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TAU Panel Refreshment Bid Document 06 May 2011 - National ...

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NT 005/11 R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

NATIONAL TREASURY<br />

TECHNICAL ASSISTANCE UNIT (<strong>TAU</strong>) TRADING ENTITY<br />

NT005/11R:APPOINTMENTOF<br />

ADDITIONALCONSULTANTSTOAN<br />

EXISTINGPANELOFPROFESSIONAL<br />

SERVICEPROVIDERS<br />

<br />

<strong>Bid</strong> No: NT005/11R <strong>TAU</strong>: <strong>Refreshment</strong> of <strong>Panel</strong> of PSPs


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS <br />

BID NUMBER: NT 005/11R<br />

CLOSE Date: 27 th <strong>May</strong> <strong>2011</strong><br />

<br />

Time:<br />

12:00 Noon<br />

DESCRIPTION:<br />

APPOINTMENT OF ADDITIONAL<br />

CONSULTANTS TO AN EXISTING PANEL<br />

OF<br />

PROFESSIONAL SERVICE PROVIDERS<br />

BRIEFING SESSION:


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS <br />

SECTIONS IN THIS BID DOCUMENT<br />

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<br />

Section No.<br />

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LIST OF ACRONYMS/DEFINITIONS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

INVITATION TO BID<br />

YOU ARE HEREBY INVITED TO BID FOR REQUIREMENTS OF THE<br />

TECHNICAL ASSISTANCE UNIT TRADING ENTITY<br />

BID NUMBER: 005/11R<br />

DESCRIPTION: Appointment of additional consultants to an existing panel of professional service<br />

providers<br />

BID DOCUMENTS MAY BE POSTED TO:<br />

Chief Director<br />

Contract Management<br />

Private Bag X49<br />

PRETORIA<br />

0001<br />

OR<br />

DEPOSITED IN THE BID BOX SITUATED AT (STREET ADDRESS)<br />

<br />

240 Vermeulen Street between<br />

ABSA and the old Salzburg Restaurant<br />

Pretoria<br />

<strong>Bid</strong>ders should ensure that bids are delivered timeously to the correct address. If the bid is late, it will not be<br />

accepted for consideration.<br />

The bid box is generally open 24 hours a day, 7 days a week.<br />

<br />

ALL BIDS MUST BE SUBMITTED ON THE OFFICIAL FORMS [Paper and CD]


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

THE FOLLOWING PARTICULARS MUST BE FURNISHED<br />

FAILURE TO DO SO MAY RESULT IN YOUR BID BEING DISQUALIFIED<br />

NAME OF BIDDER ...........................................................................................................................................<br />

POSTAL ADDRESS ...........................................................................................................................................<br />

STREET ADDRESS ...........................................................................................................................................<br />

...........................................................................................................................................<br />

TELEPHONE NUMBER CODE .............. NUMBER ...............................................................................................<br />

CELL PHONE NUMBER ...........................................................................................................................................<br />

FACSIMILE NUMBER CODE .............. NUMBER ...............................................................................................<br />

VAT REGISTRATION NUMBER ...........................................................................................................................................<br />

CONTACT PERSON ...........................................................................................................................................<br />

E-MAIL ADDRESS ...........................................................................................................................................<br />

SIGNATURE OF BIDDER ...........................................................................................................................................<br />

DATE ...........................................................................................................................................<br />

CAPACITY UNDER WHICH THIS BID IS SIGNED ....................................................................................................................<br />

Failure on the part of the bidder to sign this tender form and thus to acknowledge and accept the conditions<br />

in writing or to complete the attached forms, questionnaires and specifications in all respects, may invalidate<br />

the bid.<br />

<strong>Bid</strong>s should be submitted on the official forms and should not be qualified by the bidder's own conditions.<br />

Failure to comply with these requirements may invalidate the bid.<br />

BIDS AND ELECTRONIC BIDS<br />

The original hard copy document will serve as the legal bid document. The original hard copy document<br />

must be completed in full, signed and submitted.<br />

TERMS<br />

I/We hereby bid for the inclusion on the <strong>Panel</strong> of Professional Service Providers for rendering all or any of<br />

the services described in the attached Terms of Reference to the <strong>TAU</strong> Trading Entity within the<br />

Administration of the <strong>National</strong> Treasury of he Government of the Republic of South Africa on the terms and<br />

conditions and in accordance with the specifications stipulated in the bid documents (and which shall be<br />

taken as part of, and incorporated into, this bid) at the prices and on the terms regarding time to be<br />

determined.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

I/We agree that -<br />

The bid herein shall remain binding upon me/us and open for acceptance during the validity period indicated<br />

and calculated from the closing time of the bid;<br />

If I/we withdraw my/our bid within the period for which I/we have agreed that the bid shall remain open for<br />

acceptance, or fail to fulfil the contract when called upon to do so, the State may, without prejudice to its<br />

other rights, agree to the withdrawal of my/our bid or cancel the contract that may have been entered into<br />

between me/us and the State and I/we will then pay to the State any additional expense incurred by the<br />

