Catering services for NLC heritage day celebration (north west office)

The NLC requires a suitably qualified service provider for the provision of catering services for

the National Lotteries Commission education and awareness workshop in the Northwest

province.

Below is a detailed specification for the required catering service.

Specification for catering services

Description of event: NLC heritage day celebration_northwest office

DATE REQUIRED: 23 September 2026

Break fast time: n/a

LUNCH TIME: 12:00 pm

Venue: 12 visser street golfview mahikeng

Day

Ite m NO. items description NO. of

Delegat es

Catering

1. STARCH: ⚫ 3 starch, (Rice, Dumpling and pap) 14

2. MEAT ⚫ African variety 4 Meats: Mala -Mogodu, Hard Body 14

chicken, Chicken feet and lamb Stew

3. VEGIES ⚫ 2 vegies (Beetroot & Spinach/ Morogo without cream 14

4. SALADS ⚫ 2 salads (Chakalaka & potato salad 14

5. BEVERAGES 100% fruit juice (liquid fruit) & fizzy drinks – 17 pax – in cans 14

(1 drink (Can) per person

6. Special diet Vegetarian dish

Specification for catering services

Please note the following: very important

1. Please bring your own cutlery, plates, table clothes, Cups, and Serviettes.

2. Please deliver food on time.

3. Please print out this specification and come with it every day.

4. The catering company is to use refuse bags and remove waste generated within the facility after the

service

4. Reporting requirements

The service provider will report to the National Lotteries Commission

5. Duration of the project

The expected duration of the service is one day (as per the day specified) after receipt of the

appointment letter and the purchase order.

6. Section 2: notice to bidders

6.1 Terms and Conditions of Request for Quotation (RFQ)

6.1.1 This document may contain confidential information that is the property of the Commission.

6.1.2 No part of the contents may be used, copied, disclosed, or conveyed in whole or in part to

any party in any manner whatsoever other than for preparing a proposal in response to this

RFQ without prior written permission from the Commission.

6.1.3 All copyright and intellectual property herein vests with the Commission.

6.1.4 Late and incomplete submissions will not be accepted.

6.1.5 No services must be rendered, or goods delivered before an official Commission Purchase Order

form has been received.

6.1.6 This RFQ will be evaluated in terms of the 80/20 preference point system prescribed by the

Preferential Procurement Policy Framework Act of 2000 and PPR 2022.

6.1.7 Suppliers are required to register on the Central Supplier Database at www.csd.gov.za.

6.1.8 Suppliers must provide their CSD registration number (and attach a CSD Summary report) and ensure

that their tax matters are compliant.

6.1.9 All questions regarding this RFQ must be forward to [email protected].

6.1.11 Any supplier who has reasons to believe that the RFQ specification is based on a

specific brand must inform the Commission via email.

7. General rules and instructions

7.2.1 News and press releases

7.2.1.1. Bidders or their agents shall not make any news releases concerning this RFQ or the awarding

of the same or any resulting agreement(s) without the consent of, and then only in coordination

with, the Commission.

7.2.2. Precedence of documents

7.2.2.1. This RFQ consists of several sections. Where there is a contradiction in terms between the

clauses, phrases, words, stipulations, or terms and herein referred to generally as stipulations

in this RFQ and the stipulations in any other document attached hereto, or the RFQ submitted

hereto, the relevant stipulations in this RFQ shall take precedence.

7.2.2.2. Where this RFQ is silent on any matter, the relevant stipulations addressing such matter, and

which appear in the PPPFA shall take precedence. Bidders shall refrain from incorporating any

additional stipulations in its proposal submitted in terms hereof other than in the form of a clearly

marked recommendation that the Commission may in its sole discretion elect to import or to

ignore. Any such inclusion shall not be used for any purpose of interpretation unless it has been

so imported or acknowledged by the Commission.

7.2.2.3. It is acknowledged that all stipulations in the PPPFA are not equally applicable to all matters

addressed in this RFP. It, however, remains the exclusive domain and election of the

Commission as to which of these stipulations are applicable and what extend

7.2.2.4. Bidders are hereby acknowledging that the decision of the commission in this regard is final and

binding. The onus to enquire and obtain clarity in this regard rests with the Bidder(s). The

Bidder(s) shall take care to restrict its enquiries in this regard to the most reasonable

interpretations required to ensure the necessary consensus.

