Supply and delivery of a portable digital time domain reflectometer (tdr) for cable fault location

Numbers

Tenderers Contact Details 3

Advertisement 4

Request for Formal Quotation 5

Details of Tenderer 6

Details of Tendering Entity’s Bank 7

Resolution taken by the Board of Directors / Members / Partners 8

Resolution taken by the Board of Directors of a Consortium or Joint

Venture 9-10

Joint Venture Information / Agreement 11

Schedule of Sub-Contractors 12

Specifications & Pricing Schedule 13-14

Past Experience 15

The Quotation Offer and Acceptance 16-18

MBD1 – Tax Compliance Information (Part A & Part B) 19-20

MBD4 – Declaration of Interest 21-24

MBD6.1 – Preference Points Claim form 25-29

MBD8 – Declaration of Bidder’s Past Supply Chain Management Practices 31-32

MBD9 – Certificate of Independent Bid Determination 33-35

Certificate for Municipal Services 36

General Conditions of Contract 37-47

Quotation GMQ103/25-26

Tenderer contact details

This information shall be used for any correspondence or contact with the tenderer.

Please indicate whether you want to receive any correspondence via e-mail or

send to your postal address by registered mail.

Mark choice of

correspondenceName of Bidding Company: .................................................................... with X

Postal ..............................................................................................

Address:

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

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

.................................................. Postal Code: ....................

E-mail

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

Telephone

Number: ..............................................................................................

Cellular

Number: ..............................................................................................

Facsimile

Number: ..............................................................................................

Quotation GMQ103/25-26

George municipality / george munisipaliteit

Quotation no./KWOTASIE Nr. GMQ103/25-26

Quotations are hereby invited for the SUPPLY AND Kwotasies word hiermee ingewag vir VOORSIENING EN

Delivery of tfx sx or equivalent portable aflewering van tfx sx of gelykwaardige

Reflectometer (scope) for locating cable draagbare reflektometer (skoop) vir die

Faults. Opsporing van kabelfoute.

Completed quotations in a sealed envelope, clearly marked: Voltooide kwotasies in ‘n verseëlde koevert, duidelik

gemerk:

Quotation No. GMQ103/25-26 must be placed in the tender Kwotasie Nr.: GMQ103/25-26, moet voor Vryday , 12

box at the George Municipality on the Fifth Floor, Junie 2026 om 12:00 in die tender bus by die George

Directorate: Financial Services, Supply Chain Management Munisipaliteit, Vyfde Vloer, Direktoraat: Finansiële Dienste,

Unit, Civic Centre, York Street, George by no later than 12:00 Voorsieningskanaal Bestuurseenheid, Burgersentrum,

on Friday , 12 June 2026. Quotations are not allowed to be Yorkstraat, George geplaas word. Geen kwotasie sal

placed in the tender box after 12:00. Quotations will be toegelaat word om na 12:00 in die tender bus geplaas te

opened on the same day in the Committee Room at 12:05. word nie. Kwotasies sal om 12:05 dieselfde dag in die

Late or unmarked quotations will not be considered. No Komiteekamer oopgemaak word. Laat of ongemerkte

posted quotations or quotations per fax or e-mail will be tenders sal nie oorweeg word nie. Geen tenders per faks of

accepted. e-pos sal aanvaar word nie.

Quotation documents are available at a non-refundable Kwotasie dokumente is verkrygbaar teen ‘n R67.85 nie-

deposit of R67.85 each from the Supply Chain Management terugbetaalbare deposito by die Voorsieningskanaal

Unit, Fifth Floor Civic Centre, York Street, George. Bestuurseenheid op die Vyfde Vloer, Burgersentrum,

Yorkstraat, George.

Quotation documents are available on the George Kwotasie dokumente is gratis op die George Munisipaliteit

Municipality’s website: www.george.gov.za, free of charge. se webblad beskikbaar: www.george.gov.za.

For more information, contact Mr. T Mzekeli at 083 713 2533 Vir verdere inligting kontak Mr. T Mzekeli by 083 713 2533

or [email protected]. or [email protected].

The Municipality reserves the right to withdraw any invitation Die Munisipaliteit behou hom die reg voor om enige versoek

to quotation and/or to readvertise or to reject any quotation or vir ‘n kwotasie terug te trek en/of te her-adverteer of enige

to accept a part of it. The Municipality is not bound to accept kwotasies te verwerp of gedeeltelik te aanvaar. Die

the lowest or any quotation. Munisipaliteit is nie daartoe gebind om die laagste of enige

kwotasie te aanvaar nie.

