Appointment of a Service Provider for Leasing of - Private Security

Returnable Documents:

3.1 Conditions a. Office location The office premises should be situated in the business district of city of Matlosana Local Municipality and should be close to public transport and in close proximity to Authority’s stakeholders such as the Department of Labour, Department of Home Affairs and South African Police Services. of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za b. Office space requirements. The Authority requires approximately 200 square meters office space being the gross lettable area. The Authority has a total of 10 offices in 7 provinces namely Gauteng, KwaZulu Natal, Free State, Mpumalanga, Limpopo, Eastern Cape and Western Cape. The Authority is looking to secure an additional new office space in the North-West Province of South Africa, to cater for their needs and the needs of its customers which are private security officers and private security companies. Below are the layout specifications in terms of offices including waiting and open area spaces for our clients - and the parking needs of both staff and clients on the intended building. The building should also cater for the physically challenged. Lease specification Description Quantity Office Space Closed office (min Team Leader 1 9sqm) Closed office (min Consulting room 1 16sqm) Reception/information desk 1 Entrance Foyer Waiting Area 1 Open area Filing Room 1 Brick-walled with a solid Closed(min door (approx. 30sqm) 4m x4xm) Walk-in-Consultants 2 cubicles for Open-Plan Consultants plus client of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za waiting area Security desk & 1 Closed (bricked wall) Firearm safe (next to 4sqm minimum security desk at entrance) Staff Bathroom (Male) 1 Urinal & 1 Toilets Staff Bathroom (Female) 2 Toilets Public Toilets 1x urinals 1x Male (not required if office is in a Centre toilets & where there is public toilets availability) 2x female toilets Toilets for disabled persons 1 Parking Facility (Employees) 2x parking bays must be onsite Kitchenette Kitchen with small sitting area Server room (brick wall with 1 4sqm concrete roof slab & solid door Generator back-up The installation and Diesel refills to be maintenance of the invoiced on a monthly back-up power-supply basis as per usage. unit will be for the account of the landlord and must be done to adhere to regulations. Back-Up water supply To be included for our office Air-conditioning must be provided in all tendered space of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za c. Compliance with the OHSA. d. Office premises must be accessible to persons who are physically challenged. e. Must be an existing building 4. Special conditions of contract a. The replacement and maintenance of all fixtures installed by the landlord on the premises will be for the account of the landlord, unless damage was caused due to the negligence of an Authority staff member, or one of its clients. b. If conflict of interest was not disclosed, the lease will be cancelled with immediate effect and all cost incurred will be for the landlords account. c. The successful bidder will be required to sign a lease/service level agreement with PSiRA. d. Detailed project plan which includes design, space-planning and renovation timelines not exceeding 60 days (penalty will be imposed for not adhering to the timeframes) e. An exit clause after 3-years must form part of the lease agreement f. Site inspection will be conducted at the discretion of the evaluation committee. g. Bidder must confirm availability of the building within 30 days of appointment, for beneficial occupation, in writing on a company letterhead. 5. The proposal The proposals should be a maximum of 10 pages and must include the following: a. The building Owner or Proxy’s profile. of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za b. Draft lease agreement. c. Map of the building indicating proximity of the office to other stakeholders d. The full address of the building. e. Building / floor plans including color photo of the building (exterior and interior). f. Indicate Landlord’s Tenant Installation (TI) budget availability. PSiRA’s portion of TI’s to be amortised (without interest) over a period of 3 years. g. All renovation costs required to create the proposed design shall be the responsibility of the bidder and the anticipated renovation timeframe should be specified. h. Total cost of contract to be indicated, with a yearly breakdown of rental schedule for the period of the lease agreement. (i) Rental escalation, rental amount per sqm, parking, operating costs, air- conditions maintenance and estimated other operating costs (escalation from year 1 to year 5 should form part of the total amount of the bid). It must add as an Annexure if it does not fit on SBD 3.3 (ii) A breakdown of operating cost items and an indication / estimates of operating costs per month i. The draft lease agreements with relevant appendices, signed by the bidder’s authorized representative. This agreement shall inform the entire agreement along with the proposal. The Authority reserves the right to amend the lease agreement where appropriate. 