Supply, Delivery and Off-loading of Aluminium Sulphate to Various Water and Wastewater Treatment Plants Within Umngeni Uthukela Water (uuw) for the Period of Five Years

__________________________________________________________________________

Name of Close Corporation / Company / Partnership / Trust /Sole proprietor or sole trader:

Name: _________________________________________________________________

Registration Number: ___________________________________________RESOLUTION OF THE

DIRECTORS OF THE COMPANY etc. RESOLVED that _____________________________, in

his/her

capacity as___________________________________ is authorized to make applications on behalf

of the Close Corporation / Company / Partnership / Trust /Sole proprietor or sole trader for:

Any documentation relating to the business (which is not necessarily a change of ownership). The

nominated person will also have access to webpage for the business. Signature(s) for Close

Corporation / Company / Partnership / Trust/ Sole proprietor or sole trader. (Sole member to sign this

resolution)

Signature of members:

Name Signature Date

1. _______________________ ________________________ ____________________

2. _______________________ ________________________ ____________________

3. _______________________ ________________________ ____________________

4. _______________________ _______________________ ____________________

5. _______________________ _______________________ ____________________

6. _______________________ _______________________ ____________________

BSC 651 Item 8.2 Page | 24 SCM 054 Ver 26

TENDER NO.2026/049

SUPPLY, DELIVERY AND OFF-LOADING OF ALUMINIUM SULPHATE TO VARIOUS WATER AND

WASTEWATER TREATMENT PLANTS WITHIN UMNGENI UTHUKELA WATER (UUW) FOR THE

PERIOD OF FIVE YEARS

19. SBD 4 - BIDDER’S DISCLOSURE

1. PURPOSE OF THE FORM

Any person (natural or juristic) may make an offer or offers in terms of this invitation to

bid. In line with the principles of transparency, accountability, impartiality, and ethics

as enshrined in the Constitution of the Republic of South Africa and further expressed

Where a person/s are listed in the Register for Tender Defaulters and / or the List of

Restricted Suppliers, that person will automatically be disqualified from the bid process.

2. Bidder’s declaration

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

any person having a controlling interest1 in the enterprise, employed by the state:

YES/NO

2.1.1 If so, furnish particulars of the names, individual identity numbers, and, if applicable,

state employee numbers of sole proprietor/ directors / trustees / shareholders /

members/ partners or any person having a controlling interest in the enterprise, in table

below.

Full Name Identity Number Name of State institution

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

who is employed by the procuring institution?

YES/NO

1 the power, by one person or a group of persons holding the majority of the equity

of an enterprise, alternatively, the person/s having the deciding vote or power to

influence or to direct the course and decisions of the enterprise.

BSC 651 Item 8.2 Page | 25 SCM 054 Ver 26

TENDER NO.2026/049

SUPPLY, DELIVERY AND OFF-LOADING OF ALUMINIUM SULPHATE TO VARIOUS WATER

AND WASTEWATER TREATMENT PLANTS WITHIN UMNGENI UTHUKELA WATER (UUW)

FOR THE PERIOD OF FIVE YEARS

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:

______________________________________________________________________

______________________________________________________________________