An alternative bidder may be appointed. 'n Alternatiewe bieër mag aangestel word.

A TCS PIN for bidders’ tax compliance information must be ‘n “TCS PIN” vir kwoteerders se belasting nakoming inligting

submitted with the quotation document. moet ingesluit wees by die kwotasie dokument.

It will be required from the successful bidder to register on the Dit sal van die suksesvolle tenderaar verwag word om op die

Central Supplier Database (CSD). Sentrale Verskaffersdatabasis (SVD) te registreer.

Mr b ellman mnr b ellman

Acting municipal manager waarnemende munisipale bestuurder

George municipality george munisipaliteit

George george

6530 6530

Quotation GMQ103/25-26

Request for formal quotation

Kindly furnish me with a quotation for the supply of the goods/services as detailed in the

enclosed schedule.

The quotation must be submitted on this document and must be deposited in the tender box

on the Fifth Floor, Directorate: Financial Services, Supply Chain Management, Civic Centre,

York Street, George by no later than 12:00 Friday, 12 June 2026.

The following conditions will apply:

• Price(s) quoted must be valid for at least sixty (60) days from date of your offer.
• Price(s) quoted must be firm.
• A firm delivery period must be indicated.
• All transactions exceeding R30 000,00 must be accompanied by a valid tax clearance

certificate issued by the South African Revenue Services (SARS).

• All quotations above R30 000,00 (VAT included) and up to R300 000,00 (VAT included)

will be evaluated in terms of the 80/20 preferencial point system as prescribed in the

Preferential Procurement Policy Framework Act (no ) Regulations 2022 and for

this purpose the enclosed forms MBD 1, MBD 4, MBD 6.1, MBD 8 and MBD 9 must be

completed and submitted together with your quotation.

• The successful provider will be the one scoring the highest points.
• Status of Municipal accounts must be submitted.
• Certified copies of the identities of the directors and owners of the companies must be

attached to this quotation document.

• Quotation documents must be completed in black ink. In the event of a mistake having

been made on the quotation documents, it shall be crossed out in ink and be accompanied

by a full signature at each alteration. No correction fluid may be used in this quotation

document.

• Do not dismember this quotation document (do not take it apart or put documents

between pages). All relevant documents submitted must be attached at the end of

this document.

B-BBEE certificates submitted with the quotation documents MUST be a VALID

ORIGINAL B-BBEE CERTIFICATE or VALID CERTIFIED COPY OF THE B-BBEE

Certificate.

In the case of a Trust, Consortium or Joint Venture, they will qualify for points for their B-BBEE

status level as a legal entity, provided that the entity submits their B-BBEE status level

certificate.

Nb: NO quotations will be considered from persons in the service of

The state, provincial government or municipality.

Quotation GMQ103/25-26

Details of tenderer

Name of firm / entity / enterprise

Trading as (if different from above)

Postal address

Postal Code _______

Physical address

Contact Details of the Person Name: _____________________________________

Signing the Quotation:

Telephone: (___) __________ Fax: (___) __________

Cellular Number: _____________________________

E-mail address: _____________________________

Contact Details of the Senior Name: _____________________________________

Manager Responsible for

Overseeing Contract Telephone: (___) __________ Fax: (___) __________

Performance:

Cellular Number: _____________________________

E-mail address: _____________________________

Contact Details of Person Name: _____________________________________

Responsible for Accounts /

Invoices: Telephone: (___) __________ Fax: (___) __________

Cellular Number: _____________________________

E-mail address: _____________________________

Quotation GMQ103/25-26

Details of tendering entity’s bank

I/We hereby authorize the Employer/Client to approach all or any of the following bank/s for

the purposes of obtaining a financial reference:

Description of bank details applicable to

Bank detail tenderer’s head office

Name of bank

Branch name

Branch code

Name of Account Holder

Account number

Type of Account

Signature of Tenderer:___________________________________

Date: ___________________________________

Quotation GMQ103/25-26

The resolution taken by the board of directors /

Members / partners

RESOLUTION of a meeting of the Board of Directors / Members / Partners of

______________________________________________________________________

Name of tenderer

Held at _______________________________________ on ______________________

(Place) (Date)

Resolved that:

1. The enterprise submits a quotation to the George Municipality in respect of the

following:

Quotation number: GMQ103/25-26 – quotation for the supply and

Delivery of tfx sx or equivalent portable reflectometer for

Locating cable faults

2. Mr/Mrs/Ms _______________________________________________________

In his/her capacity as _______________________________________________

and who will sign as follows: __________________________________

(Speciman signature)

be, and is hereby, authorized to sign the Quotation and any and all other documents and/or

correspondence in connection with and relating to the Quotation, as well as to sign any

contract, and or all documentation resulting from the award of the Quotation to the enterprise

mentioned above.

