Supply & delivery of disposable vaginal speculums – gauteng government RFQ

• Large Disposable Vaginal Speculums
• Medium Disposable Vaginal Speculums
• Made from non-toxic clear medical grade plastic.
• Latex Free.
• Size: Large / Medium
• Supplied sterile in individual polybag or Film+ Polybag or blister pack.
• Sterilized by ethylene oxide gas.

N

Item Quantity Image for Illustrative Purposes Only

o

Large Vaginal Speculum 40,000

• Sterile1. (Forty Thousand
• For single use only

units)

• Disposable

Medium Vaginal Speculum 25,000

• Sterile2. (Twenty- Five
• For single use only

Thousand units)

• Disposable

65,000Total supply

• Samples will be requested from shortlisted supplers.

• PACKAGING: Boxed and clearly marked with “Content and quantity” on the outside of the box.

Form c

Initials

RFQ nr: ___________________

Form b: form of quotation and form of acceptance

Will the quoted price remain firm for a period of 30 days? (YES/NO)

If not: State the validity period _____________________

Is/Are the price/s quoted subject to the 2,5% settlement discount (YES/NO) __________

Is/Are the tender price firm until completion of order/work? (YES/NO)

______________________

If not:

(a) Submit the cost factors which will be taken into account in the event of price

increase/decrease, as well as the compilation of the tender price/s, i.e. cost

price, transport cost, margin of profit, etc (clause of the Specification and

Additional Conditions of Tender, Form A, refers)

% Index figure and base date (eg. Seifsa table e1 june

1992)

Material

Labour

Transport

Profit

Other

Total 100

NB. If prices are variable due to fluctuation in the exchange rate, the acceptance of any

order will be subject to forward cover taken out by yourselves.

Signature of tenderer:............................................

Initials

FORM OF QUOTATION AND FORM OF ACCEPTANCE (contd)

Group Head: SSCM City

of Johannesburg

Sir/Mam,

I/We the undersigned, having examined the specification, hereby offer to supply and deliver

the items in accordance therewith, at the following price:

Total PriceN UNIT PRICE

Item quantity (excld.VAT)

o (EXCLD.VAT)

LARGE Vaginal Speculum 40,000

• Sterile1. (Forty Thousand
• For single use only

units)

• Disposable

MEDIUM Vaginal Speculum 25,000

• Sterile2. (Twenty- Five
• For single use only

Thousand units)

• Disposable

Grand total price

(Excld.VAT)

R

Is the Company VAT Registered? (YES/NO): ________________

VAT Number: _________________________________________

Vendor number _______________________________

Vendor signature: ____________________________

Date: ___________________________________________

Initials

FORM OF QUOTATION AND FORM OF ACCEPTANCE (contd)

Signature of person/s authorised to sign quotations:

Name ID number capacity signature

Dated this __________ day of ______________________2026.

Registered name of tendering company/supplier: - (in block letters)

.________________________________________________________________________

Company registration number: ________________________________________

Address: ___________________________________________

_____________________________________________________

_____________________________________________________

Telephone number: _________________________________

Fax number:

________________________________________

As witnesses:

1__________________________________ ____________________________________

(Name & surname in block

Letters)

2__________________________________ ____________________________________

(Name & surname in block

Letters)

Initials

Form d

Statement of authorisation

If the tenderer is a company or firm, state on what authority the

Undersigned has the authorization to sign the tender documents, for

Example: company’s resolution or procuration or statutes of

Partnership, etc.

I/We the undersigned is/are authorized to enter into this contract on behalf of

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

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

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

...

.......... by authority of ........................................................................................................

dated ..................................... a certified copy of which may be attached to this tender.

