The successful bidder will be required to fill in and sign a written contract form (mbd7). Bid response documents may be deposited in the bid box situated at (charl cilliers street) kareeberg municipality 10 hanau street carnarvon 8925 supplier information name of bidder postal address street address telephone number code number cellphone number facsimile number code number e-mail address VAT registration number tax compliance status tcs pin: or csd NO: b-bbee status level b-bbee status yes yes verification certificate level sworn [tick applicable box] affidavit NO NO pre-qualification criterai is applicable [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] kareeberg municipality tender: kbm 01-2026 high mast lights:dsky are you aare you the foreign basedaccredited supplier forrepresentative in yes NO the goods yes nosouth africa for the /servicesgoods /services [if yes enclose proof] /works [if yes, answer part b:3]/works offered? Offered? Total number of items total bid offered price r signature of bidder ............................................ Date .......................................... Capacity under which this bid is signed bidding procedure enquiries may be directed to: technical information may be directed to: department contact person contact person telephone number telephone number facsimile number facsimile number e-mail address e-mail address delivery basis: is the delivery period firm? Yes / NO period required for delivery after receipt of order (days) is the price (inclusive of VAT) firm? Yes / NO discount offered: conditional / unconditional if conditional, state condition: own terms and conditions attached? Yes / NO is offer strictly to specification/terms of reference yes / NO if not to specifications/terms of reference. Please state deviation(s) if any: ............................................................ ............................................................................................................................................................... Kareeberg municipality tender: kbm 01-2026 high mast lights:dsky part b terms and conditions for bidding 1. Bid submission: 1.1. Bids must be delivered by the stipulated time to the correct address. Late bids will not be accepted for consideration. 1.2. All bids must be submitted on the official forms provided– (not to be re-typed) or online 1.3. This bid is subject to the preferential procurement policy framework act and the preferential procurement regulations, 2017, the general conditions of contract (gcc) and, if applicable, any other special conditions of contract. 2. Tax compliance requirements 2.1 Bidders must ensure compliance with their tax obligations. 2.2 Bidders are required to submit their unique personal identification number (pin) issued by SARS to enable the organ of state to view the taxpayer’s profile and tax status. 2.3 Application for the tax compliance status (tcs) certificate or pin may also be made via e- filing. In order to use this provision, taxpayers will need to register with SARS as e-filers through the website www.SARS.GOV.ZA. 2.4 Foreign suppliers must complete the pre-award questionnaire in part b:3. 2.5 Bidders may also submit a printed tcs certificate together with the bid. 2.6 In bids where consortia / joint ventures / sub-contractors are involved; each party must submit a separate tcs certificate / pin / csd number. 2.7 Where NO tcs is available but the bidder is registered on the central supplier database (csd), a csd number must be provided. 3. Questionnaire to bidding foreign suppliers 3.1. Is the entity a resident of the republic of south africa (RSA)? yes NO 3.2. Does the entity have a branch in the RSA? yes NO 3.3. Does the entity have a permanent establishment in the RSA? yes NO 3.4. Does the entity have any source of income in the RSA? yes NO 3.5. Is the entity liable in the RSA for any form of taxation? Yes NO if the answer is “NO” to all of the above, then IT is not a requirement to register for a tax compliance status system pin code from the south african revenue service (SARS) and if not register as per 2.3 Above. 3.6. 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: ................................................... Kareeberg municipality tender: kbm 01-2026 high mast lights:dsky capacity under which this bid is signed: ................................................... Date: ................................................... Bank details: bank name: branch: branch code: account holder: account number: account type: authorised signature: .......................................................................................................................................... Name: ............................................................................................................................................................................. Capacity: ..................................................................................................................................................................... Date: .............................................................................................................................................................................. Kareeberg municipality tender: kbm 01-2026 high mast lights:dsky section 3.2: Mbd 2: tax clearance certificates requirements IT is condition of bid that the taxes of the successful bidder must be in order, or that satisfactory arrangements have been made with south african revenue services (SARS) to meet the bidder’s tax obligations. 