Note: The resolution must be signed by all the directors or members / partners of the

bidding enterprise. Should the space provided below not be sufficient for all the directors to

sign, please provide a separate sheet in the same format below.

Name Capacity Signature

Quotation GMQ103/25-26

The resolution taken by the board of directors of a

Consortium or joint venture

RESOLUTION of a meeting of the Board of Directors / Members / Partners of

______________________________________________________________________

Name of tenderer

Held at _______________________________________ on ______________________

(Place) (Date)

Resolved that:

1. The enterprise submits a Quotation to the George Municipality in respect of the

following:

Quotation number: GMQ103/25-26 – quotation for the supply and

Delivery of tfx sx or equivalent portable reflectometer for

Locating cable faults

(list all the legally correct full names and registration numbers, if applicable, of the Enterprises

forming the Consortium / Joint Venture):

___________________________________________________________________ and

___________________________________________________________________ and

______________________________________________________________________

2. Mr/Mrs/Ms _______________________________________________________

In his/her capacity as _______________________________________________

and who will sign as follows: __________________________________

(Speciman signature)

be, and is hereby, authorized to sign the Quotation and any and all other documents and/or

correspondence in connection with and relating to the Quotation, as well as to sign any

contract, and or all documentation resulting from the award of the Quotation to the

Consortium / Joint Venture enterprise mentioned above.

3. The enterprise in the form of a consortium or joint venture accept jointly and several

liability with parties under item 1 above for the fulfillment of the obligations of the joint

venture deriving from, and in any way connected with the contract to be entered into

with the George Municipality in respect of the project described above under item 1.

4. The Consortium / Joint Venture enterprise chooses as its domicilium citandi et

executandi for all purposes arising from this joint venture agreement and contract with

the George Municipality in respect of the project under item 1:

(Physical Address) ________________________________________________

________________________________________________________________

Quotation GMQ103/25-26

Note: The resolution must be signed by all the directors or members / partners of the

bidding enterprise. Should the space provided below not be sufficient for all the directors to

sign, please provide a separate sheet in the same format below.

Name Capacity Signature

Quotation GMQ103/25-26

Joint venture

Only to be completed if applicable

Name of Joint Venture:

Names of Each Enterprise:

(1) Name and Address of

Enterprise:

(2) Name and Address of

Enterprise:

(3) Name and Address of

Enterprise:

Has an original valid Tax

Clearance Certificate been YES

submitted for each

enterprise? NO

CIDB Registration Number(s),

if any:

Submit your Joint Venture Agreement together with this

annexure. If no Joint Venture Agreement is submitted, your

tender will be disqualified.

Signed on behalf of joint venture

Quotation GMQ103/25-26

Schedule of sub-contractors

The Bidder shall list below the sub-contractors he/she proposes to employ for part(s) of the

works/goods/services.

If any or all of the sub-contractor/s listed hereunder are not approved subsequent to

acceptance of the Quotation, it shall in no way invalidate the Quotation or the Contract, and

the Tendered unit rates for the respective items of work shall remain final and binding even

if a sub-contractor/s not listed below is approved by the Employer.

Sub- Contractor’s Name Work Activities to be Work Recently

undertaken by the Sub- Executed by Sub-

contractor/s contractor/s

Quotation GMQ103/25-26

1. Digital Time Domain Reflectometer (TDR) set: SebaKMT Teleflex SX or

equivalent ,Pre location unit should have the following multiple techniques,

technologies and features:

a. Time Domain Reflection Measurement on 3 phases simultaneously.

b. Compatible with all fault location systems.

c. Arc Reflection Measurement by ΔU Trigger.

d. Impulse Current Mode.

e. Voltage Decay Method.

f. Intermittent Fault Location.

g. ARM Slide

h. Arc reflective burning.

i. Symmetrical / Unsymmetrical reflection measurements.

j. The pre-location unit shall very convenient to operate with on-line guidance

system, which shall guide operator through step-by-step fault locating procedures.

k. Automatic trace analysis with cable end and fault position indication.

l. Large bright 15” color display.

m. High resolution by sampling rate of 400 Mhz.

n. Internal Compensation for better fault location at short range.

o. Large 2 GB memory for data storage.

p. USB interface for memory stick and printer.

q. Report Generation in PDF format.

r. 15 Measurement in one ARM shot for selection of best trace.

s. Automatic storage of all measurements.

t. Professional Range adjustment for optimized display of distant details.

u. It shall allow evaluation of direct measurement on phase, comparison of two

phases, and difference of two phases.

v. Shall have built in battery, capable of operating the system for continuous period

of 4 Hrs without charging / replacement. Necessary intelligent charger shall also be

provided.

w. Pulse width: Shall be continuously variable from a nano second range to10 micro

second range.

x. Measuring range of 20m to at least 160 km.