Validity of RFQ: 30 days

Office use only:

Price/s to be VAT exclusive

RFQ’S above R30 000,00 to a maximum of R750 000,00 VAT Inclusive will be

evaluated on the basis of the 80:20-point system as stipulated in the Preferential

Procurement Policy Framework Act (Act No. ), Preferential Procurement

Regulations, 2022 and SCM practice note: 02/2023 and 01/2024

Points will be allocated as follows:

Points for price: 80

Preferential Goals (Max of 20): 20

Allocated Points

Preferential Goals

(80/20 system)

Business owned by 51% or

more- Women

Enterprise located within the

City of Johannesburg 10

Metropolitan Municipality

Initials

I herewith confirm that i have read and understood the abovementioned

Conditions.

Signature__________________________________

Name________________________________________

Initials

Central supplier database

The Central Supplier Database maintains a database of organisations, institutions and individuals

who can provide goods and services to government. The CSD will serve as the single source of

key supplier information for organs of state from 01 April 2016 providing consolidated, accurate,

up-to-date, complete and verified supplier information to procuring organs of state.

Prospective suppliers interested in pursuing opportunities within the South African government are

encouraged to self-register on the Central Supplier Database. This self-registration application

represents an expression of interest from the supplier to conduct business with the South African

government. Once submitted, your details will be assessed for inclusion on the Central Supplier

Database.

NB:Suppliers are still required to register on the City of Johannesburg Supplier

Database or keep up- to- date their registration profiles on the City of Johannesburg

Supplier Database.

Initials

Form b

RFQ nr: COJ0110-25/26

Description: supply, delivery, and offloading of disposable vaginal

Speculums

Pt−Pmin

Ps= 80(1− )

Pmin

Where

Ps = Points scored for price of tender under consideration

Initials

Pt = Price of tender under consideration

Pmin = Price of lowest acceptable tender

6.2. Formulae for disposal or leasing of state assets and income

Generating procurement

6.2.1. Points awarded for price

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

Pt−Pmax

Ps= 80(1+ )

Pmax

Where

Ps = Points scored for price of tender under consideration

Pt = Price of tender under consideration

Pmax = Price of highest acceptable tender

7. Points awarded for specific goals

7.1. 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:

7.2. 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.

Initials

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

below.

Means of number of number of

Verification points points claimed

The specific goals

Documents allocated (80/20 system)

Allocated points in terms

Required (80/20 (to be

Of this tender

System) completed by

The tenderer)

Goal 1: designated group

CSD, Valid BBBEE

Certificate/ Affidavit

Sworn under oath, ID

Business owned by 51% or more – copy of owner/s of 10

Women

the business AND

shareholder’s

certificate.

Goal 2: specific goal

Enterprise located within the City of CSD report AND 10

Johannesburg Metropolitan proof of municipal

Municipality account

Declaration with regard to company/firm

7.3. Name of company / firm .........................................................................

7.4. Company registration number: ..................................................................

7.5. 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]

7.6. 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:

a) The information furnished is true and correct;

b) The preference points claimed are in accordance with the General Conditions

as indicated in paragraph 1 of this form;

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c) 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;

d) 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 –

(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 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: ...............................................................

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

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

Initials

6. MBD 4: Declaration of Interest, Form E

7. MBD 8: Declaration of Tenderer’s past Supply Chain Management Practices, Form F

8. MBD 9: Certificate of Independent Bid Determination, Annexure G

4. Declaration on State of Municipal Account (Attached)

5. MBD 4: Declaration of Interest (Attached)

MD1 6.1: Preference points claim form in terms of the preferential

6.

procurement regulations 2022, Form J (Attached)

7. MBD 8: Declaration of Tenderer Past SCM Practices, Form F

8. MBD 9: Certificate of Independent Bid Determination. (Attached)

Mbd9: certificate of independent bid determination

1 This Municipal Bidding Document (MBD) must form part of all bids1 invited.

2 Section 4 (1) (b) (iii) of the Competition Act No. , as amended, prohibits an

agreement between, or concerted practice by, firms, or a decision by an association of

firms, if it is between parties in a horizontal relationship and if it involves collusive

bidding (or bid rigging).2 Collusive bidding is a pe se prohibition meaning that it cannot

be justified under any grounds.

