Professional services for HVAC system reinstatement in theatres at rk khan hospital

{"closingDate":"3 AUGUST 2026","closingTime":"11h00","briefingSession":"{\"date\":\"16 July 2026\",\"time\":null,\"venue\":\"ion meeting will be held. All queries related to this application document can be\",\"is_compulsory\":true}"}

{"name":"Mr L Khumalo","email":"[email protected]","phone":null,"department":"OF HEALTH: RK KHAN HOSPITAL: REINSTATEMENT OF HVAC SYSTEM TO","address":"rk to be done or services to be rendered"}

Returnable Documents: TION H PREFERENCE POINTS CLAIM FORM (SBD 6.1) 26-34, SECTION L TAX COMPLIANCE STATUS 50, APPENDIX E CIDB B.U.I.L.D PROGRAMME 100-101, APPENDIX F CV TEMPLATE 102-105, TAX COMPLIANCE SUPPLIER, 2.Certified copies of Identity Document/s of the, NotDocumentary Proof Required: 0 Applicable1) Certified copy of Identity Document/s, 2) Certified copy of Identity document/s", OR 2) Lease Agreement", OR 3) Lease agreement from the Tribal Council"

The evaluation criteria will be in three phases

Meeting the mandatory requirement by the entire team is applicable for the evaluation of this bid. Only

1.3 Phase 3: Price & Specific Goals

• Price (Discount offered) and Specific Goals
• Evaluating using the Point System of 80/20 (Price and Specific Goals)

Specific goals for the tender and points claimed are indicated per the table below.

(Note to organs of state: Where either the 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

Applicable Number of points allocated

or (80/20 system)The specific goals allocated points in terms of this tender

registration of all suppliers of goods and services to the State, including the verification functionality of key supplier

The bid evaluation process.

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 applicable taxes

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

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

80/20 preference point system will be applicable in this tender. The lowest/ highest acceptable tender

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

(b) Specific Goals.

The maximum points for this tender are allocated as follows

Specific goals 20

Total points for Price and SPECIFIC GOALS 100

claim points for specific goals with the tender, will be interpreted to mean that preference points for

Section o mandatory criteria 70-77

Appendix a bid pro-forma 78-84

Appendix b summary of professional fees 85

Appendix c checklist of returnable documents 86

Appendix d contract data & pricing data 87-99

Appendix e CIDB b.U.I.L.D Programme 100-101

Appendix f cv template 102-105

Appendix g schedule of previous work 106

Appendix h format for traceable reference letters 107-108

of 108

Sbd1

Part a

Invitation to bid

You are hereby invited to bid for requirements of the department of public works & infrastructure

BID NUMBER: WIMS 080836 CLOSING DATE: 3 AUGUST 2026 CLOSING TIME: 11h00

Appointment of a registered professional multi-disciplinary consulting

Team (comprising of mechanical engineer as mechanical/fire engineer

And as principal agent, architect, quantity surveyor , civil engineerdescription

Structural engineer, and electrical engineer )to provide professional

Services for department of health: rk khan hospital: reinstatement of

HVAC system to existing theatres

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

Department of Public Works & Infrastructure: Head Office

191 Prince Alfred Street, 3202

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

CONTACT PERSON Mr L Khumalo CONTACT PERSON Salma Mahomed

Telephone

066 4722 602 TELEPHONE NUMBER n/sNUMBER

Facsimile

Facsimile numbernumber

E-MAIL ADDRESS [email protected] E-MAIL ADDRESS [email protected]

Name of bidder

Postal address

Street address

Telephone code number

Number

Cellphone

Number

Facsimile

Code number

Number

E-mail address

VAT

Registration

Number

Centralsupplier

Tax compliance supplier

Compliance or maaa

System pin: database

STATUS No:

B-bbee status tick applicable box] b-bbee status level [tick applicable box]

Level sworn affidavit

Verification

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

Supplier for the goods

IN SOUTH AFRICA Yes No

/SERVICES /WORKSFOR THE GOODS Yes No

Offered?

/Services [if yes, answer the

/Works [if yes enclose proof] questionnaire below]

Offered?