State having either to accept any less favourable bid or, if fresh bids have to be invited, the additional<br />

expenditure incurred by the invitation of fresh bids and by the subsequent acceptance of any less<br />

favourable bid, the State shall also have the right to recover such additional expenditure by set-of against<br />

moneys which may be due or become due to me/us under this or any other bid or contract or against any<br />

guarantee or deposit that may have been furnished by me/us or on my/our behalf for the due fulfilment of<br />

this or any other bid or contract and pending the ascertainment of the amount of such additional expenditure<br />

to retain such moneys, guarantee or deposit as security for any loss the State may sustain by reason of<br />

my/our default;<br />

If my/our bid is accepted the acceptance may be communicated to me/us by letter or order by ordinary<br />

post or registered post and that SA Post Office Ltd shall be regarded as my/our agent, and delivery of such<br />

acceptance to SA Post Office Ltd shall be treated as delivery to me/us;<br />

The law of the Republic of South Africa shall govern the contract created by the acceptance of my/our bid<br />

and that I/we choose domicilium citandi et executandi in the Republic as indicated above.<br />

I/We furthermore confirm that I/we have satisfied myself/ourselves as to the correctness and validity of<br />

my/our bid; that the price(s) and rate(s) quoted cover all the work/item(s) specified in the bid documents;<br />

and that the price(s) and rate(s) cover all my/our obligations under a resulting contract and that I/we accept<br />

that any mistakes regarding price(s) and calculations will be at my/our risk.<br />

I/We hereby accept full responsibility for the proper execution and fulfilment of all obligations and conditions<br />

devolving on me/us under this agreement as the Principal(s) liable for the due fulfilment of this contract.<br />

I/We agree that any action arising from this contract may in all respects be instituted against me/us and I/we<br />

hereby undertake to satisfy fully any sentence or judgement which may be pronounced against me/us as a<br />

result of such action.<br />

I/We declare that I/we have participation*/no participation* in the submission of any other bid for the<br />

supplies/services described in the attached documents. If in the affirmative, state names(s) of bidder(s)<br />

involved<br />

..................................................................................................................................................................................<br />

<br />

<br />

<br />

<br />

<br />

<br />

Are you duly authorised to sign the bid<br />

* YES / NO


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

Has the Declaration of Interest (SBD4 – Annexure E1) been duly completed<br />

and included with the other bid forms<br />

* YES / NO<br />

Have the company or any of its Directors, Shareholders or Joint Venture<br />

Partners in their present or previous capacity ever been restricted from<br />

bidding by any organ of the State<br />

* YES / NO<br />

If yes, please provide full details of restriction.<br />

..................................................................................................................................................................................<br />

..................................................................................................................................................................................<br />

..................................................................................................................................................................................<br />

..................................................................................................................................................................................<br />

Has the Certificate of Independent bid determination (SBD 9 – Annexure E5) been<br />

duly completed and included with the other bid forms<br />

*YES/NO


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

1. SPECIAL CONDITIONS<br />

<strong>Bid</strong>: NT 005/11R<br />

Title Appointment of additional consultants to an existing panel of professional<br />

service providers<br />

<br />

Closing time: 12h00 Noon<br />

Closing date: 27 MAY <strong>2011</strong><br />

<br />

Validity period of bid: 120 Days<br />

These Special Conditions follow in context, principle and purpose those of the <strong>Bid</strong><br />

<strong>Document</strong> NT0<strong>06</strong>/10 Appointment of Consultants to a <strong>Panel</strong> of Professional<br />

Service Providers for a period of three years ending July 2013 which had a closing<br />

date of 17 th <strong>May</strong> 2010.<br />

The purpose of this current bidding process is to refresh the existing panel with<br />

additional consultants where new skill requirements have been identified since<br />

the bidding process which established the existing panel in August 2010 and to<br />

add further consultants to existing skill categories where potential demand for<br />

services will exceed the current availability of panel members in those categories.<br />

1.1 LEGALISED FRAMEWORK<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

1.2 BID EVALUATION<br />

<br />

1.2.1 EVALUATION PROCESS<br />

<br />

<br />

<br />

two envelope system


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

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1.2.2 TECHNICAL EVALUATION<br />

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<br />

<br />

<br />

Evaluation criteria Max points<br />

Key personnel nominated (each person will be evaluated<br />

according to the following criteria)


