Maintenance, servicing & repair of hydroboilers – tender in kwazulu-natal

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5. Evaluation process

5.1.5 The bidder must submit SBD 6.1 preference points claim form.

specific goals scoring according to PPPFA 2022 regulations.

5.3 Phase 3: Price and Specific Goals Scoring

b) Bidders’ total price weighs 80 points.

5.3.2 Specific Goals

a) The bidder must submit SBD 6.1 preference points claim form.

b) Bidders’ specific goals weigh 20 points.

Specific Goals Criteria Points

1. Promotion of enterprises located in eThekwini Municipality = 10 points

The bidder outside eThekwini Municipality will score 0 points

2. Youth Ownership: More than 51% youth owned = 10 points

The bidder with less than 51% youth ownership will score 0 points

Total Points 20

RFQ responses will be evaluated on the 80/20 Price & specific goals. SBD 6.1. Preference Points Claim

to claim specific goals points. Failing to submit will result in your company scoring zero (0) points for

specific goals.

on of enterprises located in eThekwini Municipality = 10 points

evaluation, and selection process.

5. Completed and signed preference points claim form (SBD6.1).

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

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

the 90/10 system for requirements with a Rand value above R50 000 000 (all

a) The applicable preference point system for this tender is the 90/10 preference point

1.1 Trade & Investment KwaZulu-Natal is a South African trade and inward investment promotion agency,

established as a Schedule 3C public entity, to promote the province of KwaZulu-Natal as an investment

destination and to facilitate trade by assisting local companies to access international markets. In

terms of the Public Finance Management Act, Act No., as amended (PFMA), Trade &

Investment KwaZulu-Natal, must fully comply with all the requirements of the PFMA and all other

relevant and applicable legislation.

1.2 Trade & Investment KwaZulu-Natal is governed by the KwaZulu-Natal Trade and Investment Agency

Act, 2010 (Act No. ). In terms of chapter 2 section 4 (1) of the KwaZulu-Natal Trade and

Investment Act, the main functions of the entity are to:

1.2.1 Identify, develop, market and promote investment opportunities in the province to

international and domestic investors.

1.2.2 Develop the export capacity of the province.

1.2.3 Develop the export market of the province.

1.2.4 Foster trade and investment within the province.

1.2.5 Develop a provincial investment and export plan for the development, promotion and

marketing of inward investments and exports from the province.

1.2.6 Keep and maintain a database of investment opportunities within the province in such a

manner as to benefit all sectors of the economy.

Trade & Investment KwaZulu-Natal utilises Hydro boil water heating units within its offices to provide

boiling water for staff and visitors. These units require routine maintenance and servicing to ensure

their continued efficient operation and to minimise unexpected equipment failures.

Three Hydroboil units currently require servicing, maintenance and repair, including the replacement

of defective components where necessary. The work must be undertaken by a suitably qualified and

experienced service provider capable of servicing commercial Hydroboil units and supplying genuine

or equivalent replacement parts.

The purpose of this Request for Quotation (RFQ) is to appoint a suitably qualified service provider to

undertake the maintenance, servicing and repair of Three (3) Hydro boiler units situated at Trade &

Investment KwaZulu-Natal offices:

The successful bidder will be responsible for inspecting, diagnosing faults, servicing the units and

carrying out all necessary repairs to restore the equipment to full operational condition.

Description Quantity

The quotation shall include the servicing, maintenance and repair of:

Hydro boiler – 7.5 Litre Capacity 2

Hydro boiler – 5 Litre Capacity 1 3

The quotation must clearly indicate:

Inspection

Carry out a comprehensive inspection and assessment of all three Hydro boil units to

determine their operational condition.

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Servicing

The servicing shall include, but not be limited to:

• Cleaning of internal components
• Descaling the boiling chamber
• Cleaning filters
• Inspection of electrical components
• Inspection of heating elements
• Inspection of safety devices
• Inspection of water connections
• Inspection of seals and gaskets
• Functional testing after servicing

Repairs

The successful bidder shall:

• Diagnose all faults.
• Replace worn or defective components.
• Replace faulty taps/opening and closing mechanisms where required.
• Repair leaks.
• Replace damaged seals and washers.
• Replace defective electrical components where necessary.
• Ensure each hydro boiler is fully operational after repairs.

