Supply and delivery of structural elements for above ground pipeline plinths – namakwa bulk water supply scheme (northern cape)

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Preferential Procurement Regulations, 2017 apply. Points will be awarded for price and for specific goals (e.g., ownership by women, people with disabilities, youth). The bid will be evaluated in phases: phase 1 administrative compliance; phase 2 technical evaluation; phase 3 preferential points.

The northern cape for dws construction south.

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

The bid box: entrance of training centre

Department of water and sanitation

Construction south

Clanwilliam dam site: old n7 route

CO-ORDINATES: 32°11’47.99’’S and 18°52’34.96’’E

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

CONTACT PERSON F. Groenewald/R. de Wee CONTACT PERSON Q Jansen

[email protected]/

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

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

Are you the

ACCREDITED Yes No ARE YOU A FOREIGN BASED Yes No

Representative in supplier for the goodssouth africa for [if yes, answer the

[If yes enclose proof] /services /worksthe goods questionnaire below ]

/Services /works offered?

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.

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Sbd1

Part b

Terms and conditions for bidding

1. Bid submission:

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

Consideration.

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

Prescribed in the bid document.

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

Procurement regulations, 2017, the general conditions of contract (gcc) and, if applicable, any other

Special conditions of contract.

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

2. Tax compliance requirements

2.1 Bidders must ensure compliance with their tax obligations.

2.2 Bidders are required to submit their unique personal identification number (pin) issued by SARS to enable

The organ of state to verify the taxpayer’s profile and tax status.

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

Www.SARS.GOV.ZA.

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

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

Separate tcs certificate / pin / csd number.

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

Number must be provided.

2.7 NO bids will be considered from persons in the service of the state, companies with directors who are

Persons in the service of the state, or close corporations with members persons in the service of the

State.”

Nb: failure to provide / or comply with any of the above particulars may render the bid invalid.

Signature of bidder: ...................................................

Capacity under which this bid is signed: ...................................................

(Proof of authority must be submitted e.g. company resolution)

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

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Department of water and sanitation

Bid: WTE-0573 cs

The supply and delivery of structual elements for the above ground pipeline

Placed on the concrete plinths in the namakwa bulk water supply scheme in the

Northern cape for dws construction south.

Section 1: legalities

Contents

• Instructions to bidders
• Declaration of interest (sbd 4)
• Terms of the preferential procurement regulation, 2011 (sbd 6.1)

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Department of water and sanitation

Bid: WTE-0573 cs

The supply and delivery of structual elements for the above ground pipeline

Placed on the concrete plinths in the namakwa bulk water supply scheme in the

Northern cape for dws construction south.

1. Instructions to bidders

Contents

1. Issuing of documents

2. Queries with respect to this bid

3. Completion of bids

4. Submission of bids

5. Signature on bids

6. General conditions of contract

7. Bids to comply with documents

8. Telegraphic bids

9. The department’s right to decline any bid

10. Department is not liable for bidder’s expenses

11. Payments made under this contract

full name and surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

identity number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

hereby declare under oath that

1. I am a member / director / owner of the enterprise:

name : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

trading name, if applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

registration number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

physical address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

which is an enterprise which operates from a building together with its land and outbuildings located within the

boundaries of the Eastern Cape Province as at the closing time for submissions;

2. the contents of this statement are to the best of my knowledge a true reflection of the facts;

3. I know and understand the contents of the affidavit and I have no objection to take the prescribed oath binding

on my conscience and on the Owners of the Enterprise which I represent in this matter.

Tax compliance status

Tax compliance requirements

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

Tcs pin is available but the bidder is registered on the central supplier database (csd), a csd

Csd number

Csd number must be provided

CSD report

Central supplier database (csd), a csd

Central Supplier Database must submit CSD report

proof of ownership of premises or a valid rental agreement with the owner of

proof of ownership of premises or a valid rental agreement with the owner of such premises

2. Tax compliance requirements

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

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

A requirement to register for a tax compliance status

B-BBEE Minimum Level: 1

Points Allocation: 80 points

B-BBEE Details: 2:

Administrative Compliance:

Bidders are required to comply with the following listed below:

Table 2

No Criteria Comply Not

Comply

1 Companies must be registered with National Treasury’s Central Supplier

Database must submit CSD report.

