Panel of Service Providers for Horticulture, Arboriculture and Conservation Maintenance services

16 A valid Joint Venture (JV) agreement signed by all parties with all individual parties’ mandatory documents

submitted; if applicable

17 Completion of the entire tender document as issued or downloaded - Completed and Signed Municipal

Bidding Documents (MBDs) stipulated in the tender document

18 Authority of Signatory to sign tender documents

19 Proof of the company registration issued by the Companies and Intellectual Property Commission (CIPC)

20 Valid SARS issued tax status and pin code

PAGE TO WHICH MUNICIPAL ACCOUNT OR VALID LEASE AGREEMENT MUST BE ATTACHED: (NOT IN ARREARS

FOR MORE THAN 3 MONTHS)

Please attach any of the following to this page:

In the case where the bidder owns the property from which the bidder’s business operates from, an original or a copy

of the most recent municipal account must be submitted.

Or

In the case where the bidder does not own the property an original or copies of the most recent municipal account of

all shareholder/s must be submitted.

Or

In the case where the bidder is a tenant for the purpose of its business establishment, the bidder to provide a valid

lease agreement (lease agreement must be accompanied by municipal rates and taxes in the name of the Lessor or

Landlord (Only latest municipal statement not older than three (3) months (not in arrears for more than 90 days)).

PAGE TO WHICH A VALID COID CERTIFICATE MUST BE ATTACHED:

Please attach a Valid COID Certificate from the Department of Labour (Letter of Good Standing) to this page.

PAGE TO WHICH A PROOF OF REGISTRATION WITH CSD MUST BE PROVIDED:

Please provide the proof of registration with National Treasury (CSD- Central Supplier Database) to this page.

SUPPLIER NUMBER.................................................

ATTACH AUDITED ANNUAL FINANCIAL STATEMENTS TO THIS PAGE

Provide audited annual financial statements for the past three years or since their establishment if established during the past

three years.

If the bidder is not obliged by law to prepare annual financial statements for auditing purposes, they shall submit their annual

financial statements for the previous three financial years or if established for a shorter period from the date of establishment.

ATTACH PROOF OF PUBLIC LIABILITY INSURANCE TO THIS PAGE

Attach Proof of Public Liability (Monetary value of R5 000 000,00 and above) insurance cover in the name of the bidding

company.

ATTACH PROOF OF REGISTRATION WITH JOHANNESBURG PICKITUP TO THIS PAGE

Attach proof of registration with Johannesburg PICKITUP Company with the valid and active account number for waste

collection and dumping.

AUTHORITY OF SIGNATORY

Indicate the status of the Bidder by ticking the appropriate box hereunder. The Bidder must

complete the certificate set out below for the relevant category.

A B C D E

COMPANY PARTNERSHIP JOINT SOLE CLOSE

VENTURE PROPRIETOR CORPORATION

Certificate for Company

I, ........................................................................................, Chairperson of the

Board of Directors of ..................................................................................., hereby confirm

that by resolution of the Board taken on .................................................20...., Mr/Ms

..................................., acting in the capacity of ................................................................., was

authorised to sign all documents in connection with this bid and any contract resulting from it

on behalf of the company.

As Witnesses:

1............................................................................ Chairperson: ........................................

2............................................................................. Date: ..................................

Certificate for Partnership

We, the undersigned, being the key partners in the business trading as,

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

........................................, hereby authorise Mr/Ms .....................................................,

acting in the capacity of ................................................................................... , to

sign all documents in connection with this bid and any contract resulting from it on our behalf.

NAME ADDRESS SIGNATURE DATE

Note: This certificate is to be completed and signed by all of the key partners upon

whom rests the direction of the affairs of the Partnership as a whole.

Certificate for Joint Venture

We, the undersigned, are submitting this bid offer in Joint Venture and hereby authorise

Mr./Ms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................... ....., authorised signatory of

the company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,

acting in the capacity of lead partner, to sign all documents in connection with this bid offer

and any contract resulting from it on our behalf.

This authorization is evidenced by the attached power of attorney signed by legally authorised

signatories of all partners to the Joint Venture.

Name of Firm Address Authorising Name Authorising

and Capacity Signatory

Lead Partner

Note: A copy of the Joint Venture Agreement indicating clearly the percentage

contribution of each partner to the joint venture, is to be submitted with the bid. A

board resolution, authosiring each signatory who signed above to do so, it to be

submitted with the bid.