4. EVALUATION CRITERIA 4.1 Criterion 1 – Compulsory Requirements Bidders will first be evaluated on terms of the minimum requirements / gatekeepers. Bidders who do not fulfill all the requirements or do not submit the required of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za documents will be disqualified. Those who fulfill all the minimum requirements or have submitted the required documents will be further evaluated on criterion 2 which is the functionality. 4.1.1. The tender must be submitted in the prescribed format. Standard bidding documents should be filled in (not re-typed). These standard bidding documents include the following: a) SBD1 Invitation to Bid. b) SBD 3.3 Pricing Schedule c) SBD 4 Declaration for Interest. d) SBD 6.1 Preference Points Claim Form. e) General Conditions of Contract (ALL pages to be initialed by the bidder). f) Terms of reference (ALL pages to be initialed by the bidder). g) Certificate of compliance of building from the Municipality/registered engineer. ALL forms should be completed and signed. Incomplete Bids will be disqualified. h) The building should be 200 square meters on the ground floor i. Conditions of tender ▪ All forms must be completed and signed. Incomplete and unsigned forms will be disqualified. ▪ Failure to comply with the mandatory requirements will lead to disqualification. ▪ Failure to initial each page of the TOR and the GCC will lead to disqualification. ▪ Failure to sign the TOR and the GCC will lead to disqualification. ▪ The use of correction fluid is strictly prohibited and will lead to disqualification. 4.2 Criterion 2 and 3 –Functionality and Site Inspection of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za i. Criteria 2: Technical/Functionality Evaluation is worth 70 points. The minimum threshold is 50 points. Bidder who scores 50 points and more will be further evaluated in criteria 3 – Site Inspection. Bidder who scores 80 points or more on technical evaluation and site inspection based on minimum threshold of each criterion will further be evaluated in terms of price and specific goals. The functionality/technical evaluation is broken down as follows: TECHNICAL EVALUATION CRITERIA WEIGHT PROOF OWNERSHIP 20 ✓ 15 points for title deeds indicating bidders’ ownership of the building or a signed contract/Proxy confirmation document between an agent and the principal owner of the building. ✓ No point will be allocated if any of the above is not provided ✓ 5 points for proposed draft lease agreement to incorporate inter-alia the following ... • Beneficial occupation • penalty clause • exit clause • tenant installation details • building maintenance clause ✓ 1 point will be allocated per clause provided on the draft lease agreement COMPLIANCE CERTIFICATE OF THE BUILDING 20 Certificate of Occupancy from Municipality ✓ 20 Points for submission of above certificate or Municipal Engineer letter issued. ✓ 0 Points for no submission of a certificate. of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za SIZE OF THE BUILDING AND PARKING SPACE 30 Size of the Building (20) ✓ 20 points for 200 square meters on ground floor accommodation. ✓ 15 points for 201 - 250 square meters on the ground floor. ✓ 0 points for less than 200 or above 250 square meters on the ground floor or accommodation on any other floor Parking Space for staff (10) ✓ 10 points for 5 onsite parking bays. ✓ 5 points for 4 onsite parking bays. ✓ 0 points for 3 or no parking provision. Total 70 4.3 Criteria 3 – Site Inspection The Site Inspection is worth 30 points. The minimum threshold is worth 30 points. Bidders who score less than 30 points on site inspection will therefore be disqualified. Site Inspection 30 The following guidelines will be used for scoring on site on inspection, and at the discretion of the evaluation committee o Physical Structural and building damages o Environmental hazard and OHS risk identified (including surrounding areas) o Accessibility (paraplegic requirements) - o Rentable area including size offered and building parking confirmation o Working infrastructure (electricity/water/lift escalators) o Security (either physical/CCTV/Access Control/secured premises) availability o Location and associated risks of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za 4.4 Criteria 4 - Preference Points System i. All service providers who achieve a minimum qualifying score on criteria 2 and 3: technical evaluation and site inspection combined will further be evaluation in terms of price and