Appointment of a Service Provider to Supply and Deliver Hewlett Packard Laptop Computers for the Gauteng Provincial Legislature for a Period of Six Months

These are documents required for this bidding. Should the bidder fail to submit the following documents,

the bid will be disqualified automatically:

Item Description Mandatory Submitted

Yes No

1 Technical Proposal Yes

2 Bidder’s Disclosure (SBD 4) Original completed and Yes

signed.

3 Preference Point Claim form (SBD 6.1) Original Yes

completed and signed.

4 Did you submit copies of full Company Registration Yes

documents?

5 Did you submit copies of South African IDs’ for Yes

shareholders?

6 Did you submit your company profile? Yes

7 Did you submit a detailed CSD report and SARS Yes

Issued PIN?

8 Did you submit one (1) electronic copy of the RFQ ? Yes

9 Joint Venture / Consortium agreement / Trust Deed (if Yes

applicable):

Did you submit all documents for all parties of the

Joint Venture/Consortium/Trust Deed?

Certified copies of shareholders certificates

Certified copy of Company Registration

documents

Certified copy of ID documents of the

Directors or Members

Service Provider’s Name : .......................................................

Completed by : .......................................................................

Signature: ..............................................................................

SBD4

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

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.

of

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:

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