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

Evaluation criteria Max points<br />

Consultancy<br />

<br />

<br />

<br />

<br />

<br />

Maximum Technical Score 90<br />

<br />

<br />

<br />

ANY PROPOSAL NOT MEETING A MINIMUM SCORE OF 55 POINTS FOR<br />

TECHNICAL PROPOSAL WILL BE REJECTED, AND THEIR FINANCIAL<br />

PROPOSALS WILL REMAIN UNOPENED.<br />

<br />

1.2.3. HDI EVALUATION<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

PriceTechnical Proposal <br />

PriceTechnical Proposal<br />

<br />

price<br />

<br />

technical proposal <br />

<br />

<br />

<br />

1.2.4. PRICE EVALUATION


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

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<br />

<br />

<br />

2 NON-COMMITMENT<br />

<br />

<br />

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<br />

<br />

<br />

<br />

<br />

<br />

<br />

will not <br />

<br />

<br />

<br />

<br />

<br />

3 FRAUD AND CORRUPTION<br />

<br />

<br />

<br />

<br />

<br />

<br />

4 PANEL REFRESHMENT REQUIREMENTS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

allall


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

5 REASONS FOR REJECTION<br />

<br />

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6 CLARIFICATIONS<br />

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<br />

<br />

16 <strong>May</strong> <strong>2011</strong><br />

<br />

19 <strong>May</strong> <strong>2011</strong><br />

<br />

<br />

<br />

<br />

<br />

<br />

7 ADDITIONAL INFORMATION REQUIREMENT<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

only


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

8 PACKAGING OF BIDS<br />

<br />

<br />

<br />

<br />

Technical Proposal<br />

<br />

<br />

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<br />

<br />

<br />

<br />

<br />

.<br />

<br />

<br />

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<br />

<br />

<br />

Price Proposal<br />

<br />

<br />

.<br />

<br />

<br />

and the<br />

completed CDAnnexure D<br />

<br />

<br />

<br />

<br />

In addition, an electronic copy [in the prescribed format in<br />

Microsoft Word not PDF format ]<br />

<br />

<br />

<br />

Failure to submit an<br />

electronic copy in the prescribed format will result in the<br />

bid being rejected.<br />

<br />

<br />

<br />

<br />

<br />

<br />

.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

9 LATE BIDS<br />

<br />

<br />

<br />

10 GENERAL INFORMATION<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

new<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

11 CONFIDENTIALITY<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

12 SCREENING AND VETTING<br />

<br />

<br />

<br />

<br />

CONFIDENTIAL/SECRET/TOP SECRET.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

13 FORMAT OF SUBMISSIONS<br />

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<br />

<br />

<br />

<br />

<br />

<br />

<br />

Note: For the benefit of this bid, the word “firm” refers to any commercial<br />

enterprise, business partnership, sole trader, NGO or academic institution.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

14. BID SUBMISSIONS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Annexure B1<br />

<br />

<br />

* See clause 10.3<br />

Annexure C1<br />

<br />

<br />

<br />

15 PRICING<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Annexure D


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

16 MANAGEMENT CONTACT DETAILS<br />

<br />

<br />

<br />

Annexure A1.<br />

<br />

<br />

17 COMPETENCY EXPERIENCE AND REFERENCES<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

minimum period<br />

of 5 years<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

18 SERVICE PROVIDER PROFILE<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

19 REGISTRATION<br />

<br />

<br />

<br />

<br />

<br />

<br />

20 INDIVIDUAL CVs MAY ONLY FORM PART OF ONE BID<br />

<br />

<br />

<br />

<br />

<br />

<br />

21 TAX CLEARANCE CERTIFICATE


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

22 CONTRACTING OF SERVICE PROVIDERS FROM THE PANEL TO WORK ON<br />

SPECIFIC PROJECTS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

23. TERMS OF REFERENCE (TOR)<br />

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<br />

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<br />

<br />

<br />

24.2 BACKGROUND TO <strong>TAU</strong>


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

1. Social Protection & Community Development, <br />

<br />

<br />

<br />

2. Economic Sectors and Employment, <br />

<br />

<br />

<br />

<br />

<br />

3. Human Development, <br />

<br />

<br />

<br />

<br />

4. Governance and Administration, <br />

<br />

<br />

<br />

<br />

<br />

5. Justice, Crime Prevention and Security, <br />

<br />

<br />

<br />

<br />

6.International Cooperation Trade & Security<br />

<br />

<br />

<br />

<br />

7. Infrastructure,


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

and <br />

(Annexure B1) <br />

(Annexure C1)