2 Tax compliant with SARS (to be verified through CSD and SARS). Attach

a copy of SARS Tax Clearance letter and PIN.

3 Active registration with Company Intellectual Property Commission (to

be verified through CSD and CIPC). Attach copy of CIPC / CIPRO

certificate.

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No Criteria Comply Not

Comply

4 An original or certified copy of B-BBEE Status Level Verification

Certificate (failure to submit B-BBEE Certificate and complete SBD

6.1, the Bidder will forfeit the preferential points to be claimed)

5 Letter of appointment of duly authorized person to sign bid. Proof of such

authority must be submitted with the bid.

If by an individual, must be signed by that individual or by someone on

his behalf duly authorised thereto and proof of such authority must be

produced.

If the bid is by a Company, it must be signed by a person duly authorised

thereto by a Resolution of a Board of Directors a copy of which

Resolution, duly certified by the Chairman of the Company is to be

submitted with the bid.

6 A valid letter of Good Standing with the Compensation Commissioner

In terms of the Compensation for Occupational Injuries and Diseases

Act No and or third parties’ insurance registered with

Financial Service Board

7. The stipulated minimum threshold percentage for local production

and content, steel products and cement as per stipulated by the

Department of Trade and Industry (DTi) is applicable. Please make

yourself aware of the stipulated minimum threshold percentage of the

specific item(s) as per the

2 Tax compliant with SARS (to be verified through CSD and SARS). Attach

a copy of SARS Tax Clearance letter and PIN.

3 Active registration with Company Intellectual Property Commission (to

be verified through CSD and CIPC). Attach copy of CIPC / CIPRO

certificate.

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Act No and or third parties’ insurance registered with

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]

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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:

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 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

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

13. Rejection of bids

14. Results of bids

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Instructions to bidders

1. Issuing of documents

(a) A complete set of bid documents can be downloaded from the e-tender portal.

(b) Bidders must satisfy themselves that the document is complete and conform to the index of this

document. Should any figures or writing be indistinct, or should any pages be missing from this

document or should this document or the drawing(s) contain any obvious errors, the Bidders must

immediately notify the Department in order to have any discrepancy rectified or clarified before

submitting his bid. Such clarification will be valid only if made by the Department by means of

formal amendment as described hereunder prior to the date of submission of bids. The

Department may issue amendments to clarify or modify the Bid Documents. A copy of each

amendment will be issued to each bidder and shall be acknowledged on the form issued with the

amendments. No claim whatsoever will be entertained for faults in the bid price resulting from the

above-mentioned discrepancies.

(c) No alterations, omissions or additions shall be made to this document, but should it be deemed

necessary to do so, the Bidder is at liberty to qualify his bid.

(d) All Bidders shall be deemed to have waived, renounced and abandoned any conditions printed

or written upon any stationery used by them for the purpose of or in connection with the

submission of bids which are in conflict with the conditions laid down in this document.

2. Queries with respect to this bid

Each communication between the Department and a tenderer shall be to or from the Department’s

contact person only, and in a form that can be read, copied and recorded. Writing shall be in the English

language. The employer shall not take any responsibility for non-receipt of communications from or by

a tenderer. The name and contact details of the Department’s contact person are:

Bidding procedure enquiries may be technical information may be

Directed to: directed to:

Department/

Public

ENTITY Water and Sanitation DEPARTMENT Construction South

F.Groenewald/ CONTACT

CONTACT PERSON R.de Wee PERSON Quinton Jansen

[email protected]/

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

3. Completion of bids

(a) The bid must be signed on the Invitation to Bid form (SBD 1) annexed hereto with all blanks in the

bid and the appendix filled in.

(b) All spaces in the bid forms and other annexures shall be completed in full.

(c) Section 4 in the bid document and the Pricing Schedule must be fully completed and priced out

by the bidder. Failure to do so will deem your bid invalid.

(d) The bid documents shall not be separated in any way nor must any pages be detached from the

original documents.

