The successful bidder will be required to fill in and sign a written contract form (mbd7). Bid response documents may be deposited in the bid box situated at (street address) moqhaka local municipality (magasyn building) cnr 11th & 12th way kroonstad 9499 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 tax compliance status tcs pin: or csd NO: are you a foreign are you the accredited based supplier yes NO representative in south yes NO for the goods africa for the goods /services [if yes, answer part /services offered? [If yes enclose proof] offered? B:3 ] total number of items offered total bid price r signature of bidder .................................... Date capacity under which this bid is signed bidding procedure enquiries may be directed to: technical information may be directed to: department supply chain contact person mr. B khoza telephone contact person ms. P liphoko number 056 216 9246 facsimile telephone number 056 216 9185 number - facsimile number - e-mail address benk@moqhaka.gov.za E-mail address palesal@moqhaka.gov.za Part b terms and conditions for bidding 1. 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 online 1.3. This bid is subject to the preferential procurement policy framework act and the preferential procurement regulations the general conditions of contract (gcc) and, if applicable, any other special conditions of contract. 2. 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 the organ of state to view the taxpayer’s profile and tax status. 2.3 Application for the tax compliance status (tcs) certificate or pin may also be made via e- filing. In order to use this provision, taxpayers will need to register with SARS as e-filers through the website www.SARS.GOV.ZA. 2.4 Foreign suppliers must complete the pre-award questionnaire in part b:3. 2.5 Bidders may also submit a printed tcs certificate together with the bid. 2.6 In bids where consortia / joint ventures / sub-contractors are involved, each party must submit a separate tcs certificate / pin / csd number. 2.7 Where NO tcs is available but the bidder is registered on the central supplier database (csd), a csd number must be provided. 3. Questionnaire to bidding foreign suppliers 3.1. Is the entity a resident of the republic of south africa (RSA)? yes NO 3.2. Does the entity have a branch in the RSA? yes NO 3.3. Does the entity have a permanent establishment in the RSA? yes NO 3.4. Does the entity have any source of income in the RSA? yes NO 3.5. 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 Above. Nb: failure to provide any of the above particulars may render the bid invalid. NO bids will be considered from persons in the service of the state. Signature of bidder: ................................................... Capacity under which this bid is signed: ................................................... Date: ................................................... Section 3.2 Bank details bank name: branch: branch code: account holder: account number: account type: authorised signature: ................................................................................................................. Name:................................................................................................................................................ Capacity:........................................................................................................................................... Date: .................................................................................................................................................. Section 3.3 Mbd 4 declaration of interest 1. NO bid will be accepted from persons in the service of the state. 2. Any person, having a kinship with persons in the service of the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, IT is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority. 3. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid. 3.1 Full name of bidder or his or her representative:................................................. 3.2 Identity number: .......................................................................................... 3.3 Position occupied in the company (director, trustee, shareholder12):......................... 3.4 Company registration number: ...................................................................... 3.5 Tax reference number:................................................................................. 3.6 VAT registration number:............................................................................................. 3.7 The names of all the directors / trustees / shareholders members, their individual identity numbers and state employee numbers must be indicated in paragraph 4 below. 3.8 Are you presently in the service of the state? Yes / NO 3.8.1 If yes, furnish particulars............................................................................................... .................................................................................................................................... 3.9 Have you been in the service of the state for the past twelve months? Yes / NO 3.9.1 If yes, furnish particulars.................................................................................................. ....................................................................................................................................... 3.10 Do you have any relationship (family, friend, other) with persons in the service of the state who may be involved with the evaluation and/or adjudication of this bid? Yes / NO 3.10.1 If yes, furnish particulars................................................................................... 1. Mscm regulations: “in the service of the state” means to be – (a) a member of – (i) any municipal council; (ii) any provincial legislature; or (iii) the national assembly or the national council of provinces; (b) a member of the board of directors of any municipal entity; (c) an official of any municipality or municipal entity; (d) an employee of any national or provincial department, national or provincial public entity or constitutional institution within the meaning of the public finance management act, 1999 (act NO.); (e) a member of the accounting authority of any national or provincial public entity; or (f) an employee of parliament or a provincial legislature 2. Shareholder” means a person who owns shares in the company and is actively involved in the management of the company or business and exercises control over the company .............................................................................................................................. 3.11 Are you aware of any relationship (family, friend, other) between any other bidder and any persons in the service of the state who may be involved with the evaluation and/or adjudication of this bid? Yes / NO 3.11.1 If yes, furnish particulars............................................................................................ ................................................................................................................................. . 3.12 Are any of the company’s directors, trustees, managers, principle shareholders or stakeholders in service of the state? Yes / NO 3.12.1 If yes, furnish particulars......................................................................................... ............................................................................................................................... 3.13 Are any spouse, child or parent of the company’s directors, trustees, managers, principle shareholders or stakeholders in service of the state? Yes / NO 3.13.1 If yes, furnish particulars........................................................................................... ................................................................................................................................. 3.14 Do you or any of the directors, trustees, managers, principle shareholders, or stakeholders of this company have any interest in any other related companies or business whether or not they are bidding for this contract? Yes / NO 3.14.1 If yes, furnish particulars............................................................................................ ................................................................................................................................... 4. Full details of directors / trustees / members / shareholders. Full name identity number state employee tax reference number number certification i, the undersigned (name) .......................................................................... Certify that the information furnished on this declaration form is correct. I accept that the municipality may act against me should this declaration prove to be false (which also includes cancellation of the bid). ......................................... ...................................... Signature date .......................................... ....................................... Capacity name of bidder section 3.4 Mbd 6.1 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); and - the 90/10 system for requirements with a rand value above 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 90/10 preference point system. B) the applicable preference point system for this tender is the 80/20 preference point system. C) either the 90/10 or 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 disposal of 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 or 90/10 preference point systems a maximum of 80 or 90 points is allocated for price on the following basis: 80/20 or 90/10 or where ps = points scored for price of tender under consideration pt = price of tender under consideration pmin = price of lowest acceptable tender 3.2. Formulae for disposal or leasing of state assets and income generating procurement 3.2.1. Points awarded for price a maximum of 80 or 90 points is allocated for price on the following basis: 80/20 or 90/10 or where ps = points scored for price of tender under consideration pt = price of tender under consideration pmax = price of highest 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 either the 80/20 or 90/10 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 either the 80/20 or 90/10 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 both the 90/10 and 80/20 preference point system.