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURES<br />

Annexure A: Technical proposal 1<br />

[The <strong>Bid</strong>der]<br />

A1: Details of <strong>Bid</strong>der<br />

A2: Service Provider Profile<br />

A3: Key Personnel Details<br />

Annexure B: Technical proposal 2<br />

[The Nominated Individuals]<br />

B1: Individual CVs<br />

B2: Experience Schedule<br />

Annexure C: Technical Proposal 3<br />

[Project Experience]<br />

C1: Individual Project Experience Sheets<br />

Annexure D: Price Proposal<br />

Annexure E: Standard Procurement Forms<br />

E.1: Declaration of interest (SBD4)<br />

E.2: Preference points claim (SBD6.1) E.3: Tax<br />

Clearance Request Form (SBD2)<br />

E4 Declaration of <strong>Bid</strong>der’s Past Supply Chain<br />

Practices (SBD8)<br />

E5: Certificate of independent bid<br />

Determination (SBD9)<br />

Annexure F: General Conditions of Contract<br />

Annexure G: Tax Questionnaire<br />

(TO BE COMPLETED ONLY ON APPOINTMENT ONTO THE PANEL)<br />

Annexure H: Tender Completion checklist


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE A<br />

TECHNICAL PROPOSAL 1<br />

Annexure A1: Details of <strong>Bid</strong>der<br />

Annexure A2: Service Provider Profile<br />

Annexure A3: Key Personnel Nominated<br />

Also to be completed in Electronic Format using the<br />

prescribed format


ANNEXURE A.1: DETAILS OF SERVICE PROVIDER<br />

Service Provider’s Name<br />

Service Provider’s Postal Address<br />

Service Provider’s Street Address<br />

Item Detail Description<br />

Name of the organization or individual<br />

submitting this bid<br />

Box number<br />

Post office<br />

Postal code<br />

Number and street name<br />

Suburb<br />

Town/city<br />

Postal code<br />

Service Provider’s Telephone Number Code and number, e.g. 012 488 9999<br />

Service Provider’s Facsimile Number Code and number, e.g. 012 488 9999<br />

Service Provider’s Entity Type One person business/sole trader From the drop-down list, select entity<br />

type<br />

Service Provider’s Registration<br />

Number<br />

Service Provider’s VAT Registration<br />

Number<br />

Service Provider’s SARS Tax Number<br />

Service Provider’s Tax Clearance<br />

Certificate Expiry Date<br />

Contact Person<br />

If ‘other’ selected, specify here<br />

Company registration number if<br />

applicable<br />

If applicable<br />

yyyy-mm-dd, e.g. 2010-03-04<br />

Contact person for this bid<br />

Contact Person’s Cell Phone Number Number ,e.g. 088 345 6789<br />

Contact Person’s Email Address<br />

Name of Person Signing this <strong>Bid</strong><br />

Full name<br />

Date of Signature of the <strong>Bid</strong> yyyy-mm-dd, e.g. 2010-03-04<br />

Capacity Under which this <strong>Bid</strong> is<br />

Signed<br />

Signature<br />

Director, member, individual, etc<br />

Sign here<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

If the postal address is the same as the street address, leave the postal address fields blank.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

This form must be completed irrespective of whether the bidder is an individual or an organization.<br />

29


ANNEXURE A.2: SERVICE PROVIDER PROFILE<br />

Service Provider’s Relevant Experience (maximum 10 one sentence bullet points)<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

Service Provider’s Areas of Expertise (maximum 10 one sentence bullet points)<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

●<br />

Locations of Service Provider’s Offices in SA (names of towns only)<br />

Service Provider’s Support Structure (administration, secretarial etc)<br />

Service Provider’s Financial Data (current asset value, P&L summary)<br />

Service Provider’s Date of Foundation (yyyy-mm-dd, e.g. 2010-03-04)<br />

Service Provider’s BEE Shareholding (names and %)<br />

Service Provider’s Foreign Shareholding (names, nationality and %)<br />

Has the Service Provider previously bid for the 2010 <strong>TAU</strong> <strong>Panel</strong> (Yes/No)<br />

30


If Yes, how many of the CVs you submitted were accepted<br />

(the total number of CVs accepted and new CVs submitted may not exceed 10)<br />

HDI Status (as per SBD 6.1)<br />

Service Provider Name<br />

Representative’s Name<br />

Representative’s Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Date of Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

31


ANNEXURE A.3: NOMINATED INDIVIDUALS<br />

Ref.<br />

No.<br />

First Name<br />

Surname<br />

Female/<br />

Male<br />

Position within Service<br />

Provider<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

Service Provider Name<br />

Representative’s Name<br />

Representative’s Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Date of Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

32


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

TECHNICAL PROPOSAL<br />

ANNEXURE B<br />

B1: CURRICULUM VITAE<br />

B2: INDIVIDUAL EXPERIENCE SHEETS<br />

Notes:


ANNEXURE B.1: NOMINATED INDIVIDUAL’S CV<br />

Nominated Individual’s First Names<br />

Nominated Individual’s Surname<br />

Nominated Individual’s Date of Birth<br />

(yyyy-mm-dd, e.g. 2010-03-04)<br />

Nominated Individual’s <strong>National</strong>ity<br />

Nominated Individual’s ID Number or<br />

Passport Number for Non-residents<br />

Service Provider’s Name<br />

Reference Number of Nominated Individual<br />

(from the ‘Nominated Individuals’ table in<br />

Annexure A.3)<br />

Pen Portrait<br />

(Describe below, in a maximum of 50 words, significant highlights of your professional experience and achievements. Please<br />