specific goals as specified below: CRITERIA POINTS Price 80 Specific Goals 20 Total points 100 ii. Specific goals for this tender and points that may be claimed are specified below: SPECIFIC GOALS POINTS Enterprise type as per the CSD report 5 • 5 points for EME/QSE • 3 points for GE Black ownership as per the CSD report 10 • 10 points for 100% black owned • 7 points for 30%- 99% black owned • 0 point for less than 30% black owned Women ownership as per the CSD report 5 • 5 points for 75% - 100% women owned. • 3 points for 1% - 74% women owned. • 0 point 0% women owned Total 20 iii. 80/20 preference points The following formula will be used to calculate the points out of 80 for price in respect of an invitation for a tender with a rand value of equal to or below R50 Million, inclusive of all applicable taxes. of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za 1- (Pt – Pmin) Ps= 80 Pmin Where: Ps = Points scored for price of bid under consideration Pt = Price of tender under consideration Pmin = Price of lowest acceptable bid 5. PSiRA RIGHTS Notwithstanding anything else in this Request for Bids, and without limiting its rights at law or otherwise, PSiRA reserves the right, in its absolute discretion at any time: a. Cancel or Call for new Tenders. b. To appoint more than one bidder or contractor. c. Reject any Tender received after the Closing Time. d. Consider and accept or reject any alternative tender. e. Alter the structure and/or the timing of this bid or the Tendering Process. f. Reject any Tender that does not comply with the requirements of this bid. g. Terminate the participation of any Bidder or any other person in the Tendering Process. h. Vary or extend any time or date specified in this bid for all or any Bidder or other persons. i. Cease to proceed with or suspend the Tendering Process prior to the execution of a formal written contract. j. Require additional information or clarification from any Bidder or any other person or provide additional information or clarification. k. PSiRA is not obliged to accept the lowest or any bid thereof and reserves the right to withdraw this bid. of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za 6. GENERAL INFORMATION a. Bid documentation will be made available from National Treasury E-Tender Website, ready to be downloaded by bidders; b. All compulsory forms contained in the bid documentation must be completed and signed in full. c. Received bids will be opened in public on the closing date at 11h30. d. Bids should be submitted at the correct address, before or on the closing date and time. No late bids will be accepted under any circumstance. e. Only original bid documents will be accepted. No e-mailed or posted copies will be accepted (one original, one copy and USB). f. Bidders may make use of courier services and must confirm bid acknowledgement with SCM office. g. Sealed and clearly marked bids indicating the Bid Reference No. i.e. PSiRA/2024/RFB/XX must be deposited in the PSiRA Head Office tender situated at 420 Witch Hazel Avenue, Eco Glades, Block B2, Eco Park, Centurion, Pretoria 7. INSTRUCTIONS TO SERVICE PROVIDERS a. The bidder is required to confirm that it will hold its proposal valid for 120 days from the closing date of the tender, during which time it will remain without change, their proposed rates and prices as well as proposed personal. b. Bidders are required to submit 2 indexed hard copy (1 original and 1 copy) and 1 USB containing the original proposal (bidders must ensure that the documentation on the USB is the same as the one submitted as a hard copy document). c. All queries must send to Supply Chain Department: bids@psira.co.za 8. REPORTING OF INCIDENTS of 12 Private Security Industry Regulatory Authority 420 Witch-Hazel Avenue, Block B-Eco Glades 2 Office Park, Highveld Ext 70 Tel. 086 10 (PSiRA) 77472 Int. +27 12 337 5500 Fax no.: 086 242 7180 / 086 246 7750 Email.: info@psira.co.za Website.: www.psira.co.za Bidders are encouraged to report any incidents of • fraud • corruption • theft • misconduct or •unethical behaviour to the PSiRA Fraud Hotline. Contact number 0860 333 036| Email: psira@thehotline.co.za 9. CONTACT PERSONS The contact person for this assignment (Technical Enquiries) Mr Thulane Motaung| Email: bids@psira.co.za Bidding Procedures Enquiries Ms. Nkhuliseni Masikhwa Tel: 012 003 0524 Email: bids@psira.co.za Ms. Jeanette De Klerk (Chairperson) _____________ 22/10/2025 Bid Specification Committee Signature Date Name of Service provider Date Service provider’s Signature of 12 SBD1 PART A INVITATION TO BID YOU ARE HEREBY INVITED TO BID FOR REQUIREMENTS OF THE (NAME OF DEPARTMENT/ PUBLIC ENTITY) BID NUMBER: PSiRA/2025/RFB/17 CLOSING DATE: 03 FEBRUARY 2026 CLOSING TIME: 11:00 APPOINTMENT OF A SERVICE PROVIDER FOR LEASING OF OFFICE SPACE FOR KLERKSDORP OFFICE FOR A PERIOD OF DESCRIPTION 