exchange), indirect members (being any person or entity

who indirectly holds at least a 15% interest in the bidder other than in the context of shares

listed on a recognised stock exchange), directors or members of senior management, whether

in respect of PPSA or any other government organ or entity and whether from the Republic of

South Africa or otherwise ("Government Entity")

23.1.1 Engages in any collusive tendering, anti-competitive conduct, or any other similar conduct,

including but not limited to any collusion with any other bidder in respect of the subject matter of

this bid;

23.1.2 Seeks any assistance, other than assistance officially provided by PPSA, from any employee,

advisor or other representative of PPSA in order to obtain any unlawful advantage in relation to

procurement or services provided or to be provided to PPSA;

23.1.3 Makes or offers any gift, gratuity, anything of value or other inducement, whether lawful or

unlawful, to any of PPSA’s officers, directors, employees, advisors or other representatives;

23.1.4 Makes or offers any gift, gratuity, anything of any value or other inducement, to any PPSA's

officers, directors, employees, advisors or other representatives in order to obtain any unlawful

advantage in relation to procurement or services provided or to be provided to PPSA;

23.1.5 Accepts anything of value or an inducement that would or may provide financial gain,

advantage or benefit in relation to procurement or services provided or to be provided to PPSA;

23.1.6 Pays or agrees to pay to any person any fee, commission, percentage, brokerage fee, gift or

any other consideration, that is contingent upon or results from, the award of any tender,

contract, right or entitlement which is in any way related to procurement or the rendering of any

services to PPSA;

23.1.7 Has in the past engaged in any matter referred to above; or

Appointment of a service provider to supply and deliver stationery for public

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23.1.8 Has been found guilty in a court of law on charges of fraud and/or forgery, regardless of

whether or not a prison term was imposed and despite such bidder, member or director’s name

not specifically appearing on the List of Tender Defaulters kept at National Treasury.

Misrepresentation

24.1 The bidder should note that the terms of its Tender will be incorporated in the proposed

contract by reference and that PPSA relies upon the bidder’s Tender as a material

representation in making an award to a successful bidder and in concluding an agreement with

the bidder.

24.2 It follows therefore that misrepresentations in a Tender may give rise to service termination and

a claim by PPSA against the bidder notwithstanding the conclusion of the Service Level

Agreement between PPSA and the bidder for the provision of the Service in question. In the

event of a conflict between the bidder’s proposal and the Service Level Agreement concluded

between the parties, the Service Level Agreement will prevail.

Preparation costs

25.1 The Bidder will bear all its costs in preparing, submitting and presenting any response or

Tender to this bid and all other costs incurred by it throughout the bid process. Furthermore, no

statement in this bid will be construed as placing PPSA, its employees or agents under any

obligation whatsoever, including in respect of costs, expenses or losses incurred by the

bidder(s) in the preparation of their response to this bid.

General Conditions of Contract
Detailed Pricing schedule / quotation
Bidders’ disclosure (SBD 4)
Preference Points claim form in terms of the Preferential Procurement

Regulations 2022 (SBD 6.1)

The bidder must be registered on Central Supplier Database (CSD): The bidder

must ensure that their company is registered on CSD (attach the CSD report with

the bid document or provide bidder CSD registration number).

The quotation document to be submitted through the PPSA quotations email

[email protected] or [email protected]

Appointment of a service provider to supply and deliver stationery for public

Protector south africa –western cape office.

Compliance Requirements

Source: Appointment of a service provider for Stationery Western Cape Office 003.pdf (TENDER)

Yes No Yes No [A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/ SWORN AFFIDAVIT (FOR EMES & QSEs) MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE] ARE YOU THE ACCREDITED ARE YOU A FOREIGN BASED REPRESENTATIVE IN Yes No SUPPLIER FOR THE GOODS SOUTH AFRICA FOR Yes No /SERVICES /WORKS OFFERED? THE GOODS [IF YES, ANSWER THE /SERVICES /WORKS [IF YES ENCLOSE PROOF] QUESTIONNAIRE BELOW] OFFERED? QUESTIONNAIRE TO BIDDING FOREIGN SUPPLIERS IS THE ENTITY A RESIDENT OF THE REPUBLIC OF SOUTH AFRICA (RSA)? YES NO DOES THE ENTITY HAVE A BRANCH IN THE RSA? YES NO DOES THE ENTITY HAVE A PERMANENT ESTABLISHMENT IN THE RSA? YES NO DOES THE ENTITY HAVE ANY SOURCE OF INCOME IN THE RSA? YES NO IS THE ENTITY LIABLE IN THE RSA FOR ANY FORM OF TAXATION? YES NO IF THE ANSWER IS “NO” TO ALL OF THE ABOVE, THEN IT IS NOT A REQUIREMENT TO REGISTER FOR A TAX COMPLIANCE STATUS SYSTEM PIN CODE FROM THE SOUTH AFRICAN REVENUE SERVICE (SARS) AND IF NOT REGISTER AS PER 2.3 BELOW. APPOINTMENT OF A SERVICE PROVIDER TO SUPPLY AND DELIVER STATIONERY FOR PUBLIC PROTECTOR SOUTH AFRICA –WESTERN CAPE OFFICE. PART B TERMS AND CONDITIONS FOR BIDDING

Bid submission: 1.1. Bids must be delivered by the stipulated time to the correct address. Late bids will not be accepted for consideration. 1.2. All bids must be submitted on the official forms provided–(not to be re-typed) or in the manner prescribed in the bid document. 1.3. This bid is subject to the preferential procurement policy framework act, 2000 and the preferential procurement regulations, 2022, the general conditions of contract (gcc) and, if applicable, any other special conditions of contract. 1.4. The successful bidder will be required to fill in and sign a written contract form (sbd7).