Questionnaire to bidding foreign suppliers

of 108

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.

of 108

Part b sbd1

Terms and conditions for bidding

Bid submission:

Bids must be delivered by the stipulated time to the correct address. Late bids will not be accepted for

Consideration.

All bids must be submitted on the official forms provided – (not to be re-typed) or in the manner prescribed

In the bid document.

This bid is subject to the preferential procurement policy framework act, 2000 and the preferential

Procurement regulations, 2022, the general conditions of contract (gcc) and, if applicable, any other

Special conditions of contract.

The successful bidder will be required to fill in and sign a written contract form (sbd7).

Tax compliance requirements

Bidders must ensure compliance with their tax obligations.

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.

Application for tax compliance status (tcs) pin may be made via e-filing through the SARS website

Www.SARS.GOV.ZA.

Bidders may also submit a printed tcs certificate together with the bid.

In bids where consortia / joint ventures / sub-contractors are involved, each party must submit a separate

Tcs certificate / pin / csd number.

Where NO tcs pin is available but the bidder is registered on the central supplier database (csd), a csd

Number must be provided.

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: ...................................................

of 108

Section a

Special instructions and notices to bidders regarding the completion of bidding forms

Please note that this bid is subject to treasury regulations 16a issued in terms of the public finance

Management act, 1999, the kwazulu-natal supply chain management policy framework and the

General conditions of contract.

1. Unless inconsistent with or expressly indicated otherwise by the context, the singular shall include the plural and visa-versa and with

words importing the masculine gender shall include the feminine and the neuter.

2. Under no circumstances whatsoever may the bid forms be retyped or redrafted. Photocopies of the original bid documentation may

be used, but an original signature must appear on such photocopies.

3. The bidder is advised to check the number of pages and to satisfy himself that none are missing or duplicated.

4. Bids submitted must be complete in all respects.

5. Bids shall be lodged at the address indicated not later than the closing time specified for their receipt, and in accordance with the

directives in the bid documents.

6. Each bid shall be addressed in accordance with the directives in the bid documents and shall be lodged in a separate sealed

envelope, with the name and address of the bidder, the bid number and closing date indicated on the envelope. The envelope shall

not contain documents relating to any bid other than that shown on the envelope. If this provision is not complied with, such bids

may be rejected as being invalid.

7. All bids received in sealed envelopes with the relevant bid numbers on the envelopes are kept unopened in safe custody until the

closing time of the bids. Where, however, a bid is received open, it shall be sealed. If it is received without a bid number on the

envelope, it shall be opened, the bid number ascertained, the envelope sealed and the bid number written on the envelope.

8. A specific box is provided for the receipt of bids, and no bid found in any other box or elsewhere subsequent to the closing date and

time of bid will be considered.

9. No bid sent through the post will be considered if it is received after the closing date and time stipulated in the bid documentation,

and proof of posting will not be accepted as proof of delivery.

10. No bid submitted by telefax, telegraphic or other electronic means will be considered.

11. Bidding documents must not be included in packages containing samples. Such bids may be rejected as being invalid.

12. Any alteration made by the bidder must be initialed.

13. Use of correcting fluid is prohibited

14. Bids will be opened in public as soon as practicable after the closing time of bid.

15. Where practical, prices are made public at the time of opening bids.

16. If it is desired to make more than one offer against any individual item, such offers should be given on a photocopy of the page in

question. Clear indication thereof must be stated on the schedules attached.

17. Bidders must initial each and every page of the bid document.

of 108

Section b

Registration on the central suppliers database

1. In terms of the Public Finance Management Act (PFMA), 1999 (Act No 1of 1999) Section 38 (1) (a) (iii) and 51 (1) (iii) and

Section 76 (4) of PFMA, National Treasury developed a single platform, the Central Suppliers Database (CSD) for

registration of all suppliers of goods and services to the State, including the verification functionality of key supplier

information.

2. Prospective suppliers will be able to self-register on the CSD website www.csd.gov.za

3. Once the supplier information has been verified with external data sources by National Treasury, a unique supplier number

and security code will be allocated and communicated to the supplier. Suppliers will be required to keep their data updated

regularly and should confirm at least once a year that their data is still current and updated.