7.2.3. Preferential procurement reform

7.2.3.1. The commission supports B-BBEE as an essential ingredient of its business. In accordance with

government policy, the commission insists that the private sector demonstrates its commitment

and track record to B- BBEE in the areas of ownership (shareholding), skills transfer,

employment equity and procurement practices (SMME Development) etc.

7.2.4. National Industrial Participation Programme.

7.2.4.1. The Industrial Participation policy, which was endorsed by Cabinet on 30 April 1997, is applicable to

contracts that have an imported content. The NIP is obligatory and therefore must be complied with. Bidders

are required to sign and submit the Standard Bidding Document (SBD).

7.2.5. Language

7.2.5.1. Bids shall be submitted in English.

7.2.6. Gender

7.2.6.1. Any word implying any gender shall be interpreted to imply all other genders.

7.2.7. Headings

7.2.7.1Headings are incorporated into this RFQ document and submitted in response thereto, for ease of

reference only and shall not form part thereof for any purpose of interpretation or for any other purpose.

7.2.8. Occupational Injuries and Diseases Act

7.2.8.1 The Bidder warrants that all its employees (including the employees of any contractor that may be

appointed) are covered in terms of the Compensation for Occupational Injuries and Diseases Act and that the cover shall remain in force for the duration of the adjudication of this RFQ and/ or

subsequent agreement. The commission reserves the right to request the Bidder to submit

documentary proof of the Bidder’s registration and “good standing” with the Compensation Fund, or

similar proof acceptable to the commission.

7.2.9. Processing of the Bidder’s Personal Information

7.2.9.1. All Personal Information of the Bidder, its employees, representatives, associates and sub-

contractors (“Bidder Personal Information”) required under this RFP is collected and processed for

the purpose of assessing the content of its tender proposal and awarding the bid. The assessment

and award of the bid shall be conducted in accordance with applicable legislation including the

PPPFA and NLC SCM Policy.

7.2.9.2 The Bidder is advised that Bidder Personal Information may be passed on to third parties to

whom the commission is compelled by law to provide such information. For example, where

appropriate, the commission is compelled to submit information to National Treasury’s Database

of Restricted Suppliers.

7.2.9.3. All Personal Information collected will be processed in accordance with POPIA and with the

commission Data Privacy Policy.

7.2.9.4 The commission will ensure that the rights the Bidder and of its employees and

representatives (i.e., the right of access and the right to rectify) are effectively guaranteed in

accordance with the procedures as specified in the commission PAIA manual.

7.2.9.5 In signing this document, the Bidder consents to the use of its Personal Information for the

purposes as specified in section 2.9.1 above.

8. National Treasury’s Central Supplier Database

8.1 Bidders are required to self-register on National Treasury’s Central Supplier Database (CSD) which

has been established to centrally administer supplier information for all organs of state and facilitate the

verification of certain key supplier information.

8.2 The Commission may not award business to a bidder who has failed to register on the CSD.

8.3 Only foreign suppliers with no local registered entity need not register on the CSD.

8.4 The CSD can be accessed at https://secure.csd.gov.za/

9 Confidentiality

9.1 Bids submitted for this Request for Proposals will not be revealed to any other bidders and

will be treated as contractually binding.

9.2 The Commission reserves all the rights afforded to it by POPIA in the processing of any of its

information as contained in Bid Proposals.

9.3 The Bidder acknowledges that it will obtain and have access to personal information of The

Commission and agrees that it shall only process the information disclosed by the

Commission in terms of this bid award and only for the purposes as detailed in this Refund in

accordance with any applicable law.

9.4 The Bidder shall notify the Commission in writing of any unauthorized access to personal

information and the information of a third party, through cybercrimes or suspected

cybercrimes, in its knowledge and report such crimes or suspected crimes to the relevant

authorities in accordance with applicable laws, after becoming aware of such.

10 Communication

10.1 Specific enquiries relating to this RFQ should be [email protected]

10.2 In the interest of fairness and transparency, the Commission’s response to such a query may be made

available to other bidders. It is prohibited for bidders to attempt, either directly or indirectly, to canvass

any officer or employee of the Commission in respect of this RFQ between the closing date and the

date of the award of the business.

10.3 Bidders found to be in collusion with one another will be automatically disqualified and

restricted from doing business with organs of state for a specified period.