type the description in the shaded field below)<br />

Education/Qualifications<br />

Institution From Date To Date Qualification Obtained<br />

(Include the discipline e.g. BSc Mechanical Engineering)<br />

Language Skills<br />

(Enter the languages in the shaded fields below and select your competency level, either excellent, average or basic from the<br />

drop-down lists)<br />

Language Reading Speaking Writing<br />

Membership of Professional Bodies<br />

(Describe in full, do not use acronyms or abbreviations)<br />

34


Other Skills (e.g. computer literacy, etc.)<br />

Present Position in Service<br />

Provider’s Organisation<br />

Years with the in Service<br />

Provider’s Organization<br />

Professional Experience (work history in descending order of years)<br />

From Date To Date Company/Organization Position<br />

Areas of Specialization<br />

Other Relevant Information (e.g. publications)<br />

Full Current Contact Details of Three References to be Provided<br />

Full Name Position Company/<br />

Organization<br />

Telephone No.<br />

(with country and area<br />

code)<br />

Cell Phone No.<br />

(with country code)<br />

Declaration by the Nominated Individual Described in this CV<br />

I declare that the above information is accurate and can be supported by documents and references on request.<br />

I declare that my CV is not included in the proposal of any other bidder.<br />

Name Signature Date<br />

35


Approved by the Service Provider Submitting the <strong>Bid</strong><br />

Service Provider’s Name<br />

Service Provider Representative’s<br />

Name<br />

Signature<br />

Date<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign every page. Note each page must be signed by the nominated individual whose<br />

details are given, and a representative of the service provider submitting the bid. Submit the signed copy as part of the bid.<br />

36


ANNEXURE B.2: EXPERIENCE SHEET<br />

B.2.1<br />

MAIN FORM<br />

Item Detail Description<br />

Name of Service Provider Submitting<br />

this <strong>Bid</strong><br />

Reference Number of Nominated<br />

Individual<br />

First Names of Nominated Individual<br />

Surname of Nominated Individual<br />

ID Number or Passport Number for<br />

Non-residents<br />

Operational Base<br />

Highest Qualification<br />

Discipline<br />

Year Obtained<br />

Years of Consulting Experience<br />

Signature of Nominated Individual<br />

Date of signature<br />

Name of Service Provider Submitting<br />

this <strong>Bid</strong><br />

Service Provider Representative’s<br />

Name<br />

Service Provider Representative’s<br />

Signature<br />

Date of signature<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

From the drop-down list, select the city<br />

in which your business is located (or<br />

nearest to)<br />

If ‘other’, specify<br />

From the drop-down list, select the<br />

highest qualification obtained<br />

If ‘other’, specify<br />

From the drop-down list, select the<br />

discipline in which the highest<br />

qualification was obtained<br />

If ‘other’, specify<br />

Enter the year in which the highest<br />

qualification was obtained<br />

Enter the number of years that you<br />

have been consulting<br />

The nominated individual described<br />

above must sign here.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

The representative of the service<br />

provider must sign here<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign every page. Note each page must be signed by the nominated individual whose<br />

details are given, and a representative of the service provider submitting the bid. Submit the signed copy as part of the bid.<br />

37


B.2.2<br />

PRIMARY SERVICES/EXPERTISE PROVIDED<br />

B.2.2.1 Primary Services/Expertise Provided (Existing Skills)<br />

Administration Financial Management and Economics Organisational Development<br />

Event organisers Actuarial specialist Government frameworks development<br />

Project administration Public sector economist Team building<br />

Change Management Financial modelling Leadership development<br />

Coaching Development economics Organisational design and restructuring<br />

Mentoring Information Technology Organisational Performance Management<br />

Communications Systems architecture Performance reviews<br />

Communications and media product<br />

development<br />

Systems development<br />

Systems management<br />

Performance frameworks development<br />

Balanced score card<br />

Video production Database and spreadsheet optimisation Programme and Project Management<br />

Web design Infrastructure Project Cycle Management (PCM)<br />

Graphic artist Green issues Prince 2<br />

Legal drafting Property management Project management<br />

Media product development Quantity surveying Research<br />

Photography/audio visual International Relations Large quantitative data gathering and<br />

analysis<br />

<strong>Document</strong> editing and proof reading Country assessments Case study development<br />

Translations Development agency specialist Field research and analysis<br />

Environmental and Social Issues<br />

Environmental impact assessment<br />

Cultural impact assessment<br />

Social impact assessment<br />

International finance<br />

SADC policy specialist<br />

African union policy specialist<br />

Commonwealth policy specialist<br />

UN policy specialist<br />

Notes:<br />

Check a maximum of five primary services/expertise. Only the first five checked will be considered.<br />

B.2.2.2 Primary Services/Expertise Provided (New Skills)<br />

<br />

<br />

Financial Management and Economics Infrastructure Organisational Performance Management<br />

Financial analyst – public sector Architect – public sector Knowledge management specialist<br />