4. Suppliers can provide their CSD supplier number and unique security code to organs of state to view their verified CSD

information.

5. If a business is registered on the Database and it is found subsequently that false or incorrect information has been supplied,

then the Department may, without prejudice to any other legal rights or remedies it may have;

3.1 Cancel a bid or a contract awarded to such supplier, and the supplier would become liable for any damages if a less

favorable bid is accepted, or less favorable arrangements are made.

3.2 The same principles as set out in paragraph 3 above are applicable should the supplier fail to request updating

of its information on the Central Suppliers Database, relating to changed particulars or circumstances.

If the supplier is not registered at the closing time of bid, the supplier will be disqualified at

The bid evaluation process.

of 108

Section c

Declaration that information on central supplier database is correct and up to date

(To be completed by bidder)

THIS IS TO CERTIFY THAT I (name of bidder/authorized representative) .................................................................., WHO

REPRESENTS (state name of bidder) ........................................................................................................CSD Registration

Number.................................................

AM aware of the contents of the central supplier database with respect to the bidder’s details and

Registration information, and that the said information is correct and up to date as on the date of

Submitting this bid.

And i AM aware that incorrect or outdated information may be a cause for disqualification of this

Bid from the bidding process, and/or possible cancellation of the contract that may be awarded on

The basis of this bid.

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

Signature of bidder or authorised representative

Date: ....................................................

of 108

Section d

Applicable Not Applicable x

Official briefing session / site inspection certificate

Bid No : WIMS: 080836 ZNT: Not Applicable

Service: APPOINTMENT OF A REGISTERED PROFESSIONAL MULTI-DISCIPLINARY CONSULTING

Team (comprising of mechanical engineer as mechanical/fire

Engineer and as principal agent, architect, quantity surveyor ,

Civil engineer structural engineer, and electrical engineer )to

Provide professional services for department of health: rk khan

Hospital: reinstatement of HVAC system to existing theatres

Date : TBA

Time : TBA

Venue : TBA

This is to certify that (bidder’s representative name) _____________________________________________________

On behalf of (company name) ____________________________________________________________________

Visited and inspected the site on ___/___/_________ (date) and is therefore familiar with the circumstances and the

scope of the service to be rendered.

_______________________________________________

Signature of Bidder or Authorized Representative

(Print name)

DATE: ___/___/_________ NOTE: All attendees to submit (1) Tenderer’s

Business Name, (2) the Representatives Name,________________________________________________

(3) a Contact number and (4) Email address, via

Name of Departmental or Public Entity Representative the MS Teams chat upon entry.

MS Teams online register to serve as proof of

(PRINT NAME) attendance for the compulsory briefing meeting. A

date for the site visit & walkthrough of the facility

Departmental Stamp With Signature (not compulsory) to be confirmed at the meeting.

of 108

Section e sbd 3.1

Pricing schedule – firm prices

(Purchases)

Applicable not applicable x

Note: only firm prices will be accepted. Non-firm prices (including prices subject to rates of exchange

Variations) will not be considered

In cases where different delivery points influence the pricing, a separate pricing schedule must be

Submitted for each delivery point

Name of bidder.......................................... Bid number..........................................................

Closing Time 11:00 Closing date...................................................

Bid price including VAT: r ...............................................................................................................................................................

Amount in words: .................................................................................................................................................................................

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

Offer to be valid for 120 days from the closing date of bid.

ITEM QUANTITY DESCRIPTION Unit Price Total Price

NO.

Sub-total

VAT at 15%

Grand total (bid price in RSA currency with all applicable

Taxes included)

Required by: ........................................

• At: ........................................

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

Brand and model ........................................

Country of origin ........................................

• Does the offer comply with the specification(s)? *YES/NO

If not to specification, indicate deviation(s) ........................................

Period required for delivery ........................................

Delivery: Firm/not firm

Delivery basis ..........................................

Note: All delivery costs must be included in the bid price, for delivery at the prescribed destination.