11 Supplier Performance

11.1 The National Lotteries Commission conducts regular performance reviews in accordance

with the requirements for the classification of the contract and or stakeholder by making

use of supplier evaluation forms. The evaluation is conducted against the deliverables or

scope of the contract with a minimum of an annual review done for contracts longer than a

year and a review at completion of contract for those contracts less than a year.

11.2 Ad-hoc performance reviews shall be conducted where non-performance is identified

outside the review period.

11.3 Non-performance will be addressed with at least a formal letter advising specific non-

performing areas and stating remedial action/s required within specific time frames. Non-

adherence to remedial actions shall lead to escalating performance management actions.

11.4 Any party to this agreement may request to participate in a joint performance review where

appropriate and seek continuous improvement opportunities.

12 section 3: evaluation criteria

The Commission will evaluate all proposals in terms of the Preferential Procurement Regulation of

2022 and the Preferential Procurement Policy Framework Act. No. (PPPFA).

The below phases evaluation criteria will be considered in evaluating the proposals, being:

Stage 1: RFQ Closing Date and Submission Instructions, and Format

12.1 RFQ Closing Details

The deadline for RFQ submission is 31 AUGUST 2026 @ 11:00 Standard South African Time.

Any late RFQ will not be accepted. Proposals are to be submitted only at: E-TENDER PORTAL

Email submission will not be considered

Stage 2: Administrative Compliance

All bid respondents must submit the required documents that comply with all this request for

quotation. The Administrative Compliance Evaluation will include the following:

Evaluation Criteria Supporting Document

• Signed standard bidding documents (SBD Forms). It is Fully Completed Standard

required that the bidder must provide correct information Bidding Documents

and declaration in the SBD Forms duly signed by the SBD 1

authorized person SBD 6.1

• Original signed consent form in terms of the Protection

POPIA Consent Form

of Personal Information Act (POPIA)

• BBBEE Certificate/ Sworn Affidavit in terms of Codes BEE Certificate/Sworn

of Good Practice Affidavit

Full CSD Report with SARS Tax

• Registered with the Central Supplier Database (CSD).

Compliance Status Recent Central Supplier Database (CSD)

Stage 3: Mandatory Requirements

Bidders are required to fully comply with the mandatory requirements as specified, and failure to

meet the requirements below will result in disqualification.

Evaluation Criteria Supporting Document

1. Fully completed Standard Bidding Documents (SBD4) SBD 4

2. Bidder must submit complete and signed pricing NLC Pricing Schedule

schedule/ Quotation

3. A Certificate of acceptability for food premises, from the A Valid Copy of municipality

local municipality within Northwest Province certification (NORTHWEST

Province coa)

Note to Bidders:

Bidders may be requested, at the behest of the NLC, to submit via courier services to the SCM

unit of the NLC, within a minimum of 3 working days from the date of request, hard copies of

certified qualifications, memberships certificates, COIDA etc. which may have been requested

for assessment. Failure to submit the information within the requested period shall render the

bidder non-responsive.

Stage 4: Evaluation on Price and Specific Goals as per PPR2022. The 80/20 Principle is based

on Price and special goals for the NLC.

The following formula to be used to calculate the points out of 80 for price, inclusive of all applicable taxes. A

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

Price

The following formula will be used to calculate the points out of 80 for price in

respect of a bid with a Rand value equal to or above R30 000 and up to a Rand

value of R50 million, inclusive of all applicable taxes:

Where:

Ps = Score for the Bid under consideration Pt

= Price of Bid under consideration Pmin

= Price of lowest acceptable Bid

Total score: 80

A maximum of 20 points will be awarded to a bidder for the specific goals specified for the RFQ.