Financial management, monitoring –<br />

public sector<br />

Business analyst<br />

Project managers – infrastructure<br />

disciplines<br />

Engineer – infrastructure disciplines<br />

Information Technology Organisational Development Other<br />

Data evaluation expert Gender issues specialist Chemical engineer<br />

Data management expert Function shift specialist – public entities Transport economist<br />

Notes:<br />

Health sector economist<br />

Development economist<br />

Business process engineer<br />

Health sector planner<br />

Grant management specialist<br />

Check a maximum of five primary services/expertise. Only the first five checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

38


B.2.3<br />

SPECIALIST SKILLS<br />

Specialist Skills Specialist Skills Specialist Skills<br />

Presentation skills Graphical information systems Mediation<br />

Capacity building/development Policy analysis Training systems development<br />

Coaching Policy formulation Unemployment<br />

Children Poverty Facilitation skills<br />

Conditional grants Property economics Climate change<br />

Disability Public administration specialists Health<br />

Environmental impact assessment Social and market research Education<br />

Equality<br />

Function shifts<br />

Gender mainstreaming<br />

Gestalt<br />

Knowledge management<br />

Mapping and spatial database<br />

development<br />

Social insurance specialists/actuarial<br />

science<br />

Spatial, urban development and<br />

development planning<br />

The aged<br />

Risk management<br />

Notes:<br />

Check a maximum of five specialist skills. Only the first five checked will be considered.<br />

Infrastructure<br />

Food security<br />

Results based management<br />

Logical frameworks<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

39


B.2.4<br />

MAIN GOVERNMENT DEPARTMENTS SUPPORTED – NATIONAL<br />

<strong>National</strong> Government Department <strong>National</strong> Government Department <strong>National</strong> Government Department<br />

Civilian Secretariat of Police Department of Home Affairs Department of Water Affairs<br />

Department of Arts and Culture Department of Housing Department of Water Affairs and<br />

Forestry<br />

Department of Environmental Affairs<br />

and Tourism<br />

Department in the Presidency<br />

Department of Agriculture<br />

Department of Agriculture, Forestry and<br />

Fisheries<br />

Department of Human Settlements<br />

Department of International Relations<br />

and Cooperation<br />

Department of Justice and<br />

Constitutional Development<br />

Department of Woman, Children and<br />

People with Disabilities<br />

Government Communication and<br />

Information System (GCIS)<br />

Independent Complaints Directorate<br />

(ICD)<br />

Department of Arts and Culture Department of Labour <strong>National</strong> Intelligence Agency (NIA)<br />

Department of Basic Education Department of Mineral Resources <strong>National</strong> Treasury<br />

Department of Communication Department of Minerals and Energy Secretariat for Safety and Security<br />

Department of Cooperative Governance<br />

and Traditional Affairs<br />

Department of Provincial and Local<br />

Government<br />

South African Police Service (SAPS)<br />

South African Revenue Service (SARS)<br />

Department of Correctional Services Department of Public Enterprises South African Secret Service (SASS)<br />

Department of Defence<br />

Department of Defence and Military<br />

Veterans<br />

Department of Economic Development<br />

Department of Education<br />

Department of Energy<br />

Department of Environmental Affairs<br />

Department of Public Service and<br />

Administration<br />

Department of Public Works<br />

Department of Rural Development and<br />

Land Reform<br />

Department of Science and Technology<br />

Department of Social Development<br />

Statistics South Africa (Stats SA)<br />

Department of Foreign Affairs<br />

Department of Health<br />

Department of Higher Education and<br />

Training<br />

Department of State Security<br />

Department of Tourism<br />

Department of Trade and Industry (DTI)<br />

Notes:<br />

Check a maximum of ten national departments. Only the first ten checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

40


B.2.5<br />

MAIN GOVERNMENT DEPARTMENTS SUPPORTED – PROVINCIAL<br />

Provincial Government Department Provincial Government Department Provincial Government Department<br />

Agriculture - EC Housing - EC Safety and Liaison - EC<br />

Agriculture - FS Housing - MP Safety and Security - GP<br />

Agriculture - GP Kwa-Zulu Natal Provincial Government Safety and Security - KZN<br />

Agriculture - KZN Legislature - EC Safety and Security - MP<br />

Agriculture - LP Legislature - FS Safety and Security - NC<br />

Agriculture - NC Legislature - GP Safety and Security - NW<br />

Agriculture - NW Legislature - KZN Safety, Security and Liaison - FS<br />

Agriculture - WC Legislature - LP Safety, Security and Liaison - LP<br />

Agriculture and Land Admin. - MP Legislature - MP Social Development - EC<br />

Community Safety - WC Legislature - NC Social Development - FS<br />

Eastern Cape Provincial Government Legislature - NW Social Development - GP<br />

Econ. Dev and Environ. - EC Legislature - WC Social Development - KZN<br />

Econ. Dev and Planning - MP Limpopo Provincial Government Social Development - LP<br />