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4. Submission of bids

The Bid Document shall be completed, signed and submitted as follows:

(a) The original Bid, together with a covering letter and supporting documents, shall be sealed in an

envelope endorsed:

Original bid for bid: WTE-0573 cs: the supply and delivery of structual elements

For the above ground pipeline placed on the concrete plinths in the namakwa

Bulk water supply scheme in the northern cape for dws construction south.

and the name of the Bidder shall be clearly shown.

(b) Bids, sealed and endorsed as above, will be received by: The Supply Chain Management Office or may

be deposit in the bid box: Entrance of Training Centre, Department of Water and Sanitation,

Construction south, Clanwilliam dam site: Old N7 Route, Co-ordinates: 32°11’47.99’’S and

18°52’34.96’’E and not later than 11:00 on the date stipulated on the front cover of this document.

5. Signature on bids

The Bid, if by an individual, must be signed by that individual or by someone on his behalf duly authorised

thereto and proof of such authority must be produced. If the bid is by a company, it must be signed by a

person duly authorised thereto by a Resolution of a Board of Directors a copy of which Resolution, duly

certified by the Chairman of the Company is to be submitted with the bid.

If the bid is submitted by joint venture of more than one person and/or Companies and/or firms it shall be

accompanied by the following:

(a) The original or a notarially certified copy of the original document under which such joint venture was

constituted which must define precisely inter alia the conditions under which the joint venture will

function, its period of duration and the participation of the several constituent persons and/or

companies and/or firms.

(b) A certificate signed by or on behalf of each participating person and/or company and/or firm

authorising the person who signed the bid to do so.

6. General conditions of contract

The National Treasury General Conditions of Contract shall be regarded as an integral part of the contract

documents.

7. Form sbd 1

The copy of Form SBD 1 (Invitation to Bid), annexed to these documents, must be completed and

signed by the Bidder. Failure to do so will deem your bid invalid.

8. Bidders to comply with documents

Where applicable, Bidders must allow in their Bids for all labour, material, machinery and everything

necessary for the execution and completion of the Contract in accordance with the bid documents. No

alterations may be made in the Invitation to Bid, Schedule of Quantities or other documents and the bid

will be deemed to comply entirely with the terms of the documents.

9. The departments right to decline any bid

The Department does not bind itself to accept the lowest or any bid.

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10. Department not liable for bidder's expenses

The Department will not be held liable for any expenses incurred in preparing and submitting bids.

11. Payments under the contract

All payments due to the Bidder in terms of the contract will be done by means of Electronic Fund

Transfer.

The evaluation of bids will be conducted in four (4) phases as follows:

• Phase 1: Mandatory Requirements
• Phase 2: Administrative Compliance
• Phase 3: Technical Evaluation and Specification Compliance
• Phase 4: Preference Points system

Phase 1:

Mandatory Requirements

Failure to submit any of the documents listed below will render your bid non-responsive and will be

disqualified.

Yes - list the relevant documents required on the table below

Table 1

No Criteria Yes No

1. SBD 4 form should be complete and signed, and all other interest must be

declared

Phase 2:

Administrative Compliance:

Bidders are required to comply with the following listed below:

Table 2

No Criteria Comply Not

Comply

1 Companies must be registered with National Treasury’s Central Supplier

Database must submit CSD report.

2 Tax compliant with SARS (to be verified through CSD and SARS). Attach

a copy of SARS Tax Clearance letter and PIN.

3 Active registration with Company Intellectual Property Commission (to

be verified through CSD and CIPC). Attach copy of CIPC / CIPRO

certificate.

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No Criteria Comply Not

Comply

4 An original or certified copy of B-BBEE Status Level Verification

Certificate (failure to submit B-BBEE Certificate and complete SBD

6.1, the Bidder will forfeit the preferential points to be claimed)

5 Letter of appointment of duly authorized person to sign bid. Proof of such

authority must be submitted with the bid.

If by an individual, must be signed by that individual or by someone on

his behalf duly authorised thereto and proof of such authority must be

produced.