DESCRIPTION Sub - points Maximum Relevant Evidence

for specific points for

goals specific

goals

1. Procurement from entities who are

black Owned Copies of ID’s/3

months CIPC Report Tenderer who have 100% black Ownership 8

from the closing date

Tenderer who have 51% to 99% black 4 8 of the bid/ CSD

Ownership Recent Report

Tenderer who have less than 51% 0

Black ownership

2. Procurement from entities who are women B-BBEE Certificate

Owned / B-BBEESworn

Tenderer who have 100% women ownership 4 Affidavit

Tenderer who have 30% to 99% women 2 4

ownership

Tenderer who have less than 30% 0

Women

Ownership

DESCRIPTION Sub - points Maximum Relevant Evidence

for specific points for

goals specific

goals

3. Procurement from Youth Ownership 4 B-BBEE Certificate /

Tenderer who have 100% youth ownership 4 B-BBEESworn

Tenderer who have 30% to 99% youth ownership 2

Affidavit

Tenderer who have less than 30% youth 0

Ownership

4.Procurement from Disabilities Owned

Tenderer who have 20% or more owners with 4 4 Letter from the

disability

Doctor confirming

Tenderer who have less than 20% but more than 2

10% owners with disability disability and CSD

Tenderer who have less than 10% owners with 0 Report

disability

Total points for specific goals 20

Stage 5: Due Diligence, Contract and Award

The Commission reserves the right to undertake a due diligence exercise on the preferred bidder/s

as part of a material risk evaluation aimed at determining to its satisfaction the validity of the

information provided by the Bidder.

The stage is for negotiation after receipt of formal tenders and before the conclusion of contracts

with suppliers/contractors submitting the lowest acceptable tender with a view to obtaining an

improvement in price, delivery, or content, in circumstances which do not put other tenderers at a

disadvantage or affect adversely their confidence or trust in the competitive system. Bidders maybe

requested to provide their best and final offers based on contract negotiations.

Invitation to bid (sbd 1)

Part a

You are hereby invited to bid for requirements

RFQ-2026- 27 31 bid issue closi ng closin 11:00

008-039 NUMBER: DATE: August August G TIME: DATE:

2026 2026

Request for pricequotation for the appointment of a catering servicedescripti

Provider for the national lotteries commission: heritage day on

Celebration- northwest office.

Bid response must be submitted only at

E-tender portal

Bidding procedure enquiries may technical enquiries may be directed to:

Bedirected to

Contactperson NLC contact person SCM

Telephonenumber 012 432 1308 telephone number 012 432 1302

Facsimilenumber facsimile number

E-mail address e-mail address

[email protected]

Supplier information

Name of bidder

Postal address

Street address

Telephone number code number

Cell phonenumber

Facsimilenumber code number

E-mail address

Vatregistration

Number

Supplier tax or centr unique registration

Compliance status complianc al reference number:

E system suppli maaa

Pin: er

Datab

Ase

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

STATUSLEVEL LEVEL SWORN APPLICABLEBOX] Yes No

VERIFICATION AFFIDAVIT Yes No CERTIFICATE

[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]

1. Are you the yes NO 2. Are you a foreign yes NO

Accredited based supplier

Representative in [if yes enclose for the goods [if yes, answer

South africa for proof] /services questionnairebelow]

The goods / /works

Services / works offered?

Offered?

Questionnaire to bidding foreign suppliers

Yes NO 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

If the answer is “NO” to all of the above, then IT is not a requirement to

Register fora tax compliance status system pincode from the

South african revenue service (SARS) and if not register as per 1.3 Below.

Part b

Terms and conditions for bidding

Tax compliance requirements

Bidders must ensure compliance with their tax obligations.

Bidders are required to submit their unique personal identification number

(Pin) issued by SARS to enable the organ of state to verify the taxpayer’s profile

Andtax status.

Application for tax compliance status (tcs) pin may be made via e-filing through thesars

Website www.SARS.GOV.ZA.

Bidders may also submit a printed tcs certificate together with the bid.

In bids where unincorporated consortia / joint ventures / sub-contractors are

Involved, each party must submit a separate tcs certificate / pin / csd number.

Where NO tcs is available but the bidder is registered on the central supplierdatabase

(Csd), a csd number must be provided.

Nb: failure to provide / or comply with any of the above particulars may renderthe

Bid invalid.

Signature of bidder: ...................................................

Capacity under which this bid is signed: ................................................

(Proof of authority must be submitted, e.g. company resolution)

Date:

Sbd 4

Bidder’s disclosure

1. Purpose of the form

1.1 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, 1996 (Constitution), and further

expressed in the various applicable legislation, it is required for the

bidder to make this declaration in respect of the details required

hereunder.

1.2 If a person is 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. Declaration on employment by organ of state

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

/ partners of the bidder employed by an organ of state, as defined in

section 239 of the Constitution? YES/NO

2.2 If YES, furnish particulars of the names, individual identity numbers, in

the table below:

Full Name Identity Number Name of organ of

state

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.