Econ. Dev and Tourism - WC Local Govt. - MP Social Development - MP<br />

Econ. Dev, Tourism and Environ. - FS Local Govt. and Housing - FS Social Development - NC<br />

Econ. Dev, Tourism and Environ. - GP Local Govt. and Housing - GP Social Development - NW<br />

Econ. Dev, Tourism and Environ. - KZN Local Govt. and Housing - LP Social Development - WC<br />

Econ. Dev, Tourism and Environ. - LP Local Govt. and Housing - NC Sport, Arts and Culture - EC<br />

Econ. Dev, Tourism and Environ. - NC Local Govt. and Housing - NW Sport, Arts and Culture - FS<br />

Econ. Dev, Tourism and Environ. - NW Local Govt. and Housing - WC Sport, Arts and Culture - GP<br />

Education - EC Local Govt. and Trad. Affairs - EC Sport, Arts and Culture - KZN<br />

Education - FS Local Govt. and Trad. Affairs - KZN Sport, Arts and Culture - LP<br />

Education - GP Mpumalanga Provincial Government Sport, Arts and Culture - MP<br />

Education - KZN North West Provincial Government Sport, Arts and Culture - NC<br />

Education - LP Northern Cape Provincial Government Sport, Arts and Culture - NW<br />

Education - MP Premier's Office - EC Sport, Arts and Culture - WC<br />

Education - NC Premier's Office - FS Transport – EC<br />

Education - NW Premier's Office - GP Treasury- EC<br />

Education - WC Premier's Office - KZN Treasury- FS<br />

Environ. Affairs and Dev. Plan - WC Premier's Office - LP Treasury- GP<br />

Free State Provincial Government Premier's Office - MP Treasury- KZN<br />

Gauteng Provincial Government Premier's Office - NC Treasury- LP<br />

Health - EC Premier's Office - NW Treasury- MP<br />

Health - FS Premier's Office - WC Treasury- NC<br />

Health - GP Public Works and Transport - WC Treasury- NW<br />

Health - KZN Public Works - EC Treasury- WC<br />

Health - NC Public Works, Roads & Transport - FS Western Cape Provincial Government<br />

Health - NW<br />

Health - WC<br />

Health and Soc. Dev. - LP<br />

Health and Soc. Serv. - MP<br />

Public Works, Roads & Transport - GP<br />

Public Works, Roads & Transport - KZN<br />

Public Works, Roads & Transport - LP<br />

Public Works, Roads & Transport - MP<br />

Public Works, Roads & Transport - NC<br />

Public Works, Roads & Transport - NW<br />

Notes:<br />

Check a maximum of ten provincial departments. Only the first ten checked will be considered.<br />

EC - Eastern Cape, FS - Free State, GP - Gauteng, KZN - Kwa-Zulu Natal, LP - Limpopo, MP - Mpumalanga,<br />

N - Northern Cape, NW - North West<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

41


B.2.6<br />

MAIN GOVERNMENT DEPARTMENTS SUPPORTED – LOCAL<br />

Local Government Department Local Government Department Local Government Department<br />

Abaqulusi Local Municipality Dihlabeng Local Municipality Greater Tzaneen Local Municipality<br />

Aganang Local Municipality Dikgatlong Local Municipality Hantam Local Municipality<br />

Albert Luthuli Local Municipality Dipaleseng Local Municipality Hessequa Local Municipality<br />

Alfred Nzo District Municipality Ditsobotla Local Municipality Hibiscus Coast Local Municipality<br />

Amahlathi Local Municipality Dr JS Moroka Local Municipality Hlabisa Local Municipality<br />

Amajuba District Municipality Drakenstein Local Municipality Ikwezi Local Municipality<br />

Amathole District Municipality Eden District Municipality Ilembe District Municipality<br />

Ba-Phalaborwa Local Municipality Edumbe Local Municipality Imbabazane Local Municipality<br />

Baviaans Local Municipality Ehlanzeni District Municipality Impendle Local Municipality<br />

Beaufort West Local Municipality Ekurhuleni Metropolitan Municipality Indaka Local Municipality<br />

Bela-Bela Local Municipality Elias Motswaledi Local Municipality Ingwe Local Municipality<br />

Bergrivier Local Municipality Elundini Local Municipality Inkwanca Local Municipality<br />

Bitou Local Municipality Emadlangeni Local Municipality Intsika Yethu Local Municipality<br />

Blouberg Local Municipality Emakhazeni Local Municipality Inxuba Yethemba Local Municipality<br />

Blue Crane Route Local Municipality Emalahleni Local Municipality Izingoleni Local Municipality<br />

Bojanala Platinum District Municipality Emfuleni Local Municipality Jozini Local Municipality<br />