If the bid is by a Company, it must be signed by a person duly authorised

thereto by a Resolution of a Board of Directors a copy of which

Resolution, duly certified by the Chairman of the Company is to be

submitted with the bid.

6 A valid letter of Good Standing with the Compensation Commissioner

In terms of the Compensation for Occupational Injuries and Diseases

Act No and or third parties’ insurance registered with

Financial Service Board

7. The stipulated minimum threshold percentage for local production

and content, steel products and cement as per stipulated by the

Department of Trade and Industry (DTi) is applicable. Please make

yourself aware of the stipulated minimum threshold percentage of the

specific item(s) as per the specifications. Annexure C need to be

complete and is available on the Department: Trade and Industry

website. (http://www.thedtic.gov.za/sectors-and-services-2/industrial-

development/industrial-procurement/).

8. Complete, sign, submit SBD1, SBD3.1, SBD 6.1

Phase 3:

Technical Evaluation and Specification Compliance

Only Bidders that passed Phase 1 shall be considered for this phase of the evaluation process.

The bid will be evaluated using the criteria as indicated in Technical Information section 3.2.14.

Failure to comply with all the technical specifications will render your bid as not to specification and nonresponsive.

The Bid Evaluation Committee will also confirm that the Bidders has indicated compliance with the

technical specification in Technical Information, Section 3.2.14.

Table 3

Item Requirement Did the bidder comply with the requirement?

Comply Not Comply

1. 80mm wide x 6mm thick Heavy

duty galvanized support bracket

straps

a) Heavy duty galvanized support

bracket straps 1470mm long

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b) Heavy duty galvanized support

bracket straps 1430mm long

2. Rapid-curing vinylester chemical

anchoring system in cartridge form

3. Manual dispensing gun for rapid

curing vinylester chemical in

cartridge

4. Fatigue-tested ultra-high strength

cementitious grout 25kg

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Phase 4:

Preference Points system

The bid will be awarded in terms of Regulation 4: Preferential Procurement Regulations, 2022 pertaining

to the Preferential Procurement Policy Framework Act, 2000 (Act ).

Bid proposals will be evaluated based on the 80/20 preference points where a maximum of 80 points

will be awarded in respect of price and a maximum of 20 points will be awarded for goals.

Points claimed will be according to a bidder’s specific goals claimed as indicated in Table 4 below.

Table 4: Specific goals for the tender and points claimed:

Number of maximum Bidder’s points claimed

points for specific goals The specific goals allocated points in

terms of this tender allocated (To be completed by

(80/20 system) Bidder)

Women 5

People with disability 5

Youth (35 and below) 5

Location of enterprise

Northern Cape Province

B-BBEE status level contribution from

levels 1 to 2 which are QSE or EME

Total points for SPECIFIC GOALS 20

Specific goals” means specific goals as contemplated in section 2(1)(d) of the PPPFA Act which may

include contracting with persons, or categories of persons, historically disadvantaged by unfair

discrimination on the basis of race, gender and disability including the implementation of programmes of

the Reconstruction of Development Programme as published in Government Gazette No. 16085 date 23

November 1994.

“Ownership” means the percentage of ownership and control, exercised by individuals within an

enterprise.

"Disability" means, in respect of a person, a permanent impairment of a physical, intellectual, or

sensory function, which results in restricted, or lack of, ability to perform an activity in the manner, or

within the range, considered normal for a human being.

i. A blind person (in terms of the Blind Persons Act, 1968 (Act no.);

ii. A deaf person, whose hearing is impaired to such an extent that he/she cannot use it as a

primary means of communication;

iii. A person who, as a result of permanent disability, requires a wheelchair, caliper or crutch to

assist him/her to move from one place or another;

iv. A person who requires an artificial limb; or

v. A person who suffers from a mental illness (in terms of the Mental Health Act, 1973 (Act no. ).

"Youth" means, in respect a person younger than 35 years of age.

Location of enterprise” Local equals province. Where a project cuts across more than one province,

the bidder may be located in any of the relevant provinces to claim and be allocated the points.