Bid response documents may be deposited in the bid box situated at (street address)

Bidding procedure enquiries may be directed to technical enquiries may be directed to:

Contact person contact person

Telephone number telephone number

Facsimile number facsimile number

E-mail address e-mail address

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

Upon completion of repairs, the successful bidder shall:

• Test each hydro boiler.
• Confirm correct water temperature.
• Confirm correct water flow.
• Check for leaks.
• Demonstrate proper operation to TIKZN representatives.

The quotation must clearly indicate:

• Labour costs
• Cost of replacement parts
• Call-out fee (if applicable)
• VAT
• Total quotation amount
• Estimated repair completion period

Comply with Occupational Health and Safety requirements.

The successful bidder shall provide:

• A minimum six (6) month warranty on all workmanship.
• A manufacturer's warranty on all replacement parts supplied.
• Rectify any workmanship-related defects identified during the warranty period at

no additional cost to TIKZN.

Nb. Bidders must provide a detailed quotation in a company letterhead as per the

Specification above.

Deliver at: trade & investment kwazulu-natal, kingsmead office park, durban

5. Evaluation process

5.1 Phase 1: SCM Administrative Requirements

5.1.1 The service provider must submit proof of registration on CSD (Central Supplier

Database)/SARS PIN.

5.1.2 The SBD 4 form must be completed, signed by the authorised company representative.

5.1.3 The SBD1 form must be completed, signed by the authorised company representative.

5.1.4 The POPIA consent form must be completed, signed by the authorised company

representative.

5.1.5 The bidder must submit SBD 6.1 preference points claim form.

`

Failure to provide the above information may lead to bidder’s proposal not being considered further.

5.2 Phase 2: Compliance with RFQ specifications

5.2.1 Quoting on less/ fewer items/ quantities than what has been requested will invalidate your

quotation.

5.2.2 Only bid proposals that comply with RFQ specification will be further evaluated on price and

specific goals scoring according to PPPFA 2022 regulations.

5.3 Phase 3: Price and Specific Goals Scoring

5.3.1 Pricing Considerations

a) Bidders’ price quotations must be inclusive of all applicable taxes (including VAT).

b) Bidders’ total price weighs 80 points.

5.3.2 Specific Goals

a) The bidder must submit SBD 6.1 preference points claim form.

b) Bidders’ specific goals weigh 20 points.

Specific Goals Criteria Points

1. Promotion of enterprises located in eThekwini Municipality = 10 points

The bidder outside eThekwini Municipality will score 0 points

Proof of claim: Copy of a utility bill for property rates and services/ valid lease agreement/

original proof of address signed by a Ward Councillor. 20

2. Youth Ownership: More than 51% youth owned = 10 points

The bidder with less than 51% youth ownership will score 0 points

Proof of Claim: ID Copies of Directors/CSD Report/BBBEE Certificate/Affidavit.

Total Points 20

RFQ responses will be evaluated on the 80/20 Price & specific goals. SBD 6.1. Preference Points Claim

Form in terms of The Preferential Procurement Regulations 2022 must be completed and be submitted

to claim specific goals points. Failing to submit will result in your company scoring zero (0) points for

specific goals.

NB: Tax matters for the recommended bidder will be verified on Central Supplier Database (CSD) or

SARS e-Filling prior to awarding. If the bidders’ tax matters are non-compliant in terms of clause 4.2 &

4.3 will be exercised from National Treasury Instruction No. /2018 (Tax Compliance Status

Verification).

6. Communication

All enquiries relating to this RFQ should be sent via email: [email protected].

7. Conditions to be observed when responding to RFQ

No RFQ shall be deemed to have been accepted unless and until a formal contract/letter of

award/order form is prepared and executed. Quotation shall remain open for acceptance by Trade &

Investment KwaZulu-Natal for a period of 90 days from the closing date of the RFQ Enquiry.

8. Cost of bidding

The service provider shall bear all costs and expenses associated with the preparation and submission

of its RFQ, and Trade & Investment KwaZulu-Natal shall under no circumstances be responsible or

liable for any such costs, regardless of, without limitation, the conduct or outcome of the bidding,

evaluation, and selection process.