3 Municipal Supply Regulation 38 (1) prescribes that a supply chain management

policy must provide measures for the combating of abuse of the supply chain

management system, and must enable the accounting officer, among others, to:

a. take all reasonable steps to prevent such abuse;

b. reject the bid of any bidder if that bidder or any of its directors has abused the

supply chain management system of the municipality or municipal entity or has

committed any improper conduct in relation to such system; and

c. cancel a contract awarded to a person if the person committed any corrupt or

fraudulent act during the bidding process or the execution of the contract.

arrangements and procedures.

(c) The CONTRACTOR hereby accepts sole liability for such due compliance with the

relevant duties, obligations, prohibitions, arrangements and procedure, if any, imposed

by the ACT and Regulations and the EMPLOYER expressly absolves the EMPLOYER

from itself being obliged to comply with any of the aforesaid duties, obligations,

prohibitions, arrangements and procedure as the case may be.

(d) The CONTRACTOR agrees that any duly authorised officials of the EMPLOYER

shall be entitled, although not obliged, to take such steps as may be necessary to

ensure that the CONTRACTOR has complied with the undertakings as more fully set

out in paragraphs (a) and (b) above, which steps may include, but shall not be

limited to, the right to inspect any appropriate site or premises occupied by the

7.3. Name of company / firm .........................................................................

7.4. Company registration number: ..................................................................

7.5. 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]

7.6. 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:

a) The information furnished is true and correct;

b) The preference points claimed are in accordance with the General Conditions

as indicated in paragraph 1 of this form;

10. Article of Agreement in terms of the Occupational Health and Safety act, 1993, Form

11. MD1 6.1: Preference points claim form in terms of the preferential procurement

regulations 2022, Form J

N.B: Tenderers are reminded that all forms are to be signed or the

Article of agreement in terms of the occupational safety act, 1993

AND WHEREAS the Occupational Health and Safety act, 1993 (Act , hereinafter

referred to as the “ACT”), imposes certain powers and duties upon the EMPLOYER.

“competitor” shall include any individual or organization, other than the bidder, whether

or not affiliated with the bidder, who:

(a) has been requested to submit a bid in response to this bid invitation;

(b) could potentially submit a bid in response to this bid invitation, based on

their qualifications, abilities or experience; and

(c) provides the same goods and services as the bidder and/or is in the same

line of business as the bidder

iii. Municipality where business is situated

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

iv. Municipal account number for rates ............................................................

v. Municipal account number for water and electricity ........................................

vi. Names of all directors, their ID numbers and municipal account number.

1. ..........................................................................................................

2. ..........................................................................................................

3. .........................................................................................................

4. .........................................................................................................

5. .........................................................................................................

6. .........................................................................................................

7. .........................................................................................................

Contact number 067 993 8528 contact email [email protected]

sealed envelopes, bearing the applicable quotation description and reference number as well as the closing time and due date, and must be addressed to the GROUP HEAD: STRATEGIC SUPPLY CHAIN MANAGEMENT, 15TH FLOOR METRO CENTRE, 158 CIVIC BOULEVARD STREET,

Supplier name: ________________________________________________________ supplier number: _____________________________________________________ email address:________________________________________________________ contact person: ______________________________________________________ SARS pin code: _________________________________________________________ central supplier database number: ___________________________________ coj database number _____________________________________

Checklist RFQ nr: COJ0110-25/26

Training Suppliers to be accredited with SETA (Certified Copy to be attached) (IF REQUIRED) Catering Suppliers to submit a Health Certificate (Certified Copy to be attached) (IF REQUIRED) Construction/Building Maintenance to submit CIDB Registration (Certified Copy to be attached) (IF REQUIRED)

Have all price alterations been signed for? Has the Quotation been signed? SIGNATURE__________________________________ NAME_______________________________________

Quotations are to remain open for acceptance for a period of thirty (30) days effective from the date on which they are lodged and shall be accepted at any time within the said period of thirty (30) days.

company/supplier on the Form of Quotation and Form of Acceptance, Form B.

out in ink and be accompanied by an initial at each and every price alteration. Corrections in terms of price may not be made by means of a correction fluid such as Tipp-Ex or a similar product. If correction fluid has been used on any specific item price, such item will not be considered. No correction fluid may be used in a Bill of Quantities where prices are calculated to arrive at a total amount. If correction fluid has been used, the quotation as a whole will not be considered.