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Women, disability, and youth will be measured by calculating the pro-rata percentage of ownership of

the bidding company which meets the criterion. E.g., Company A has five shareholders each of whom

owns 20% of the company. Three of the five shareholders meet the criterion, i.e., they are

women/disabled/youth. Therefore, this bidder will obtain 60% of the points allowable for this goal.

Table 5: Documents required for verification of Bidder’s claimed points

Table 5

Specific Goal Requires Proof Documents

Ownership by Women

Ownership by people with Completed Percentage Ownership Affidavit (Annexure

disabilities 1)

Ownership by Youth

Location of enterprise – Completed Location of Enterprise Affidavit (Annexure 2)

Northern Cape Province and proof of such premises

B-BBEE status level1 or B-BBEE verification certificate issued by a verification

level 2 contributor who are agency accredited by South African National

Exempted Mico Enterprise Accreditation Agency (SANAS0 or in the case of an

or Qualifying Small EME or a QSE, if permitted in terms of the relevant

Enterprise cade, a duly completed sworn affidavit on the relevant

and appropriate form.

Failure on the part of a bidder to submit proof of documentation required in terms of this tender

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

specific goals are not claimed and will not be allocated.

13. Rejection of bid

Bids not complying with the above-mentioned requirements and specifications may be regarded as

incomplete and may not be considered.

14. Results of bids

Results of non-acceptance of bids will be sent to individual unsuccessful bidders.

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Compulsory documents to be completed by the bidder:

• Declaration of interest (sbd 4)
• Terms of the preferential procurement regulation, 2022 (sbd 6.1)
• Annexure c – local content

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Sbd4

Bidder’s disclosure

1. Purpose of the form

1.1 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, 1996 (Constitution),

and further expressed in the various applicable legislation, it is required for the bidder

to make this declaration in respect of the details required hereunder.

1.2 If a person is 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. Declaration on employment by organ of state

2.1 Is the bidder, or any of the directors / trustees / shareholders / members / partners of

the bidder employed by an organ of state, as defined in section 239 of the Constitution?

Yes/no

2.2 If YES, furnish particulars of the names, individual identity numbers, in the table below:

Full Name Identity Number Name of organ of

state

2.3 Do you, or any person connected with the bidder, have a relationship with any person

who is employed by the procuring institution? YES/NO

2.3.1 If so, furnish particulars:

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

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

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

2.4 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

2.4.1 If so, indicate all companies registered in the CSD in the table below:

Supplier registration number Status (active/inactive/deleted)

(Maaa)

Failure to disclose all CSD-registered active companies linked to all Directors will

lead to disqualification.

3 general declaration

I, ............................................................................................., the undersigned, in

submitting the accompanying bid, do hereby make the following statements that I certify

to be true and complete in every respect:

3.1 I have read and I understand the contents of this disclosure.

3.2 I understand that the accompanying bid will be disqualified if this disclosure is found to

be false.

3.3 The bidder has arrived at the accompanying bid independently from, and without

consultation, communication, agreement or arrangement with any competitor.

3.4 In addition, there have been no consultations, communications, agreements or

arrangements with any competitor regarding the quality, quantity, specifications, prices,

including methods, factors or formulas used to calculate prices, market allocation, the

intention or decision to submit or not to submit the bid, bidding with the intention not to

win the bid and conditions or delivery particulars of the products or services to which

this bid invitation relates.

3.5 The terms of the accompanying bid have not been, and will not be, disclosed by the

bidder, directly or indirectly, to any competitor, prior to the date and time of the official

bid opening or of the awarding of the contract.

3.6 There have been no consultations, communications, agreements or arrangements

made by the bidder with any official of the procuring institution in relation to this

procurement process prior to and during the bidding process except to provide

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clarification on the bid submitted where so required by the institution; and the bidder

was not involved in the drafting of the specifications or terms of reference for this bid.

3.7 I am aware that, in addition and without prejudice to any other remedy provided to

combat any restrictive 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, 1998 (Act No.

) and or may be referred to law enforcement agencies for criminal

investigation and or may be restricted from conducting business with the state for a

period not exceeding 10 years in terms of the Prevention and Combating of Corrupt

Activities Act, 2004 (Act No. ) or any other applicable legislation.