Sbd4

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

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

2.3.1 If so, furnish particulars:

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

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

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

2.4 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

2.4.1 If so, indicate all companies registered in the CSD in the table below:

Supplier registration number Status (active/inactive/deleted)

(Maaa)

Failure to disclose all CSD-registered active companies linked to all

Directors will lead to disqualification.

3 general declaration

I, ............................................................................................., the

undersigned, 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 to be false.

3.3 The bidder has arrived at the accompanying bid independently from, and

without consultation, communication, agreement or arrangement with

any competitor.

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.

Sbd4

3.5 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.

3.6 There have been no consultations, communications, agreements or

arrangements made by the bidder with any official of the procuring

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.

3.7 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, 1998 (Act No. )

and or may be referred to law enforcement agencies for criminal

investigation and or may be restricted from conducting business with the

state for a period not exceeding 10 years in terms of the Prevention and

Combating of Corrupt Activities Act, 2004 (Act No. ) or any

other applicable legislation.

I certify that the above is correct.

I accept that the procuring institution may reject the

Bid or take appropriate action against me if this

Declaration is false.

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

Signature Date

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

Designation Name of bidder

Sbd 6.1

Section 6: preference points claim form in terms of the preferential

Procurement regulations 2022

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

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

Nb: before completing this form, tenderers must study the general

Conditions, definitions and directives applicable in respect of the

Tender and preferential procurement regulations, 2022

1. General conditions

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 applicable taxes included)

1.2 To be completed by the organ of state

(Delete whichever is not applicable for this tender).

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

system.

b) The 80/20 preference point system will be applicable in this tender. The lowest/

highest acceptable tender will be used to determine the accurate system once

tenders are received.

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

shall be awarded for:

(a) Price; and

(b) Specific Goals.

1.4 To be completed by the organ of state:

The maximum points for this tender are allocated as follows:

Points

Price 80

Specific goals 20

Total points for Price and SPECIFIC GOALS 100

1.5 Failure on the part of a tenderer to submit proof or documentation required in terms of

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.

1.6 The organ of state reserves the right to require of a tenderer, either before a tender is

adjudicated or at any time subsequently, to substantiate any claim in regard to

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

2. Definitions

(a) “tender” means a written offer in the form determined by an organ of state in response

to an invitation to provide goods or services through price quotations, competitive

tendering process or any other method envisaged in legislation;

(b) “price” means an amount of money tendered for goods or services and includes all

applicable taxes less all unconditional discounts.

(c) “rand value” means the total estimated value of a contract in Rand, calculated at the

time of bid invitation, and includes all applicable taxes;

(d) “tender for income-generating contracts” means a written offer in the form

determined by an organ of state in response to an invitation for the origination of income-

generating contracts through any method envisaged in legislation that will result in a legal

agreement between the organ of state and a third party that produces revenue for the

organ of state, and includes, but is not limited to, leasing and disposalof assets and

concession contracts, excluding direct sales and disposal of assets through public

auctions; and

(e) “the Act” means the Preferential Procurement Policy Framework Act, 2000 (Act No. ).

3. Formulae for procurement of goods and services

3.1. Points awarded for price

3.1.1 The 80/20 preference point systems

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

Pt−P min

Ps = 80 (1 − )

P min

Where

Ps = Points scored for price of tender under consideration

Pt = Price of tender under consideration

Pmin = Price of lowest acceptable tender

4. Points awarded for specific goals

4.1. In terms of Regulation 4(2); 5(2); 6(2) and 7(2) of the Preferential Procurement Regulations,

preference points must be awarded for specific goals stated in the tender. For the purposes

of this tender the tenderer will be allocated points based on the goals stated in table 1 below

as may be supported by proof/ documentation stated in the conditions of this tender:

4.2. In cases where organs of state intend to use Regulation 3(2) of the Regulations, which states

that, if it is unclear whether the 80/20 or 90/10 preference point system applies, an organ of

state must, in the tender documents, stipulate in the case of—

(a) an invitation for tender for income-generating contracts, that the 80/20 preference

point system will apply and that the highest acceptable tender will be used to

determine the applicable preference point system; or

(b) any other invitation for tender, that the 80/20 preference point system will apply and

that the lowest acceptable tender will be used to determine the applicable

preference point system, then the organ of state must indicate the points allocated

for specific goals for the80/20 preference point system.