Certificate for Sole Proprietor

I, ....................................................................................................., hereby confirm that I am

the sole owner of the Business trading as

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

As Witnesses:

1................................................................... Sole owner: ..................................................

2................................................................... Date: ..........................................

Certificate for Close Corporation

We, the undersigned, being the key members in the business trading as

............................... .............................................................................. hereby authorise Mr/Ms

......................................................................., acting in the capacity of

......................................................................................, to sign all documents in connection

with this bid and any contract resulting from it on our behalf.

NAME ADDRESS SIGNATURE DATE

Note: This certificate is to be completed and signed by all of the key members upon

whom rests the direction of the affairs of the Close Corporation as a whole.

COMPANY REGISTRATION DOCUMENT:

Please provide the proof of the company registration issued by the Companies and Intellectual Property Commission (CIPC) to

this page.

ID COPIES:

Please attach ID copies to this page.

PRICING SCHEDULE – FIRM PRICES (PURCHASES) MBD 3.1

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 JCPZ/RM01/2025

Closing Time 12:00pm Closing Date 27 February 2026

ITEM NO. QUANTITY DESCRIPTION UNIT PRICE TOTAL PRICE

(QTY) (P) (QTY*P)

SUB-TOTAL R

VAT AT 15% R

GRAND TOTAL (BID PRICE IN RSA CURRENCY WITH ALL R

APPLICABLE TAXES INCLUDED)

I (full name) _________________________________________, in my capacity as -

________________, the duly authorized representative of

_________________________________________(company name) hereby declares that the offer

is in accordance with the attached specification, notes to suppliers & accepts all conditions/

clauses contained in the said documents.

Signature of duly authorized representative Date:

Required by: JCPZ

At: City Parks House

40 De Korte Street, Braamfontein

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

DECLARATION OF INTEREST - MBD 4

No bid will be accepted from persons in the service of the state1.

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.

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, shareholder2): ....................

3.4 Company Registration Number: ..................................................................

3.5 Tax Reference Number:..............................................................................

3.6 VAT Registration Number: ...........................................................................

3.7 The names of all 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. ......................................................................

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

1MSCM Regulations: “in the service of the state” means to be –

(a) a member of –

(i) any municipal council;

(ii) any provincial legislature; or

(iii) the national Assembly or the national Council of provinces;

(b) a member of the board of directors of any municipal entity;

(c) an official of any municipality or municipal entity;

(d) an employee of any national or provincial department, national or provincial public entity

or constitutional institution within the meaning of the Public Finance Management Act,

1999 (Act No.);

(e) a member of the accounting authority of any national or provincial public entity; or

(f) an employee of Parliament or a provincial legislature.

2 Shareholder” means a person who owns shares in the company and is actively involved in

the management of the company or business and exercises control over the company.

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 and 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? 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:

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

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

Full details of directors / trustees / members / shareholders.

Full Name Identity Number State Employee

Number

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

Signature Date

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

Capacity Name of Bidder

DECLARATION FOR PROCUREMENT ABOVE R10 MILLION (ALL APPLICABLE TAXES

INCLUDED) – MBD 5

For all procurement expected to exceed R10 million (all applicable taxes included),

bidders must complete the following questionnaire:

1 Are you by law required to prepare annual financial statements for auditing? *YES / NO

1.1 If yes, submit audited annual financial statements for the past three years

or since the date of establishment if established during the past three

years.

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

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

2 Do you have any outstanding undisputed commitments for municipal

services towards any municipality for more than three months or any other

service provider in respect of which payment is overdue for more than 30

days?

YES / NO

2.1 If no, this serves to certify that the bidder has no undisputed commitments

for municipal services towards any municipality for more than three months

or other service provider in respect of which payment is overdue for more

than 30 days.

2.2 If yes, provide particulars.

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

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

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

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

Delete if not applicable

3 Has any contract been awarded to you by an organ of state during

the past five years, including particulars of any material non-

compliance or dispute concerning the execution of such contract?

YES / NO

3.1 If yes, furnish particulars

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

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

Will any portion of goods or services be sourced from outside *YES / NO

the Republic, and, if so, what portion and whether any portion

of payment from the municipality / municipal entity is expected to be

transferred out of the Republic?

4.1 If yes, furnish particulars

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

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

CERTIFICATION

I, THE UNDERSIGNED (NAME)

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

CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION FORM IS

CORRECT.

I ACCEPT THAT THE STATE MAY ACT AGAINST ME SHOULD THIS DECLARATION

PROVE TO BE FALSE.

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

Signature Date

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

Position Name of Bidder