Quotation GMQ103/25-26

u. It shall allow evaluation of direct measurement on phase, comparison of two

evaluation.

will be evaluated in terms of the 80/20 preferencial point system as prescribed in the

• The successful provider will be the one scoring the highest points.

In the case of a Trust, Consortium or Joint Venture, they will qualify for points for their B-BBEE

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

Ps = Points scored for price of tender under consideration

3.2.1. Points awarded for price

4. Points awarded for BBBEE and specific goals

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

4.1.1 Points awarded for B-BBEE Level of contributor

In terms of the Specific Goals as per the George Municipality Preferential

Procurement Policy, preference points must be awarded to a tenderer for attaining

B-BBEE Status Level of Number of Points for Number of Points for

Contributor Preference (80/20) Preference (90/10)

Bidder MUST submit a valid BBBEE certificate, failure to attach no points will be

awarded for BBBEE points.

4.1.2 Points awarded for Specific Goals

In terms of the Specific Goals as per the George Municipality Preferential Procurement

Policy, preference points must be awarded to a Tenderer for Locality in accordance

Locality of Tenderer’s Office points points

Venture 9-10

Joint Venture Information / Agreement 11

Schedule of Sub-Contractors 12

Specifications & Pricing Schedule 13-14

Past Experience 15

The Quotation Offer and Acceptance 16-18

MBD1 – Tax Compliance Information (Part A & Part B) 19-20

MBD4 – Declaration of Interest 21-24

MBD6.1 – Preference Points Claim form 25-29

MBD8 – Declaration of Bidder’s Past Supply Chain Management Practices 31-32

MBD9 – Certificate of Independent Bid Determination 33-35

Certificate for Municipal Services 36

General Conditions of Contract 37-47

Quotation GMQ103/25-26

liability with parties under item 1 above for the fulfillment of the obligations of the joint

venture deriving from, and in any way connected with the contract to be entered into

with the George Municipality in respect of the project described above under item 1.

quotation shall remain open for acceptance, or fail to fulfill the contract when called upon to

do so, the George Municipality may, without prejudice to its other rights, agree to the

withdrawal of my/our quotation or cancel the contract that may have been entered into

between me/us and the George Municipality and I/we will then pay to the George Municipality

any additional expense incurred by the George Municipality having either to accept any less

favorable quotation or, if fresh quotation have to be invited, the additional expenditure incurred

by the invitation by the invitation of fresh quotations and by the subsequent acceptance of any

less favorable quotation; the George Municipality shall also have the right to recover such

additional expenditure by set-off against moneys which may be due or become due to me/us

under this or any other quotation or contract or against any guarantee or deposit that may

have been furnished by me/us or on my/our behalf for the due fulfillment of this or any other

quotation or contract and pending the ascertainment of the amount of such additional

expenditure or retain such moneys, guarantee or deposit as security for any loss the George

Municipality may sustain by reason of my/our default;

5.3. Name of

company/firm...............................................................................

5.4. Company registration number:

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

5.5. Type of company/ firm

Quotation GMQ103/25-26

 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]

5.6. 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:

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 5.1 and 5.2, 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;

(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) zrecommend 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: ...............................................................

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

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

Quotation GMQ103/25-26

MBD 6.1(a)

Sworn affidavit – BBBEE exempted micro enterprise

information at its disposal, including conducting site visits and

inspections to verify a bidder’s claim of having a local STAFFED /

2. Mr/Mrs/Ms _______________________________________________________

In his/her capacity as _______________________________________________

and who will sign as follows: __________________________________

(Speciman signature)

be, and is hereby, authorized to sign the Quotation and any and all other documents and/or

correspondence in connection with and relating to the Quotation, as well as to sign any

contract, and or all documentation resulting from the award of the Quotation to the enterprise

mentioned above.