Table 1: Specific goals for the tender and points claimed are indicated per the table

below.(Note to organs of state: Where either the 90/10 or 80/20 preference point system

is applicable, corresponding points must also be indicated as such. Note to tenderers:

The tenderer must indicate how they claim points for each preference point system.)

1. Procurement from entities who are Sub - points Maximum Number of points

Black Owned for specific pointsfor claimed (80/20

system) (To be goals specific

completed by the

goals tenderer)

Tenderer who have 100% black Ownership 8

Tenderer who have 51% to 99% black ownership 4

Tenderer who have less than 51% black ownership 0

2. Procurement from entities who are women

Owned

Tenderer who have 100% women Ownership 4

Tenderer who have 30% to 99% women ownership 2

Tenderer who have l es s than 30% women 0

Ownership

3. Youth Ownership 4

Tenderer who have 100% youth ownership 4

Tenderer who have 30% to 99% youth 2

Ownership

Tenderer who have less than 30% youth 0

Ownership

4.Procurement from Disabilities

Tenderer who have 20% or more owners with 4 4

disability

Tenderer who have less than 20% but more than 2

10% owners with disability

Tenderer who have less than 10% owners with 0

disability

Total points for specific goals 20

5. Declarationwith regard to company/firm

5.1. Name of company/firm........................................................................

5.2. Company registration number: ..............................................................

5.3 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]

5.4 I, the undersigned, who is duly authorized 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;

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;

iv) 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 as a result of

having to make less favorable 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 audial Eram partem (hear the other side) rule

has been applied; and

(e) forwardthe matter for criminal prosecution, if deemed necessary.

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

Signature(s) of tenderer(s)

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

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

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

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

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

SCM:

Consent

Request form

Request for the consent of a data subject for processing of

Personalinformation for the purpose of procurement of goods and

SERVICES APPLICATION, IN LINE WITH THE NLC’s SUPPLY CHAIN MANAGEMENT

POLICY, IN TERMS OF SECTION 11(1)(a) OF THE PROTECTION OF

Personalinformation act,2013 (act NO.) (“popia”).

To:

From:

Address:

Contact number:

Email address:

1. In terms of the PROTECTION OF PERSONAL INFORMATION ACT, consent for processing of

personal information of a data subject (the person/entity to whom personal information relates)

must be obtained for the purpose of processing of application for procurement of goods and

services, in line with the NLC’s supply chain management policy, and storage of your

personal data by means of any form of electronic communication, including automatic

calling machines, facsimile machines, SMSs or e- mail, which is prohibited unless written

consent to the processing is given by the data subject. You may only be approached once for

your consent by us (NLC). You are kindly requested to submit this Form either by post, facsimile

or e-mail to the address, facsimile number or e-mail address as stated above.

1.1 "Processing” means any operation or activity or any set of operations, whether or not by

automatic means, concerning personal information, including

1.2 the collection, receipt, recording, organisation, collation, storage, updating or

modification, retrieval, alteration, consultation or use;

1.3 disseminationby means of transmission, distribution or makingavailable in any otherform; or

1.4 merging, linking, as well as restriction, degradation, erasure or destruction of information.

2. “Personal information” means information relating to an identifiable, living, natural person, and

where it is applicable, an identifiable, existing juristic person, including, but not limited to—

2.1 information relating to the race, gender, sex, pregnancy, marital status, national, ethnic or social

origin, colour, sexual orientation, age, physical or mental health, well- being, disability, religion,

conscience, belief, culture, language and birth of the person;

2.2 information relating to the education or the medical, financial, criminal or employment history of

the person;

2.3 any identifying number, symbol, e-mail address, physical address, telephone number, location

information, online identifier or other particular assignment to the person;

2.4 thebiometric information of the person;

2.5 the personal opinions, views or preferences of the person;

2.6 correspondence sent by the person that is implicitly or explicitly of a private or confidential nature

or further correspondence that would reveal the contents of the original correspondence.

2.7 the views or opinions of another individual about the person; and

2.8 the name of the person if it appears with other personal information relating to the person or if the

disclosure of the name itself would reveal information about

the person.

Full names of the designated person on behalf of the Responsible Party

Signature of Designation person