TAX COMPLIANCE REQUIREMENTS 2.1 BIDDERS MUST ENSURE COMPLIANCE WITH THEIR TAX OBLIGATIONS. 2.2 BIDDERS ARE REQUIRED TO SUBMIT THEIR UNIQUE PERSONAL IDENTIFICATION NUMBER (PIN) ISSUED BY SARS TO ENABLE PUBLIC PROTECTOR SOUTH AFRICA (PPSA) TO VERIFY THE TAXPAYER’S PROFILE AND TAX STATUS. 2.3 APPLICATION FOR TAX COMPLIANCE STATUS (TCS) PIN MAY BE MADE VIA E-FILING THROUGH THE SARS WEBSITE WWW.SARS.GOV.ZA. 2.4 BIDDERS MAY ALSO SUBMIT A PRINTED TCS CERTIFICATE TOGETHER WITH THE BID. 2.5 IN BIDS WHERE CONSORTIA / JOINT VENTURES / SUB-CONTRACTORS ARE INVOLVED, EACH PARTY MUST SUBMIT A SEPARATE TCS CERTIFICATE / PIN / CSD NUMBER. 2.6 WHERE NO TCS PIN IS AVAILABLE BUT THE BIDDER IS REGISTERED ON THE CENTRAL SUPPLIER DATABASE (CSD), A CSD NUMBER MUST BE PROVIDED. 2.7 NO BIDS WILL BE CONSIDERED FROM PERSONS IN THE SERVICE OF THE STATE, COMPANIES WITH DIRECTORS WHO ARE PERSONS IN THE SERVICE OF THE STATE, OR CLOSE CORPORATIONS WITH MEMBERS PERSONS IN THE SERVICE OF THE STATE.” NB: FAILURE TO PROVIDE / OR COMPLY WITH ANY OF THE ABOVE PARTICULARS MAY RENDER THE BID INVALID. SIGNATURE OF BIDDER: ................................................... CAPACITY UNDER WHICH THIS BID IS SIGNED: ................................................... (Proof of authority must be submitted e.g. company resolution) DATE: ................................................... APPOINTMENT OF A SERVICE PROVIDER TO SUPPLY AND DELIVER STATIONERY FOR PUBLIC PROTECTOR SOUTH AFRICA –WESTERN CAPE OFFICE. SBD4 BIDDER’S DISCLOSURE

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.

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: ................................................................................................ ................................................................................................ 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: ........................................................................................ 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. APPOINTMENT OF A SERVICE PROVIDER TO SUPPLY AND DELIVER STATIONERY FOR PUBLIC PROTECTOR SOUTH AFRICA –WESTERN CAPE OFFICE. ........................................................................................

Points Allocation: 3 points

B-BBEE Details: EDURE ENQUIRIES MAY BE DIRECTED TO TECHNICAL ENQUIRIES MAY BE DIRECTED TO:

CONTACT PERSON Agobakwe Molokoane CONTACT PERSON Tshidiso Khotso

Telephone number 012 366 7212 telephone number 012 366 7152

Facsimile number n/a facsimile number n/a

E-MAIL ADDRESS [email protected] E-MAIL ADDRESS [email protected]

Supplier information

Name of bidder

Postal address

Street address

Telephone number code number

Cellphone number

Facsimile number code number

E-mail address

VAT registration

Number

Supplier tax compliance central

Compliance status system pin: supplier

Database

No: MAAA

B-bbee status tick applicable box] b-bbee status level sworn [tick applicable box]

Level verification affidavit

Certificate

Yes No Yes No

[A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/ SWORN AFFIDAVIT (FOR EMES & QSEs) MUST BE SUBMITTED IN

Order to qualify for preference points for b-bbee]

Are you the

Accredited are you a foreign based

REPRESENTATIVE IN Yes No

Supplier for the goods

SOUTH AFRICA FOR Yes No /SERVICES /WORKS OFFERED?

The goods [if yes, answer the

/Services /works [if yes enclose proof] questionnaire below]

Offered?

Questionnaire to bidding foreign suppliers

Is the entity a resident of the republic of south africa (RSA)? yes NO

Does the entity have a branch in the RSA? yes NO

Does the entity have a permanent establishment in the RSA? yes NO

Does the entity have any source of income in the RSA? yes NO

Is the entity liable in the RSA for any form of taxation? Yes NO

If the answer is “NO” to all of the above, then IT is not a requirement to register for a tax compliance status

System pin code from the south african revenue service (SARS) and if not register as per 2.3 Below.

Appointment of a service provider to supply and deliver stationery for public

Pro

HDI Requirement: 51%

Health & Safety

Source: Appointment of a service provider for Stationery Western Cape Office 003.pdf

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

Protector south africa –western cape office.

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;

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.