I certify that the above is correct.

I accept that the procuring institution may reject the bid or take

Appropriate action against me if this declaration is false.

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

Signature Date

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

Designation Name of bidder

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Preferencing schedule in terms of the preferential procurement regulations 2022

Nb: before completing this forms, tenderers must study the general conditions, bidders must

Study the conditions: definitions and directives applicable in respect of the tender and

Preferential procurement regulations, 2022

1 Preference

Preferences shall be granted in respect of the following:

1.1 Ownership by women, people with disabilities and youth

The percentage shareholding of an enterprise as at the closing time for submissions of natural persons who are women,

people with disabilities or youth as evidenced by:

a) voting rights that are not subject to any limitation; and

b) economic interest.

where

people with disabilities are people who have a long-term or recurring physical or, mental, intellectual or sensory

impairment which, in interaction with various barriers, may substantially limit their prospects of entry into, or

advancement in, employment

youth are people aged between 14 and 35

1.2 Local enterprise

An enterprise which operates from a building together with its land and outbuildings located within the boundaries of the.

. . . . . ., . . . . . or . . . . . . Province as at the closing time for submissions

1.2 B-BBEE status level contributors from level 1 or level 2 who are Exempted Micro Enterprises or Qualifying

Small Enterprises

The status of an enterprise is measured in accordance with the provisions of an applicable code of good practice

issued in terms of Section 9(1) of the B-BBEE Act of 2003 at the closing time for submissions.

Note: The Construction Sector Code applies to the B-BBEE compliance measurement of all entities that fall within the

Construction Sector i.e. all enterprises that derive more than 50% of their annual Revenue from Construction Related

Activities.

2 Conditions associated with the granting of preferences

Tenderers who claim a preference shall provide in support of their claim the following in relation to their claim, failing

which their claims for preferences will be rejected:

Preference applied for Verification document

Ownership by women

Ownership by people with

Completed Percentage Ownership Affidavit (Annexure 1)

disabilities

Ownership by youth

Location of enterprise Completed Location of enterprise affidavit (Annexure 2) and proof of

ownership of premises or a valid rental agreement with the owner of

such premises

B-BBEE status level of B-BBEE Verification Certificates issued by a verification agency

contributor accredited by the South African National Accreditation System (SANAS)

(see www.sanas.co.za/Pages/index.aspx) or, in the case of an

Exempted Micro Enterprise or a Qualifying Small Enterprise, if permitted

in terms of the relevant code, a duly completed sworn affidavit on the

relevant and appropriate form obtained from one the following websites:

o www.thedtic.gov.za/wp-content/uploads/BEE_Affidavit-QSE-

Gen.pdf

o www.thedtic.gov.za/wp-content/uploads/BEE_Affidavit-EME-

Gen.pdf

o www.abp.org.za/wp-content/uploads/2018/03/Final-CSC-

EME-Affidavit-March-2018-2.pdf

3 Preferences points offered and claimed

The preference points offered by the Employer in accordance with the provisions of the Preferential Procurement Policy

Framework Act of 2022 and claimed by the tenderer are as follows:

Preference claimed Number of preference Pref

points allocation eren

of 61

90/10 80/2 ce

prefer 0 clai

ence pref med

point eren (tick

s ce relev

syste poin ant

m ts block

syst )

em

by women Up to Up to

2 5

by people with Up to Up to

Ownership

disabilities 2 5

by youth Up to Up to

2 5

Location of [insert provinces 1 2

enterprise where project is

located]

Level 1 or level 2 3 3

contributors who are

B-BBEE Exempted Micro

status Enterprises or

Qualifying Small

Enterprises

where points claimed for ownership are calculated separately for each type of ownership in terms of the following

formula:

90 / 10 preference points system: NO = 2 x PS / 100

80 / 20 preference points system: NO = 5 x PS / 100

were

NO = number of points awarded to tenderer claiming a preference for ownership by women, people with disabilities or

youth

PS = percentage shareholding by women, people with disabilities or youth as declared in the Percentage Ownership

Affidavit