Note: The resolution must be signed by all the directors or members / partners of the

bidding enterprise. Should the space provided below not be sufficient for all the directors to

sign, please provide a separate sheet in the same format below.

executandi for all purposes arising from this joint venture agreement and contract with

the George Municipality in respect of the project under item 1:

(Physical Address) ________________________________________________

________________________________________________________________

Quotation GMQ103/25-26

Note: The resolution must be signed by all the directors or members / partners of the

bidding enterprise. Should the space provided below not be sufficient for all the directors to

sign, please provide a separate sheet in the same format below.

The Bidder shall list below the sub-contractors he/she proposes to employ for part(s) of the

works/goods/services.

Personal Information Act, 2013 (Act no.) (POPIA), in that the service provider establishes and maintains

security measures to safeguard personal information being processed on behalf of the municipality. The service

provider must notify the municipality immediately in an event where there are reasonable grounds to believe

personal information has been accessed by an unauthorised person.

This schedule is compulsory to complete!

Tenderers must furnish hereunder details of similar works / services, which they have

satisfactorily completed in the past. The information shall include a description of the

Works / Services, the Contract value and name of Employer.

Employer Nature of Value of Duration and Employer

Work Work Completion Contact

Date Number

______________________ ________________________

Date Signature of Tenderer

Quotation GMQ103/25-26

The quotation offer

I/We Mr/Mrs/Messrs _____________________________________________________ duly

assigned to represent the service provider for the purpose of this quotation, hereby quote to

supply all or any of the goods and/or render all or any of the services described in the attached

documents to the George Municipality on terms and conditions stipulated in this quotation and

in accordance with the specifications stipulated in the quotation documents (which shall be

taken as part of, and incorporated into this quotation) at the prices reflected in the Pricing

Schedule/s.

I/we agree that this offer shall remain valid for a period of 60 days commencing from the

closing date and time of this quotation.

I/we further agree that:

This quotation and its acceptance shall be subject to the terms and conditions contained in

the George Municipality’s Supply Chain Management Policy;

If I/we withdraw my/our quotation within the period for which I/we have agreed that the

quotation shall remain open for acceptance, or fail to fulfill the contract when called upon to

do so, the George Municipality may, without prejudice to its other rights, agree to the

withdrawal of my/our quotation or cancel the contract that may have been entered into

between me/us and the George Municipality and I/we will then pay to the George Municipality

any additional expense incurred by the George Municipality having either to accept any less

favorable quotation or, if fresh quotation have to be invited, the additional expenditure incurred

by the invitation by the invitation of fresh quotations and by the subsequent acceptance of any

less favorable quotation; the George Municipality shall also have the right to recover such

additional expenditure by set-off against moneys which may be due or become due to me/us

under this or any other quotation or contract or against any guarantee or deposit that may

have been furnished by me/us or on my/our behalf for the due fulfillment of this or any other

quotation or contract and pending the ascertainment of the amount of such additional

expenditure or retain such moneys, guarantee or deposit as security for any loss the George

Municipality may sustain by reason of my/our default;

If my/our quotation is accepted the acceptance may be communicated to me/us by letter or

order by certified mail or registered mail. Such posting shall be deemed to be proper service

of such notice with effect from the date of posting/dispatch of such notice;

The law of the Republic of South Africa shall govern the contract created by the acceptance

of my/our quotation and that I/we choose domicilium citandi et executandi in the Republic of

South Africa, where any and all legal notices may be served at (full street address on this

place):

Physical Address: _________________________________

_________________________________

_________________________________

_________________________________

Quotation GMQ103/25-26

I/we furthermore confirm that I/we have satisfied myself/ourselves as to the correctness and

validity of my/our quotation; that the price(s) and rate(s) quoted cover all the work/item(s)

specified in the quotation documents and that the price(s) and rate(s) cover all my/our

obligations under a resulting contract and that I/we accept that any mistakes regarding price(s)

and calculations will be at my/our own risk.

I/we hereby accept full responsibility for the proper execution and fulfillment of all obligations

and conditions devolving on me/us under this agreement as the Principal(s) liable for the due

fulfillment of this contract.

I/we agree that any action arising from this contract may in all respects be instituted against

me/us and I/we hereby undertake to satisfy fully any sentence or judgement which may be

pronounced against me/us as a result of such action.

I/we declare that I/we have participation / no participation in the submission of any other offer

for the supplies/services described in the attached documents. If in the affirmative, state

name(s) of quotations involved.

Name: _________________________________

Signature: _________________________________

Date: _________________________________

This form must be completed and signed to be considered

provisionally responsive.