End of RFQ document

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Annexed to this document for completion and return with the document:

1. Quotation on a company letterhead.
2. Completed and signed Declaration of Interest (SBD 4).
3. Completed and signed Invitation to bid (SBD1 -Part A & B).
4. Completed and signed POPIA consent form.
5. Completed and signed preference points claim form (SBD6.1).
6. Copy of CSD Report or MAAA Number (National Treasury).
7. Information requested as per the mandatory requirements.

Consent to Process Personal Information

in terms of

Protection of Personal Information Act No.

(Mandatory for all interactions with tikzn)

I, the undersigned___________________________________________________________________________

(Full Name and Surname)

(Hereinafter be referred to as the “Data Subject”)

ID number_________________________________________________________________________________

(If not available, date of birth & passport number)

Address___________________________________________________________________________________

hereby give my consent to Trade & Investment KwaZulu-Natal (TIKZN), who is a Responsible Party1 to process2 my Personal

Information for the following purposes:

Providing me with advice, products and services that suit my needs as requested

YES To conduct Central Supplier Database (“CSD”) reference searches

YES To process my applications and requests

To notify me of new services, opportunities that may be of interest to me

YES To confirm, verify and update my details

YES To comply with any legal and regulatory requirements

To conduct qualification verifications, credit checks, reference checks, criminal record checks, psychometric

assessment and/or reporting to regulating authorities.

Add further details of purposes:

I furthermore authorise TIKZN to verify my identity and any information I have provided. This personal information will not be

shared with any third parties without my specific approval and will not be sold, distributed or leased to third parties unless my

permission has been granted or required by law to do so.

I furthermore unconditionally indemnify TIKZN against any liability which results or may result from furnishing information in this

regard.

TIKZN will not be liable for any damages of any kind arising from my use of their services, including but not limited to direct,

indirect, incidental, punitive and/or consequential damages.

I further understand that should I not give my consent to the processing of my personal information for the purpose specified

above, then TIKZN will not proceed with said purpose.

Signed at_______________________________ on this_____/__/____ __________________________

(Place) (Day) (Month)(Year) (Signature of Employee )

1 ‘‘responsible party’’ means a public or private body or any other person which, alone or in conjunction with others, determines the purpose of and

means for processing personal information;

2 ‘‘processing’’ means any operation or activity or any set of operations, whether or not by automatic means, concerning personal information,

including:

(a) the collection, receipt, recording, organisation, collation, storage, updating or modification, retrieval, alteration, consultation or use;

(b) dissemination by means of transmission, distribution or making available in any other form; or

(c) merging, linking, as well as restriction, degradation, erasure or destruction of information;

Doc No.: POP001 Implemented: 18/06/21 Date Updated: 08/07/21

Ownership: Information Officer

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:

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

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

• Cleaning of internal components

• Descaling the boiling chamber

• Cleaning filters

• Inspection of electrical components

• Inspection of heating elements

• Inspection of safety devices

• Inspection of water connections

• Inspection of seals and gaskets

• Functional testing after servicing

• Diagnose all faults.

• Replace worn or defective components.

• Replace faulty taps/opening and closing mechanisms where required.

• Repair leaks.

• Replace damaged seals and washers.

• Replace defective electrical components where necessary.

• Ensure each hydro boiler is fully operational after repairs.

Testing

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

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).

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 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

GENERAL CONDITIONS 1.1 The following preference point systems are applicable to invitations to tender

the 80/20 system for requirements with a Rand value of up to R50 000 000 (all applicable taxes included); and

the 90/10 system for requirements with a Rand value above R50 000 000 (all applicable taxes included). 1.2 To be completed by the organ of state (Delete whichever is not applicable for this tender).

The applicable preference point system for this tender is the 90/10 preference point system.

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

Either the 90/10 or 80/20 preference point system will be applicable in this tender. The lowest/ highest acceptable tender will be used to determine the accurate system once tenders are received. 1.3 Points for this tender (even in the case of a tender for income-generating contracts) shall be awarded for: (a) Price; and (b) Specific Goals. 1.4 To be completed by the organ of state: The maximum points for this tender are allocated as follows: POINTS PRICE 80 SPECIFIC GOALS 20 Total points for Price and SPECIFIC GOALS 100 of 5 1.5 Failure on the part of a tenderer to submit proof or documentation required in terms of this tender to claim points for specific goals with the tender, will be interpreted to mean that preference points for specific goals are not claimed. 1.6 The organ of state reserves the right to require of a tenderer, either before a tender is adjudicated or at any time subsequently, to substantiate any claim in regard to preferences, in any manner required by the organ of state.