1. In order to meet this requirement bidders are required to complete the full form tcc 001 “application for a tax clearance certificate” and submit IT to any SARS branch office nationally. The tax clearance certificate requirements are also applicable to foreign bidders / individuals who wish to submit bids. 2. SARS will furnish the bidder with a tax clearance certificate that will be valid for a period of 1 (one) year from the date of approval. 3. The tax clearance certificate pin number must be submitted together with the bid. Failure to submit the original and valid tax clearance certificate will result in the invalidation of the bid. Certified copies of the tax clearance certificate will not be acceptable. 4. In bids where consortia / joint ventures / sub-contractors are involved; each party must submit a separate tax clearance certificate. 5. Copies of the tcc001 “application for a tax clearance certificate” form are available from any SARS branch office nationally or on the website www.sars.gov.za Or at our SCM office. 6. Applications for the tax clearance certificates may also be made via e-filling. In order to use this provision, taxpayers will need to register with SARS as e-filers through the website www.sars.gov.za. 7. The necessary information must be submitted under part 3. Kareeberg municipality tender: kbm 01-2026 high mast lights:dsky section 3.3: Mbd 4 declaration of interest 1. NO bid will be accepted from persons in the service of the state1. 2. Any person, having a kinship with persons in the service of the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, IT is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority. 3. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid. 3.1 Full name of bidder or his or her representative:................................................. 3.2 Identity number: .......................................................................................... 3.3 Position occupied in the company (director, trustee, shareholder22):......................... 3.4 Company registration number: ...................................................................... 3.5 Tax reference number:................................................................................. 3.6 VAT registration number:............................................................................................. 3.7 The names of all the directors / trustees / shareholders members, their individual identity numbers and state employee numbers must be indicated in paragraph 4 below. 3.8 Are you presently in the service of the state? Yes / NO 3.8.1 If yes, furnish particulars............................................................................................................... ...................................................................................................................................................... 3.9 Have you been in the service of the state for the past twelve months? Yes / NO 3.9.1 If yes, furnish particulars.................................................................................................. ....................................................................................................................................... 3.10 Do you have any relationship (family, friend, other) with persons in the service of the state who may be involved with the evaluation and/or adjudication of this bid? Yes / NO 3.10.1 If yes, furnish particulars............................................................................................................... 3.11 Are you aware of any relationship (family, friend, other) between any other bidder and any persons in the service of the state who may be involved with the evaluation and/or adjudication of this bid? Kareeberg municipality tender: kbm 01-2026 high mast lights:dsky yes / NO 3.11.1 If yes, furnish particulars............................................................................................................... ...................................................................................................................................................... 3.12 Are any of the company’s directors, trustees, managers, principle shareholders or stakeholders in service of the state? Yes / NO 3.12.1 If yes, furnish particulars............................................................................................................... ...................................................................................................................................................... 3.13 Are any spouse, child or parent of the company’s directors, trustees, managers, principle shareholders or stakeholders in service of the state? Yes / NO 3.13.1 If yes, furnish particulars............................................................................................................... ...................................................................................................................................................... 3.14 Do you or any of the directors, trustees, managers, principle shareholders, or stakeholders of this company have any interest in any other related companies or business whether or not they are bidding for this contract? Yes / NO 3.14.1 If yes, furnish particulars............................................................................................................... ...................................................................................................................................................... 