Quotation GMQ103/25-26

Acceptance

By signing this part of the form of offer and acceptance, the employer identified below accepts

the supplier’s offer. In consideration thereof, the employer shall pay the supplier the amount

due in accordance with the conditions identified in the quotation data. Acceptance of the

supplier’s offer shall form an agreement between the employer and the supplier upon the

terms and conditions contained in this agreement and in the contract that is the subject of this

agreement.

Notwithstanding anything contained herein, this agreement comes into effect on the date

when the supplier receives one fully completed original copy of this document, including the

schedule of deviations (if any). Unless the supplier within five working days of the date of

such receipt notifies the employer in writing of any reason why he cannot accept the contents

of this agreement, this agreement shall constitute a binding contract between the parties.

Name: MR. MICHAEL J. RHODE

Signature: _________________________________

Capacity DIRECTOR: ELECTRICAL ENGINEERING SERVICES

Date: _________________________________

For the Employer: GEORGE MUNICIPALITY

Civic centre

York street

George

Quotation GMQ103/25-26

Mbd 1

Tax compliance information

Part a

Tax Compliance Status TCS Or CSD No:

Pin:

Tax Number

B-BBEE Status Level Yes B-BBEE Status Yes

Verification Certificate Level Sworn

[Tick Applicable Box] No Affidavit No

[A b-bbee status level verification certificate / sworn affidavit

(FORM EMES & QSEs) MUST BE SUBMITTED IN ORDER TO QUALIFY FOR

Preference points for b-bbee]

Are You The Accredited Are You A

Representative In Yes No Foreign Based Yes No

South Africa For The Supplier For

Goods / Services / The Goods /

Works Offered? [If Yes, Enclose Proof] Services / [If Yes, Answer

Works Part 2.]

Offered?

Signature of Bidder ............................... Date ......................

Quotation GMQ103/25-26

Part b

Terms and conditions for bidding

1. Tax compliance requirements

1.1 Bidders must ensure compliance with their tax

Obligations.

1.2 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.

1.3 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.

1.4 Foreign suppliers must complete the pre-award

Questionnaire in part b2.

1.5 Bidders may also submit a printed tcs certificate

Together with the bid.

1.6 In bids where consortia / joint ventures / sub-

Contractors are involved; each party must submit a

Separate tcs certificate / pin / csd number.

1.7 Where NO tcs is available but the bidder is registered on

The central cupplier database (csd), a csd number must be

Provided.

2. QUESTIONNAIRE TO BIDDING FOREIGN SUPPLIERS [Tick Applicable

Box]

2.1 Is the entity a resident of the Republic of South Africa YES NO

(RSA)?

2.2 Does the entity have a branch in the RSA? YES NO

2.3 Does the entity have a permanent establishment in the YES NO

RSA?

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

2.5 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 1.3 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: ........................................

Quotation GMQ103/25-26

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 the

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 / her representative:

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

3.2 Identity number: .................................................................................

3.3 Position occupied in the Company (director, trustee, shareholder2):

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

3.4 Company Registration Number: .............................................................

3.5 Tax Reference Number: .......................................................................

3.6 VAT Registration Number: ....................................................................

3.7 The names of all directors / trustees / shareholders / members, their individual

identity numbers and state employee numbers (where applicable) 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 the following particulars:

Name of person / director / trustee / shareholder member:

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

Name of state institution at which you or the person connected to

the bidder is employed:

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

Position occupied in the state institution:

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

Any other particulars: ..........................................................

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

3.9 Have you been in the service of the state for the past twelve YES / NO

months?

3.9.1

Quotation GMQ103/25-26

If so, furnish particulars.

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

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

3.10 Do you have any relationship (family, friend, other) with persons in YES / NO

the service of the state and who may be involved with the

evaluation and or adjudication of this bid?

3.10.1 If yes, furnish the following particulars:

Name of person: ................................................................

Name of state institution at which you or the person connected to

the bidder is employed:

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

Position occupied in the state institution:

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

Any other particulars: ..........................................................

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

3.11 Are you aware of any relationship (family, friend, other) between YES / NO

the bidder and any person in the service of the state who may be

involved with the evaluation and or adjudication of this bid?

3.11.1 If yes, furnish the following particulars:

Name of person: ................................................................

Name of state institution at which you or the person connected to

the bidder is employed:

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

Position occupied in the state institution: .................................

Any other particulars: ..........................................................

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

3.12 Are any of the company’s directors, managers, principal YES / NO

shareholders or stakeholders in the service of the state?