• * “all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills development levies.

Delete if not applicable

of 108

Sbd 3.2

Pricing schedule – non-firm prices

(Purchases)

Applicable not applicable x

Note: price adjustments will be allowed at the periods and times specified in the bidding documents.

In cases where different delivery points influence the pricing, a separate pricing schedule

Must be submitted for each delivery point

Name of bidder.......................................... Bid number..........................................................

Closing Time 11:00 Closing date...................................................

Offer to be valid for.........DAYS From the closing date of bid.

• --------------------------------------------------------------------------------------------------------------------------------------------------------

ITEM QUANTITY DESCRIPTION Unit Price Total for each unit

NO.

Sub-total

VAT at 15%

Grand total (bid price in RSA currency with all applicable

Taxes included)

• --------------------------------------------------------------------------------------------------------------------------------------------------------

Required by: ................................................

• At: .................................................

Brand and model ................................................

Country of origin .................................................

• Does the offer comply with the specification(s)? *YES/NO

If not to specification, indicate deviation(s) .................................................

Period required for delivery .................................................

• Delivery: *Firm/not firm

• * “all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills development levies.

• Delete if not applicable

of 108

Sbd 3.2

Price adjustments

A non-firm prices subject to escalation

1. In cases of period contracts, non firm prices will be adjusted (loaded) with the assessed contract

Price adjustments implicit in non firm prices when calculating the comparative prices

In this category price escalations will only be considered in terms of the following formula:

 R1t R 2t R 3t R 4t  Pa = (1 − V )Pt  D1 + D 2 + D 3 + D 4  + VPt

 R1o R 2 o R 3o R 4 o 

Where:

Pa = The new escalated price to be calculated.

(1-V)Pt = 85% of the original bid price. Note that Pt must always be the original bid price and

not an escalated price.

D1, D2.. = Each factor of the bid price e.g. labour, transport, clothing, footwear, etc. The total of the

various factors D1, D2...etc. must add up to 100%.

R1t, R2t...... = Index figure obtained from new index (depends on the number of factors used).

R1o, R2o = Index figure at time of bidding.

VPt = 15% of the original bid price. This portion of the bid price remains firm i.e. it is not subject

to any price escalations.

3. The following index/indices must be used to calculate your bid price:

Index.......... Dated.......... Index.......... Dated.......... Index.......... Dated..........

Index.......... Dated.......... Index.......... Dated.......... Index.......... Dated..........

4. Furnish a breakdown of your price in terms of above-mentioned formula. The total

Of the various factors must add up to 100%.

FACTOR P PERCENTAGE OF BID PRICE (D1, D2 etc. eg. Labour, transport etc.)

of 108

Sbd 3.2

B prices subject to rate of exchange variations

1. Please furnish full particulars of your financial institution, state the currencies used in the conversion of the prices of the items to South

African currency, which portion of the price is subject to rate of exchange variations and the amounts remitted abroad.

Amount in portion of foreign particulars of financial price

Item NO price currency rate currency institution subject to remitted roe

Abroad

ZAR=

ZAR=

ZAR=

ZAR=

ZAR=

ZAR=

2. Adjustments for rate of exchange variations during the contract period will be calculated by using the average monthly exchange rates

as issued by your commercial bank for the periods indicated hereunder: (Proof from bank required)

Date until which

Date documentation date from which new new calculated average monthly exchange rates for the period: must be submitted to this calculated prices will price will be

Office become effective effective

of 108

Sbd 3.3

Section d official briefing session/site inspection 12

Certificate

Section e pricing schedule (sbd 3) 13-18

Section f bidder’s disclosure (sbd 4) 19-21

Section g form of offer and acceptance 22-25

Section h preference points claim form (sbd 6.1) 26-34

Section i contract form (sbd 7) 35-40

Section j general conditions of contract 41-48

Section k special conditions of contract 49

Section l tax compliance status 50

Section m authority to sign a bid 51-56

Section n terms of reference / detailed 57-69

Specification

Section o mandatory criteria 70-77

Appendix a bid pro-forma 78-84

Appendix b summary of professional fees 85

Appendix c checklist of returnable documents 86

Appendix d contract data & pricing data 87-99

Appendix e CIDB b.U.I.L.D Programme 100-101

Appendix f cv template 102-105

Appendix g schedule of previous work 106

Appendix h format for traceable reference letters 107-108

of 108

Sbd1

(Professional Services)

Applicable x not applicable

Name of bidder.......................................... Bid number..........................................................