DEFINITIONS (a) “tender” means a written offer in the form determined by an organ of state in response to an invitation to provide goods or services through price quotations, competitive tendering process or any other method envisaged in legislation. (b) “price” means an amount of money tendered for goods or services and includes all applicable taxes less all unconditional discounts. (c) “Rand value” means the total estimated value of a contract in Rand, calculated at the time of bid invitation, and includes all applicable taxes. (d) “tender for income-generating contracts” means a written offer in the form determined by an organ of state in response to an invitation for the origination of income-generating contracts through any method envisaged in legislation that will result in a legal agreement between the organ of state and a third party that produces revenue for the organ of state, and includes, but is not limited to, leasing and disposal of assets and concession contracts, excluding direct sales and disposal of assets through public auctions; and (e) “The Act” means the Preferential Procurement Policy Framework Act, 2000 (Act No. ).

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−P min Pt−P min Ps = 80 (1 − ) or Ps = 90 (1 − ) P min P min Where Ps = Points scored for price of tender under consideration Pt = Price of tender under consideration Pmin = Price of lowest acceptable tender of 5 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−P max Pt−P max Ps = 80 (1 + ) or Ps = 90 (1 + ) P max Pmax Where Ps = Points scored for price of tender under consideration Pt = Price of tender under consideration Pmax = Price of highest acceptable tender

POINTS AWARDED FOR SPECIFIC GOALS 4.1. In terms of Regulation 4(2); 5(2); 6(2) and 7(2) of the Preferential Procurement Regulations, preference points must be awarded for specific goals stated in the tender. For the purposes of this tender the tenderer will be allocated points based on the goals stated in table 1 below as may be supported by proof/ documentation stated in the conditions of this tender: 4.2. In cases where organs of state intend to use Regulation 3(2) of the Regulations, which states that, if it is unclear whether the 80/20 or 90/10 preference point system applies, an organ of state must, in the tender documents, stipulate in the case of— (a) an invitation for tender for income-generating contracts, that either the 80/20 or 90/10 preference point system will apply and that the highest acceptable tender will be used to determine the applicable preference point system: or (b) any other invitation for tender, that either the 80/20 or 90/10 preference point system will apply and that the lowest acceptable tender will be used to determine the applicable preference point system, then the organ of state must indicate the points allocated for specific goals for both the 90/10 and 80/20 preference point system. of 5 Table 1: Specific goals for the tender and points claimed are indicated per the table below. (Note to organs of state: Where either the 90/10 or 80/20 preference point system is applicable, corresponding points must also be indicated as such. Note to tenderers: The tenderer must indicate how they claim points for each preference point system.) Number of points Number of points claimed (80/20 allocated (80/20 system) system) The specific goals allocated points in terms of this (To be completed (To be completed by tender by the tenderer) the organ of state) 20 20 Youth Ownership: More than 51% = 10 points. The bidder with less than 51% or more disability ownership will score 0 points 10 Proof of claim: Medical certificate from a registered medical practitioner. Promotion of enterprises located in eThekwini Municipality = 10 points Proof of claim: copy of the utility bill for property 10 rates and services/ valid lease agreement/ original proof of residence signed by a Ward Councillor. DECLARATION WITH REGARD TO COMPANY/FIRM 4.3. Name of company/firm............................................................................... 4.4. Company registration number: ..................................................................... 4.5. 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] 4.6. 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, of 5 qualifies the company/ firm for the preference(s) shown and I acknowledge that: 4.7. 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 because 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. 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 because 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: ............................................................... ............................................................... ............................................................... ............................................................... of 5

Points Allocation: 20 points

B-BBEE Details: TIME:

Description

Bid response documents may be deposited in the bid box situated at (street address)

Bidding procedure enquiries may be directed to technical enquiries may be directed to:

Contact person contact person

Telephone number telephone number

Facsimile number facsimile number

E-mail address e-mail address

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 b