4. Full details of directors / trustees / members / shareholders. Full name identity number state employee number tax reference number ......................................... ...................................... Signature date .......................................... ....................................... Capacity name of bidder kareeberg municipality tender: kbm 01-2026 high mast lights:dsky section 3.4 - Mbd 6.1 Preference points claim form in terms of the preferential procurement regulations 2017 this preference form must form part of all bids invited. IT contains general information and serves as a claim form for preference points for broad-based black economic empowerment (b-bbee) status level of contribution nb: before completing this form, bidders must study the general conditions, definitions and directives applicable in respect of b-bbee, as prescribed in the preferential procurement regulations, 2017. 1. General conditions 1.1 The following preference point systems are applicable to all bids: - 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 The value of this bid is estimated to exceed/not exceed r50 000 000 (all applicable taxes included) and therefore the 80/20 preference point system shall be applicable; or 1.3 Points for this bid shall be awarded for: (a) price; and (b) b-bbee status level of contributor. 1.4 The maximum points for this bid are allocated as follows: points price 80 b-bbee status level of contributor 20 ➢ bbb-ee status level contributor max 10 points ➢ bidders locality max 10 points • registered in kbm 7 points • bidders registered in northern cape 3 points total points for price and b-bbee must not exceed 100 1.5 Failure on the part of a bidder to submit proof of b-bbee status level of contributor together with the bid, will be interpreted to mean that preference points for b-bbee status level of contribution are not claimed. 1.6 The purchaser reserves the right to require of a bidder, either before a bid is adjudicated or at any time subsequently, to substantiate any claim in regard to preferences, in any manner required by the purchaser. 1.7 Failure on the part of a bidder to fill in, sign this form and submit a b-bbee verification certificate from a verification agency accredited by the south african accreditation system (sanas) or a registered auditor approved by the independent regulatory board of auditors (irba) or a accounting officer as contemplated kareeberg municipality tender: kbm 01-2026 high mast lights:dsky in the close corporation act (cca), or a sworn affidavit (eme’s and qse’s) together with the bid, will be interpreted to mean that preference points for b-bbee status level of contribution are not claimed. 1.8 If the contributor status level of a bidder changes after the closing date of the tender, the bidder must notify the municipality, as such a tender will not be eligible for any change in preference points, based on the change’s status. 2. Definitions (a) “b-bbee” means broad-based black economic empowerment as defined in section 1 of the broad- based black economic empowerment act; (b) “b-bbee status level of contributor” means the b-bbee status of an entity in terms of a code of good practice on black economic empowerment, issued in terms of section 9(1) of the broad-based black economic empowerment act; (c) “bid” means a written offer in a prescribed or stipulated form in response to an invitation by an organ of state for the provision of goods or services, through price quotations, advertised competitive bidding processes or proposals; (d) “broad-based black economic empowerment act” means the broad-based black economic empowerment act, 2003 (act NO. ); (e) “eme” means an exempted micro enterprise in terms of a code of good practice on black economic empowerment issued in terms of section 9 (1) of the broad-based black economic empowerment act; (f) “functionality” means the ability of a tenderer to provide goods or services in accordance with specifications as set out in the tender documents. (G) “prices” includes all applicable taxes less all unconditional discounts; (h) “proof of b-bbee status level of contributor” means: 1) bbee status level certificate issued by an authorized body or person; 2) a sworn affidavit as prescribed by the b-bbee codes of good practice; 3) any other requirement prescribed in terms of the b-bbee act; (i) “qse” means a qualifying small business enterprise in terms of a code of good practice on black economic empowerment issued in terms of section 9 (1) of the broad-based black economic empowerment act; (j) “rand value” means the total estimated value of a contract in rand, calculated at the time of bid invitation, and includes all applicable taxes; 3. Points awarded for price 3.1 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 = 801 − or ps = 90 1 − p min p min kareeberg municipality tender: kbm 01-2026 high mast lights:dsky where ps = points scored for price of bid under consideration pt = price of bid under consideration pmin = price of lowest acceptable bid 4. Points awarded for b-bbee status level of contributor 4.1 In terms of regulation 6 (2) and 7 (2) of the preferential procurement regulations, preference points must be awarded to a bidder for attaining the b-bbee status level of contribution in accordance with the table below: number of points b-bbee status level of contributor (80/20 system) 1 10 2 9 3 6 4 5 5 4 6 3 7 2 8 1 non-compliant contributor 0 4.2 A bidder who qualifies as an eme in terms of the b-bbee act must submit a sworn affidavit confirming annual total revenue and level of black ownership. 