A copy of said conditions is available on the CoJ website. be delivered or services rendered before an official purchase order has been forwarded to and accepted by the successful bidder.

To participate in the City’s Quotation process for the procurement of goods and/or services, vendors are advised to get accredited and registered on the City’s Supplier Database.

All prices must be quoted in South African currency (SA rand) All prices quoted must be exclusive of Value Added Tax (VAT). Suppliers who are not registered for VAT will be treated as Non - VAT Vendors. All prices submitted must be firm. Firm prices are deemed to be fixed prices, which are only subject to the following statutory changes, namely VAT and any levy related to customs and excise. considered for adjudication. address indicated on the quotation page. threshold for quotations prescribed in the SCM Policy.

The city of johannesburg does not take responsability for

will be required to obtain exchange rate cover in order to protect the Municipality against exchange rate variations. Proof must be provided that forward Exchange Rate cover has been taken out within 14 days after an order has been placed. If proof that cover was taken out within 14 days after the order has been placed, is not submitted to the City of Joburg, with the invoice, the contract price adjustment will not be accepted and the contract may be cancelled.

in strict accordance with the accepted specification and within the quoted delivery period. In this regard, the attention of tenderers is drawn in particular to Clause 20 of the Municipality’s General Conditions Applicable to the Consideration of Written Quotations (Supply chain Management Policy), which is available on request and/or also available on the Municipality’s website, www.joburg.org.za

Copyright in any document produced, and the patent rights or ownership in any plant, machinery, thing, system or process designed, by a consultant/trainer in the course of the consultancy service is vested in the Municipality.

of Johannesburg supplier database prior to quoting. The tenderer is required to record the vendor number in the space provided on the cover page of this quotation document.

with this quotation document. In cases where the tenderer has not submitted a Tax Clearance Certificate, the Municipality reserves the right to at any time after the closure of the tender, but before the award of the tender, request from the tenderer to provide the valid Tax Clearance Certificate or a SARS Pin within seven (07) days from date of notification. Bidders should note, that in accordance with legislation, no contract may be awarded to a/an person/entity who/which has failed to submit a Valid Tax Clearance Certificate issued by the South African Revenue Service (SARS), certifying that the taxes of that person/entity are in order, or that suitable arrangements have been made with SARS/SARS pin to enable the City of Johannesburg to verify that the Company is tax compliant. Each party to a consortium/joint venture should submit a separate tax clearance certificate or SARS Pins.

closing time and due date.

False declaration on municipal bidding documents form (mbd) may lead to automatic disqualification.

Nb! Recommended bidder will be subjected to vetting process

EVALUATION CRITERIA: VALIDITY OF RFQ: 30 DAYS RFQ’S above R30 000,00 to a maximum of R750 000,00 VAT Inclusive will be evaluated on the basis of the 80:20-point system as stipulated in the Preferential Procurement Policy Framework Act (Act No. ), Preferential Procurement Regulations, 2022 and SCM practice note: 02/2023 and 01/2024 Points for price: 80 Preferential Goals (Max of 20): 20 (80/20 system) Business owned by 51% or more- Women City of Johannesburg 10

The Central Supplier Database maintains a database of organisations, institutions and individuals who can provide goods and services to government. The CSD will serve as the single source of key supplier information for organs of state from 01 April 2016 providing consolidated, accurate, up-to-date, complete and verified supplier information to procuring organs of state. Prospective suppliers interested in pursuing opportunities within the South African government are encouraged to self-register on the Central Supplier Database. This self-registration application represents an expression of interest from the supplier to conduct business with the South African government. Once submitted, your details will be assessed for inclusion on the Central Supplier Database.

NB:Suppliers are still required to register on the City of Johannesburg Supplier Database or keep up-to-date their registration profiles on the City of Johannesburg Supplier Database.