3.12.1 If yes, furnish the following particulars:

Name of person / director / trustee / shareholder / member:

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

Quotation GMQ103/25-26

Name of state institution at which you or the person connected to

the bidder is employed:

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

Position occupied in the state institution: .................................

Any other particulars: ..........................................................

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

3.13 Is any spouse, child or parent of the company’s directors, trustees, YES / NO

managers, principle shareholders or stakeholders in the service of

the state?

3.13.1 If yes, furnish the following particulars:

Name of person / director / trustee / shareholder / member:

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

Name of state institution at which you or the person connected to

the bidder is employed:

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

Position occupied in the state institution: .................................

Any other particulars: ..........................................................

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

3.14 Do you or any of the directors, trustees, managers, principle YES / NO

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?

3.14.1 If yes, furnish particulars:

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

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

4. Full details of directors / trustees / members / shareholders:

The follow

Ing information is compulsory to complete:

Full Name Identity Number Individual Tax State Employee

Number for each Number (where

Director applicable)

Quotation GMQ103/25-26

5. The contract will be automatically cancelled if there is a conflict of

interest which is not disclosed by the bidder.

Protection of Personal Information Act, 2013 (Act no.) (POPIA)

All parties agree that they will comply with Protection of Personal Information Act, 2013 (Act no.) (POPIA)

and process all the information and/or personal data in respect of the goods and/or services being rendered in

accordance with the said act and only for the purpose of providing the goods and/or services set out in the

agreement to provide such goods and/or services.

The contract between the municipality and the service provider must ensure compliance with the Protection of

Personal Information Act, 2013 (Act no.) (POPIA), in that the service provider establishes and maintains

security measures to safeguard personal information being processed on behalf of the municipality. The service

provider must notify the municipality immediately in an event where there are reasonable grounds to believe

personal information has been accessed by an unauthorised person.

The contract with a service provider must ensure confidentiality of personal information processed on behalf of the

municipality. A supply contract with a service provider must include standard clauses outlining joint responsibility

in terms of the protection of personal information.

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

Signature Date

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

Capacity Name of Bidder

1MSCM 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 or 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 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 exercise control over the company.

Quotation GMQ103/25-26

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).

1.2 To be completed by the organ of state

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

system.

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

shall be awarded for:

(a) Price

(b) BBBEE; and

(c) 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

BBBEE 10

Specific goals 10

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 regarding

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

Quotation GMQ103/25-26

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

Pt−Pmin Pt−Pmin

Ps= 80(1− ) or Ps= 90(1− )

Pmin Pmin

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

Pt−Pmax Pt−Pmax

Ps= 80(1+ ) or Ps= 90(1+ )

Pmax Pmax

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 BBBEE and 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

Quotation GMQ103/25-26

stated in table 1 below as may be supported by proof/ documentation stated in the

conditions of this tender:

4.1.1 Points awarded for B-BBEE Level of contributor

In terms of the Specific Goals as per the George Municipality Preferential

Procurement Policy, preference points must be awarded to a tenderer for attaining

the B-BBEE status level of contribution in accordance with the table below:

B-BBEE Status Level of Number of Points for Number of Points for

Contributor Preference (80/20) Preference (90/10)

1 10 5

2 9 4.5

3 7 3

4 6 2.5

5 4 2

6 3 1.5

7 2 1

8 1 0.5

Non-compliant contributor 0 0

Bidder MUST submit a valid BBBEE certificate, failure to attach no points will be

awarded for BBBEE points.

4.1.2 Points awarded for Specific Goals

In terms of the Specific Goals as per the George Municipality Preferential Procurement

Policy, preference points must be awarded to a Tenderer for Locality in accordance

with the table below:

Number of Number of

Locality of Tenderer’s Office points points

(80/20 system) (90/10 system)

Within the boundaries of George Municipality 10 5

Within the boundaries of Garden Route 6 3

District Municipality

Within the boundaries of the Western Cape 4 2

Outside the boundaries of the Western Cape 2 1

Bidder’s MUST submit proof of address (e. g. municipal account plus

affidavit, rental/lease agreement, or affidavit) with the tender document.

Failure to attach proof will result in no points awarded for Specific

Goals.

George Municipality will reserve the right to use any and all available

information at its disposal, including conducting site visits and

inspections to verify a bidder’s claim of having a local STAFFED /

MANNED AND OPERATIONAL office within the George Municipal area.

The principle of substance over legal form, as defined in the Standards

of Generally Recognised Accounting Practice (GRAP), will be applied in

such assessments. (This means that even though a bidder may present

a rental agreement, the claim of having a local staffed and operational

office will be assessed in its actual substance and not by only accepting

the legal documentation.)