Closing Time 11:00 Closing date...................................................

Offer to be valid for...120......DAYS From the closing date of bid.

Item description bid price in RSA currency with all

NO. applicable taxes included)

Appointment of a registered professional multi-

Disciplinary consulting team (comprising of

Mechanical engineer as mechanical/fire engineer and

As principal agent, architect, quantity surveyor ,

Civil engineer structural engineer, and electrical

Engineer) to provide professional services for

Department of health: rk khan hospital:

Reinstatement of HVAC system to existing theatres

NOTE: Refer to Appendices A1 – A5

The accompanying information must be used for the formulation

of proposals

Bidders are required to indicate a ceiling price based on the total

estimated time for completion of all phases and including all R.......................................................................

expenses inclusive of all applicable taxes for the project.

Persons who will be involved in the project and

Rates applicable (certified invoices must be

Rendered in terms hereof)

Person and position hourly rate daily rate

........................................................................................... R.............................. ..............................

........................................................................................... R.............................. ..............................

........................................................................................... R.............................. ..............................

........................................................................................... R.............................. ..............................

........................................................................................... R.............................. ..............................

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

........................................................................................... R.............................. .............................. days

Travel expenses (specify, for example rate/km and total km,

class of airtravel, etc). Only actual costs are recoverable. Proof

of the expenses incurred must accompany certified invoices.

Description of expense to be incurred rate quantity amount

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

of 108

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

Total: r..........................................................

• * ”all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills

development levies.

Travel expenses (specify, for example rate/km and total km, class of air

travel, etc.). Only actual costs are recoverable. Proof of the expenses

incurred must accompany certified invoices.

Description of expense to be incurred rate quantity amount

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

Total: r..........................................................

Period required for commencement with project after acceptance

of bid ...........................................................................................

Estimated man-days for completion of project

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

Are the rates quoted firm for the full period of contract? *YES/NO

If not firm for the full period, provide details of the basis on which

........................................................................................... adjustments will be applied for, for example consumer price index.

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

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

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

*

of 108

Section f sbd 4

Bidder’s disclosure

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.

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 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:

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

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

(PRINT NAME) attendance for the compulsory briefing meeting. A

date for the site visit & walkthrough of the facility

Departmental Stamp With Signature (not compulsory) to be confirmed at the meeting.

of 108

Section e sbd 3.1

Pricing schedule – firm prices

(Purchases)

Note: only firm prices will be accepted. Non-firm prices (including prices subject to rates of exchange

Variations) will not be considered

of 108

Sbd 3.2

Pricing schedule – non-firm prices

(Purchases)

Date documentation date from which new new calculated average monthly exchange rates for the period: must be submitted to this calculated prices will price will be

of 108

Sbd 3.3

Pricing schedule

(Professional Services)

Rates applicable (certified invoices must be

Rendered in terms hereof)

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

Are the rates quoted firm for the full period of contract? *YES/NO

Part C1 Agreements and Contract Data, (which includes this agreement)

Part C2 Pricing Data

Part C3 Scope of Services

and drawings and documents or parts thereof, which may be incorporated by reference into Parts C1 to

Section e pricing schedule (sbd 3) 13-18 section f bidder’s disclosure (sbd 4) 19-21 section g form of offer and acceptance 22-25 section h preference points claim form (sbd 6.1) 26-34 section i contract form (sbd 7) 35-40 section j general conditions of contract 41-48 section k special conditions of contract 49 section l tax compliance status 50 section m authority to sign a bid 51-56 section n terms of reference / detailed 57-69

Points Allocation: 90 points

B-BBEE Details: located

or (80/20 system)The specific goals allocated points in terms of this tender

Not (To be completed by the organ of state)