5 YEARS. BID RESPONSE DOCUMENTS MAY BE DEPOSITED IN THE BID BOX SITUATED AT (STREET ADDRESS) PSiRA HEAD OFFICE: 420 WITCH HAZEL AVENUE BLOCK B – ECO GLADES 2 OFFICE PARK HIGHVELD EXT 70 CENTURION BIDDING PROCEDURE ENQUIRIES MAY BE DIRECTED TO TECHNICAL ENQUIRIES MAY BE DIRECTED TO: Ms. Nkhuliseni Masikhwa CONTACT PERSON Ms. Nomathemba Mendu CONTACT PERSON Thulane Motaung TELEPHONE NUMBER 012 003 0524/0519 TELEPHONE NUMBER 012 003 0524/0519 FACSIMILE NUMBER FACSIMILE NUMBER E-MAIL ADDRESS bids@psira.co.za E-MAIL ADDRESS bids@psira.co.za SUPPLIER INFORMATION NAME OF BIDDER POSTAL ADDRESS STREET ADDRESS TELEPHONE NUMBER CODE NUMBER CELLPHONE NUMBER FACSIMILE NUMBER CODE NUMBER E-MAIL ADDRESS VAT REGISTRATION NUMBER SUPPLIER TAX CENTRAL COMPLIANCE STATUS COMPLIANCE SUPPLIER OR SYSTEM PIN: DATABASE No: MAAA B-BBEE STATUS TICK APPLICABLE BOX] B-BBEE STATUS LEVEL SWORN [TICK APPLICABLE BOX] LEVEL VERIFICATION AFFIDAVIT CERTIFICATE Yes No Yes No [A B-BBEE STATUS LEVEL VERIFICATION CERTIFICATE/ SWORN AFFIDAVIT (FOR EMES & QSEs) MUST BE SUBMITTED IN ORDER TO QUALIFY FOR PREFERENCE POINTS FOR B-BBEE] ARE YOU THE ACCREDITED ARE YOU A FOREIGN BASED REPRESENTATIVE IN Yes No SUPPLIER FOR THE GOODS SOUTH AFRICA FOR Yes No /SERVICES /WORKS OFFERED? THE GOODS [IF YES, ANSWER THE /SERVICES /WORKS [IF YES ENCLOSE PROOF] QUESTIONNAIRE BELOW ] OFFERED? QUESTIONNAIRE TO BIDDING FOREIGN SUPPLIERS IS THE ENTITY A RESIDENT OF THE REPUBLIC OF SOUTH AFRICA (RSA)? YES NO DOES THE ENTITY HAVE A BRANCH IN THE RSA? YES NO DOES THE ENTITY HAVE A PERMANENT ESTABLISHMENT IN THE RSA? YES NO DOES THE ENTITY HAVE ANY SOURCE OF INCOME IN THE RSA? YES NO IS THE ENTITY LIABLE IN THE RSA FOR ANY FORM OF TAXATION? YES NO IF THE ANSWER IS “NO” TO ALL OF THE ABOVE, THEN IT IS NOT A REQUIREMENT TO REGISTER FOR A TAX COMPLIANCE STATUS SYSTEM PIN CODE FROM THE SOUTH AFRICAN REVENUE SERVICE (SARS) AND IF NOT REGISTER AS PER 2.3 BELOW. SBD1 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 IN THE MANNER PRESCRIBED IN THE BID DOCUMENT. 1.3. THIS BID IS SUBJECT TO THE PREFERENTIAL PROCUREMENT POLICY FRAMEWORK ACT, 2000 AND THE PREFERENTIAL PROCUREMENT REGULATIONS, 2017, THE GENERAL CONDITIONS OF CONTRACT (GCC) AND, IF APPLICABLE, ANY OTHER SPECIAL CONDITIONS OF CONTRACT. 1.4. THE SUCCESSFUL BIDDER WILL BE REQUIRED TO FILL IN AND SIGN A WRITTEN CONTRACT FORM (SBD7). 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 VERIFY THE TAXPAYER’S PROFILE AND TAX STATUS. 2.3 APPLICATION FOR TAX COMPLIANCE STATUS (TCS) PIN MAY BE MADE VIA E-FILING THROUGH THE SARS WEBSITE WWW.SARS.GOV.ZA. 2.4 BIDDERS MAY ALSO SUBMIT A PRINTED TCS CERTIFICATE TOGETHER WITH THE BID. 2.5 IN BIDS WHERE CONSORTIA / JOINT VENTURES / SUB-CONTRACTORS ARE INVOLVED, EACH PARTY MUST SUBMIT A SEPARATE TCS CERTIFICATE / PIN / CSD NUMBER. 2.6 WHERE NO TCS PIN IS AVAILABLE BUT THE BIDDER IS REGISTERED ON THE CENTRAL SUPPLIER DATABASE (CSD), A CSD NUMBER MUST BE PROVIDED. 2.7 NO BIDS WILL BE CONSIDERED FROM PERSONS IN THE SERVICE OF THE STATE, COMPANIES WITH DIRECTORS WHO ARE PERSONS IN THE SERVICE OF THE STATE, OR CLOSE CORPORATIONS WITH MEMBERS PERSONS IN THE SERVICE OF THE STATE.” NB: FAILURE TO PROVIDE / OR COMPLY WITH ANY OF THE ABOVE PARTICULARS MAY RENDER THE BID INVALID. SIGNATURE OF BIDDER: ................................................... CAPACITY UNDER WHICH THIS BID IS SIGNED: ................................................... (Proof of authority must be submitted e.g. company resolution) DATE: ................................................... SBD 3.3 PRICING SCHEDULE (Professional Services) ...................................................................................................................... OFFER TO BE VALID FOR 120 DAYS FROM THE CLOSING DATE OF BID. ITEM DESCRIPTION BID PRICE IN RSA CURRENCY NO **(ALL APPLICABLE TAXES INCLUDED) APPOINTMENT OF A SERVICE PROVIDER FOR LEASING OF OFFICE SPACE FOR KLERKSDORP OFFICE FOR A PERIOD OF 5 YEARS. 1. The accompanying information must be used for the formulation of proposals. 2. Bidders are required to indicate a ceiling price based on the total estimated time for completion of all phases and including all expenses inclusive of all applicable taxes for the project. R....................................................................... 3. PERSONS WHO WILL BE INVOLVED IN THE PROJECT AND RATES APPLICABLE (CERTIFIED INVOICES MUST BE RENDERED IN TERMS HEREOF) 4. PERSON AND POSITION HOURLY RATE DAILY RATE -------------------------------------------------------------------------------------- R------------------------------ --------------------------------- -------------------------------------------------------------------------------------- R------------------------------ --------------------------------- -------------------------------------------------------------------------------------- R------------------------------ --------------------------------- -------------------------------------------------------------------------------------- R------------------------------ --------------------------------- -------------------------------------------------------------------------------------- R------------------------------ --------------------------------- 5. PHASES ACCORDING TO WHICH THE PROJECT WILL BE COMPLETED, COST PER PHASE AND MAN-DAYS TO BE SPENT ------------------------------------------------------------------------------- R------------------------------ ---------------------------- days ------------------------------------------------------------------------------- R------------------------------ ---------------------------- days ------------------------------------------------------------------------------- R------------------------------ ---------------------------- days ------------------------------------------------------------------------------- R------------------------------ ---------------------------- days TOTAL: R.......................................................... ** ”all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance contributions and skills development levies. 6. Period required for commencement with project after acceptance of bid ......................................................................... 7. Estimated man-days for completion of project ......................................................................... 8. Are the rates quoted firm for the full period of contract? *YES/NO -2- Bid No.: PSiRA/2025/RFB/17 Name of Bidder: ..................................................................................................................................... 9. If not firm for the full period, provide details of the basis on which adjustments will be applied for, for example consumer price index. ......................................................................... ......................................................................... ......................................................................... ......................................................................... Any enquiries regarding bidding procedures may be directed to the – Private Security Industry Regulatory Authority (PSiRA) Department: Supply Chain Management Office Contact Person: Ms. Nkhuliseni Masikhwa/Ms. Nomathemba Mendu Tel: 012 003 0524/0519 Email Address: bids@psira.co.za Or for technical information – Contact Person: Mr. Thulane Motaung Tel: 012 003 0524/0519 Email Address: bids@psira.co.za SBD4 BIDDER’S DISCLOSURE 1. PURPOSE OF THE FORM Any person (natural or juristic) may make an offer or offers in terms of this invitation to bid. In line with the principles of transparency, accountability, impartiality, and ethics as enshrined in the Constitution of the Republic of South Africa and further expressed in various pieces of legislation, it is required for the bidder to make this declaration in respect of the details required hereunder. Where a person/s are listed in the Register for Tender Defaulters and / or the List of Restricted Suppliers, that person will automatically be disqualified from the bid process. 2. Bidder’s declaration 2.1 Is the bidder, or any of its directors / trustees / shareholders / members / partners or any person having a controlling interest1 in the enterprise, employed by the state? YES/NO 2.1.1 If so, furnish particulars of the names, individual identity numbers, and, if applicable, state employee numbers of sole proprietor/ directors / trustees / shareholders / members/ partners or any person having a controlling interest in the enterprise, in table below. Full Name Identity Number Name of State institution 2.2 Do you, or any person connected with the bidder, have a relationship 1 the power, by one person or a group of persons holding the majority of the equity of an enterprise, alternatively, the person/s having the deciding vote or power to influence or to direct the course and decisions of the enterprise. SBD4 with any person who is employed by the procuring institution? YES/NO 2.2.1 If so, furnish particulars: ................................................................................................ ................................................................................................ 2.3 Does the bidder or any of its directors / trustees / shareholders / members / partners or any person having a controlling interest in the enterprise have any interest in any other related enterprise whether or not they are bidding for this contract? YES/NO 2.3.1 If so, furnish particulars: ........................................................................................ ........................................................................................

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