Quotation GMQ103/25-26

The purpose of the locality points is to promote local economic

development within the George Municipal area and any bidder

attempting to circumvent the substance of this initiative through any

means, including by means of fronting, will be reported to the National

Treasury for blacklisting on the Central Supplier Database (CSD).

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.

5. Bid declaration

Tenderers who claim points in respect of BBBEE must complete the following:

B-bbee status level of contributor claimed in terms of

Paragraphs 4.1 And 4.1.1

5.1. Contribution to BBBEE: ............ = ..............(maximum of 5 or 10 points)

(Points claimed in respect of paragraph 5.1 must be in accordance with the

table reflected in paragraph 4.1.1 and must be substantiated by relevant proof

of B-BBEE status level of contributor.)

Locality of tenderers office claimed in terms of

Paragraphs 4.1 And 4.1.2

5.2. Contribution to Specific Goals: ............ = ..............(maximum of 5 or 10

points)

(Points claimed in respect of paragraph 5.2 must be in accordance with the

table reflected in paragraph 4.1.2 and must be substantiated by relevant proof

of address of a company office.)

Declaration with regard to company/firm

5.3. Name of

company/firm...............................................................................

5.4. Company registration number:

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

5.5. Type of company/ firm

Quotation GMQ103/25-26

 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]

5.6. 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:

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 5.1 and 5.2, 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;

(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) zrecommend 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: ...............................................................

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

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

Quotation GMQ103/25-26

MBD 6.1(a)

Sworn affidavit – BBBEE exempted micro enterprise

− Bidders must comply with the quotation specifications to be considered for

evaluation.

− An alternative bidder may be appointed.

Quotation GMQ103/25-26

Past experience

This schedule is compulsory to complete!

Line. Description Qty Total Price

(VAT Excluded)

1. TFX SX or equivalent Portable 1 R

reflectometer

Sub Total R

15% VAT r

Total Price

R (All applicable taxes included)

Please note:

− Bidders must comply with the quotation specifications to be considered for

evaluation.

− An alternative bidder may be appointed.

Quotation GMQ103/25-26

acceptance of the Quotation, it shall in no way invalidate the Quotation or the Contract, and

the Tendered unit rates for the respective items of work shall remain final and binding even

if a sub-contractor/s not listed below is approved by the Employer.

Sub- Contractor’s Name Work Activities to be Work Recently

undertaken by the Sub- Executed by Sub-

contractor/s contractor/s

Quotation GMQ103/25-26

Specifications

1. Digital Time Domain Reflectometer (TDR) set: SebaKMT Teleflex SX or

equivalent ,Pre location unit should have the following multiple techniques,

technologies and features:

a. Time Domain Reflection Measurement on 3 phases simultaneously.

b. Compatible with all fault location systems.

c. Arc Reflection Measurement by ΔU Trigger.

d. Impulse Current Mode.

e. Voltage Decay Method.

f. Intermittent Fault Location.

g. ARM Slide

h. Arc reflective burning.

i. Symmetrical / Unsymmetrical reflection measurements.

j. The pre-location unit shall very convenient to operate with on-line guidance

system, which shall guide operator through step-by-step fault locating procedures.

k. Automatic trace analysis with cable end and fault position indication.

l. Large bright 15” color display.

m. High resolution by sampling rate of 400 Mhz.

n. Internal Compensation for better fault location at short range.

o. Large 2 GB memory for data storage.

p. USB interface for memory stick and printer.

q. Report Generation in PDF format.

r. 15 Measurement in one ARM shot for selection of best trace.

s. Automatic storage of all measurements.

t. Professional Range adjustment for optimized display of distant details.

u. It shall allow evaluation of direct measurement on phase, comparison of two

phases, and difference of two phases.

v. Shall have built in battery, capable of operating the system for continuous period

of 4 Hrs without charging / replacement. Necessary intelligent charger shall also be

provided.

w. Pulse width: Shall be continuously variable from a nano second range to10 micro

second range.

x. Measuring range of 20m to at least 160 km.

Quotation GMQ103/25-26

Pricing schedule

I/We Mr/Mrs/Messrs _____________________________________________________ duly

assigned to represent the service provider for the purpose of this quotation, hereby quote to

supply all or any of the goods and/or render all or any of the services described in the attached

documents to the George Municipality on terms and conditions stipulated in this quotation and

in accordance with the specifications stipulated in the quotation documents (which shall be

taken as part of, and incorporated into this quotation) at the prices reflected in the Pricing