Medupi Project Hydrogen Generating Plant and Distribution System

ADDITIONAL CONTRACTUAL REQUIREMENTS

SUPPORTING EVIDENCE [where applicable and

as stipulated under tender Data]

Safety COIDA - Original certificate of good standing or proof √

of application issued by the Compensation Fund

(COID) or a licensed compensation insurer (South

African tenderers only)

Also Refer to above

Quality Refer to above √

Other safety/quality Refer to above √

documents as

required per scope

of works

Environmental Refer to above √

Due Audited Financial Statements of the tenderer for the √

Diligence/financial previous 18 months, or to the extent that such

analysis statements are not available, for the last year.

In the case of a joint venture or special purpose

vehicle (SPV) specially formed for this tender, audited

financial statements for each participant in the JV /

SPV must be submitted.

Start-up enterprises formed within the last 12 months

are not required to submit audited financial

statements, but if successful in this enquiry; will be

required to furnish statements for the first year once

available.

DOCUMENTS REQUIRED UNDER

FUNCTIONALITY/TECHINICAL CRITERIA

Functionality/Technical Refer to above √

[required for evaluation

/scoring]

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When downloaded from the document management system, this document is uncontrolled and the responsibility rests

with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

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File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

Controlled Disclosure

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When downloaded from the document management system, this document is uncontrolled and the responsibility rests

with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

of 68

File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

ANNEXURE A

AUTHORISATION FORM

Indicate the status of the tenderer by ticking the appropriate box below.

A B C D E

COMPANY CLOSE PARTNERSHIP JOINT SOLE

CORPORATION VENTURE PROPRIETOR

The tenderer must complete the appropriate certificate set out below for its category of

organisation. If the tenderer is a company, close corporation or joint venture, the tenderer must

attach a certified copy the document that is proof of the contents of the certificate (resolution

of the board of directors of a company, members’ resolution of a close corporation, or power

of attorney in the case of a joint venture).

Note further that the authorised representative of the tenderer will in addition be required to

sign the form at the end in addition to the relevant certificate for category of organisation.

Certificate for company

I,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ _ , in my capacity as _ _ _ _ _ _ _ _ _ _ _

of the board of directors of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_, hereby confirm that by resolution of the board taken on _ _ _ __ _ _ _ _ (date), Mr/Ms _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , acting in his/her capacity of _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _, is authorised to submit this tender on behalf of the company, and to sign

all documents in connection with this tender and any contract that may result from it on behalf

of the company. The resolution of the board is annexed to this Form.

Signed: Date:

Name: Position:

Controlled Disclosure

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with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

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File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

Certificate for close corporation

I,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ _ , in my capacity as member of _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, hereby confirm that by majority

vote of the members taken on _ _ _ __ _ _ _ _ (date), Mr/Ms _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ , acting in his/her capacity of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, is

authorised to submit this tender on behalf of the close corporation, and to sign all documents

in connection with this tender and any contract that may result from it on behalf of the close

corporation. The members’ resolution is annexed to this Form.

Signed: Date:

Name: Position:

(Member)

Certificate for partnership

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

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ hereby authorise Mr/Ms _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,

acting in his/her capacity of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, to submit this tender on

our behalf, and to sign all documents in connection with the tender and any contract that may

result from it on our behalf.

Name Address Signature Date

NOTE: This certificate is required to be completed and signed by the full number of

Partners necessary to commit the Partnership. Attach additional pages if more space

is required.

Controlled Disclosure

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When downloaded from the document management system, this document is uncontrolled and the responsibility rests

with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

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File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

Certificate for Joint Venture

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

Mr/Ms _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, an authorised signatory of the company _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , being the lead member in the Joint

Venture, to sign all documents in connection with the tender and any contract that may result

from it on behalf of all the members in the Joint Venture.

This authorisation is evidenced by the attached power of attorney signed by the legally

authorised signatories of all the members in the Joint Venture.

Furthermore we attach to this Form a copy of the Joint Venture Agreement which incorporates

a statement that all members in the Joint Venture are liable jointly and severally for the

execution of the contract, a term that indicates the member that will be the lead member, and

terms that indicate the ratios according to which work and payment will be divided amongst

the members.

Name of JV member Address Authorised signature,

name and capacity

Lead partner

Certificate for sole proprietor

I, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, hereby confirm that I am the sole proprietor of

the business trading as _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signed: Date:

Name: Position:

(Sole Proprietor)

Controlled Disclosure

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When downloaded from the document management system, this document is uncontrolled and the responsibility rests

with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

of 68

File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

NOTE: The table hereunder to also be fully completed by all tenderers irrespective of

the category of organisation selected and completed above.

Name of tenderer:

Full names of authorised signatory:

Designation and capacity:

Signature of authorised signatory

Date of signature:

ANNEXURE B

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with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

of 68

File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

ACKNOWLEDGEMENT FORM

We are in receipt of the Invitation to Tender/Proposal from Eskom Holdings SOC Ltd and

the following addenda issued by Eskom:

We confirm that the documentation received by us is: (Indicate by ticking the box)

Correct as stated in the Invitation to Tender / RFP Content List, and that each document is

complete. 

Or: Incorrect or incomplete for the following reasons: 

Cataloguing Acknowledgement:

Please select the relevant statement by ticking the appropriate box below:

We agree to provide the cataloguing information as described in the enquiry 

We have already supplied Eskom with the cataloguing information pertaining to this

enquiry in a previous contract/order [insert previous contract/order number] 

__________

We do not intend to provide the required cataloguing information for the reasons

stated hereunder: 

We are a Distributor/Importer/Agent and our Principal, being the Original Equipment

Manufacturer (OEM), is or is not [delete whichever is not applicable] in the position

to supply cataloguing information for items. We attach the letter from the OEM

confirming its position. 

Controlled Disclosure

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When downloaded from the document management system, this document is uncontrolled and the responsibility rests

with the user to ensure it is in line with the authorized version on the system. No part of this document may be

reproduced in any manner or form by third parties without the written consent of Eskom Holdings SOC Ltd, © copyright

Eskom Holdings SOC Ltd, Reg No 2002/015527/30

of 68

File name: 01 Invitation to Tender (ITT)_Medupi H2 PlantE2499GCDLPMED

Template ID: 240-43921804 (Rev 7) Header and Footer portrait template

Document 240-114238630 Rev 18

Invitation to Tender/ Request Identifier

for Proposal Effective Date 07 June 2024

Review Date June 2029

Invitation to Tender/Request for Proposal No: ____________________

Name of Tenderer: ___________ _ _

Country of registration: _______________________________________

Full names of contact person: __________________________________

Contact details:

Tel (landline):

Cell phone:

e-mail address:

Name of tenderer:

Full names of authorised signatory:

B-BBEE Minimum Level: 0