Applicable

"Ownership by Black People

Documentary Proof Required:

1)Original EME or QSE Sworn Affidavit; signed and dated by

Commissioner of Oaths for the latest completed financial year

of the bidding Entity Applicable 5

Or

2.Certified copies of Identity Document/s of the

Owners/Shareholders/ Directors of the Bidding Entity

"Ownership by People who are Youth

NotDocumentary Proof Required: 0 Applicable1) Certified copy of Identity Document/s

2) SANAS Approved B-BBEE Certificate

"Ownership by People living with Disabilities

Documentary Proof Required:

1) Original or Certified copy of an original medical certificate Not

from a registered medical Applicable 0

practitioner

2) Certified copy of Identity document/s"

51% Ownership by People who are Military Veterans

Documentary Proof Required:

Not

1) Military Veteran Certificate Applicable 0

OR 2) Certificate from the Military Veterans Department

indicating that the entity is registered on their database

"Exempted Micro-Enterprise (EME’s)

documentary Proof Required: Not

0 Applicable

1) Sworn Affidavit; signed and dated by Commissioner of

Oaths"

"Ownership by People who are Women

Documentary Proof Required:

Not

1) Sworn Affidavit; signed and dated by Commissioner of 0 Applicable

Oaths

2) Certified Copy of Identity Document/s"

"Promotion of enterprises located in a specific municipal area

for work to be done or services to be rendered

Documentary Proof Required: 15

Applicable

1) Proof of Municipal Account depicting Physical Address of eThekwini Municipality

the business

OR 2) Lease Agreement"

"Promotion of enterprises located in rural areas Not 0

of 108

Applicable Documentary Pro

be used, but an original signature must appear on such photocopies.

NOTE: Refer to Appendices A1 – A5

practices related to bids and contracts, bids that are suspicious will be reported to the Competition

Commission for investigation and possible imposition of administrative penalties in terms of section 59 of the

Competition Act No and or may be reported to the National Prosecuting Authority (NPA) for

criminal investigation and or may be restricted from conducting business with the public sector for a period

not exceeding ten (10) years in terms of the Prevention and Combating of Corrupt Activities Act No or any other applicable legislation.

I CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 1, 2 and 3 ABOVE IS CORRECT.

Note: All delivery costs must be included in the bid price, for delivery at the prescribed destination.

• * “all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills development levies.

• Delivery: *Firm/not firm

• * “all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills development levies.

• Delete if not applicable

of 108

Sbd 3.2

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

of 108

........................................................................................... .......................... .......................... R ..................

........................................................................................... .......................... .......................... R ..................

Total: r..........................................................

• * ”all applicable taxes” includes value- added tax, pay as you earn, income tax, unemployment insurance fund contributions and skills

development levies.

Travel expenses (specify, for example rate/km and total km, class of air

travel, etc.). Only actual costs are recoverable. Proof of the expenses

incurred must accompany certified invoices.

schedule of deviations (if any), contact the Employer’s agent (whose details are given in the Contract Data)

to arrange the delivery of any bonds, guarantees, proof of insurance and any other documentation to be

of 108

provided in terms of the conditions of Contract identified in the Contract Data. Failure to fulfil any of these

obligations in accordance with those terms shall constitute a repudiation of this agreement.

Notwithstanding anything contained herein, this agreement comes into effect, if sent by registered post, 4

days from the date on which it was posted, if delivered by hand, on the day of delivery, provided that it has

been delivered during ordinary business hours, or if sent by fax, the first business day following the day on

which it was faxed. Unless the tenderer (now Service Provider) within seven working days of the date of such

submission 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.

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

of 108

[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, qualifies the company/ firm for

the preference(s) shown and I acknowledge that:

4.6.1. The information furnished is true and correct.

4.6.2. The preference points claimed are in accordance with the General Conditions as indicated in

paragraph 1 of this form.

4.6.3. In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4

and 4.2, the contractor may be required to furnish documentary proof to the satisfaction of the organ

of state that the claims are correct.

4.6.4. 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) 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 108