4.3 A bidder other than eme or qse must submit their original and valid b-bbee status level verification certificate or a certified copy thereof, substantiating their b-bbee rating issued by a registered auditor approved by irba or a verification agency accredited by sanas. 4.4 A trust, consortium or joint venture, 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. 4.5 A trust, consortium or joint venture will qualify for points for their b-bbee status level as an unincorporated entity, provided that the entity submits their consolidated b-bbee scorecard as if they were a group structure and that such a consolidated b-bbee scorecard is prepared for every separate bid. 4.6 Tertiary institutions and public entities will be required to submit their b-bbee status level certificates in terms of the specialized scorecard contained in the b-bbee codes of good practice. 4.7 A person will not be awarded points for b-bbee status level if IT is indicated in the bid documents that such a bidder intends sub-contracting more than 25% of the value of the contract to any other enterprise that does not qualify for at least the points that such a bidder qualifies for, unless the intended sub-contractor is an eme that has the capability and ability to execute the sub-contract. 4.8 A person awarded a contract may not sub-contract more than 25% of the value of the contract to any other enterprise that does not have an equal or higher b-bbee status level than the person concerned, unless the contract is sub-contracted to an eme that has the capability and ability to execute the sub-contract. 5. Bid declaration 5.1 Bidders who claim points in respect of b-bbee status level of contribution must complete the following: 6. B-bbee status level of contributor claimed in terms of paragraphs 1.4 And 4.1 6.1 B-bbee status level of contributor: . = .........(maximum Of 10 or 20 points) kareeberg municipality tender: kbm 01-2026 high mast lights:dsky (points claimed in respect of paragraph 7.1 Must be in accordance with the table reflected in paragraph 4.1 And must be substantiated by relevant proof of b-bbee status level of contributor.) 7. Sub-contracting 7.1 Will any portion of the contract be sub-contracted? (Tick applicable box) yes NO 7.1.1 If yes, indicate: i) what percentage of the contract will be subcontracted........................................% Ii) the name of the sub-contractor.................................................................... Iii) the b-bbee status level of the sub-contractor....................................................... Iv) whether the sub-contractor is an eme or qse (tick applicable box) yes NO v) specify, by ticking the appropriate box, if subcontracting with an enterprise in terms of preferential procurement regulations,2017: designated group: an eme or qse which is at last 51% owned by: eme qse √ √ black people black people who are youth black people who are women black people with disabilities black people living in rural or underdeveloped areas or townships cooperative owned by black people black people who are military veterans or any eme any qse 8. Declaration with regard to company/firm 8.1 Name of company/firm:........................................................................................ 8.2 VAT registration number:..................................................................................... 8.3 Company registration number:.............................................................................. 8.4 Type of company/ firm partnership/joint venture / consortium one-person business/sole propriety close corporation company (pty) limited [tick applicable box] 8.5 Describe principal business activities kareeberg municipality tender: kbm 01-2026 high mast lights:dsky .......................................................................................................................................... .......................................................................................................................................... 8.6 Company classification manufacturer supplier professional service provider other service providers, e.g. Transporter, etc. [Tick applicable box] 8.7 Municipal information municipality where business is situated: ........................................................... Registered account number: ............................... Stand number:....................................................... 8.8 Total number of years the company/firm has been in business:................................. 8.9 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the b-bbe status level of contributor indicated in paragraphs 1.4 And 6.1 Of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and i / we 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 1.4 And 6.1, The contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) if the b-bbee status level of contributor has been claimed or obtained on a fraudulent basis or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy IT may have – (a) disqualify the person from the bidding process; (b) recover costs, losses or damages IT has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which IT has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the national treasury 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. Witnesses .............................................. Signature(s) of bidders(s) 1. ............................................ 30 date: ......................................... Address .........................................