Bophirima District Municipality<br />

Breede Rivier / Winelands Local<br />

Municipality<br />

Emnambithi - Ladysmith Local<br />

Municipality<br />

Emthanjeni Local Municipality<br />

Endumeni Local Municipality<br />

Kagisano Local Municipality<br />

Kai Garib Local Municipality<br />

Kamiesberg Local Municipality<br />

Kannaland Local Municipality<br />

Breede Valley Local Municipality Engcobo Local Municipality Kareerberg Local Municipality<br />

Buffalo City Local Municipality Ethekwini Metropolitan Municipality Karoo District Municipality<br />

Bushbuckridge Local Municipality Fetakgomo Local Municipality Karoo Hoogland Local Municipality<br />

Cacadu District Municipality Fezile Dabi District Municipality Kgalagadi District Municipality<br />

Camdeboo Local Municipality Frances Baard District Municipality Kgatelopele Local Municipality<br />

Cape Agulhas Local Municipality Gamagara Local Municipality Kgetleng Rivier Local Municipality<br />

Cape Wineland District Municipality Gariep Local Municipality Khai Ma Local Municipality<br />

Capricorn District Municipality Ga-segonyana Local Municipality Khara Hais Local Municipality<br />

Cederberg Local Municipality George Local Municipality Kheis Local Municipality<br />

Central Karoo District Municipality Gert Sibande District Municipality King Sabatha Dalindyebo Local<br />

Chris Hani District Municipality<br />

Govan Mbeki Local Municipality<br />

Municipality<br />

City of Cape Town Metropolitan<br />

Municipality<br />

City of Johannesburg Metropolitan<br />

Municipality<br />

Greater Giyani Local Municipality<br />

Greater Kei Local Municipality<br />

Greater Kokstad Local Municipality<br />

Greater Letaba Local Municipality<br />

Knysna Local Municipality<br />

Kopanong Local Municipality<br />

Kouga Local Municipality<br />

Kou-Kamma Local Municipality<br />

City of Matlosana Local Municipality Greater Marble Hall Local Municipality Kungwini Local Municipality<br />

City of Tshwane Metropolitan<br />

Municipality<br />

Greater Sekhukhune District<br />

Municipality<br />

KwaDukuza Local Municipality<br />

KwaSani Local Municipality<br />

Dannhauser Local Municipality Greater Taung Local Municipality Laingsburg Local Municipality<br />

Delmas Local Municipality Greater Tubatse Local Municipality Lejweleputswa District Municipality<br />

Notes:<br />

Check a maximum of ten local departments. Only the first ten checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

42


B.2.6<br />

MAIN GOVERNMENT DEPARTMENTS SUPPORTED – LOCAL (CONTINUED)<br />

Local Government Department Local Government Department Local Government Department<br />

Lekwa Local Municipality Modimolle Local Municipality Nquthu Local Municipality<br />

Lekwa-teemane Local Municipality Modiri Molema District Municipality Ntabankulu Local Municipality<br />

Lepele-Nkumpi Local Municipality Mogalakwena Local Municipality Ntambanana Local Municipality<br />

Lephalale Local Municipality Mogale City Local Municipality Nxuba Local Municipality<br />

Lesedi Local Municipality Mohokare Local Municipality Nyandeni Local Municipality<br />

Letsemeng Local Municipality Molemole Local Municipality Okhahlamba Local Municipality<br />

Lukhanji Local Municipality Molopo Local Municipality OR Tambo District Municipality<br />

Madibeng Local Municipality Mooi Mpofana Local Municipality Oudtshoorn Local Municipality<br />

Mafikeng Local Municipality Mopani District Municipality Overberg District Municipality<br />

Mafube Local Municipality Moqhaka Local Municipality Overstrand Local Municipality<br />

Magareng Local Municipality Moretele Local Municipality Phumelela Local Municipality<br />

Makana Local Municipality Moses Kotane Local Municipality Pixley Ka Seme District Municipality<br />

Makhado Local Municipality Moshaweng Local Municipality Pixley Ka Seme Local Municipality<br />

Makhudutamaga Local Municipality Mossel Bay Local Municipality Polokwane Local Municipality<br />

Maletswai Local Municipality Motheo District Municipality Port St Johns Local Municipality<br />

Maluti a Phofong Local Municipality Msinga Local Municipality Potchefstroom Local Municipality<br />

Mamusa Local Municipality Msukaligwa Local Municipality Prince Albert Local Municipality<br />

Mandeni Local Municipality Msunduzi Local Municipality Qaukeni Local Municipality<br />

Mangaung Local Municipality Mthonjaneni Local Municipality Ramotshere Moiloa Local Municipality<br />

Mantsopa Local Municipality Mtubatuba Local Municipality Randfontein Local Municipality<br />

Maphumulo Local Municipality Musina Local Municipality Ratlou Local Municipality<br />

Maquassi Hills Local Municipality Mutale Local Municipality Renosterburg Local Municipality<br />

Maruleng Local Municipality Nala Local Municipality Richmond Local Municipality<br />

Masilonyana Local Municipality Naledi Local Municipality Richtersveld Local Municipality<br />

Matatiele Local Municipality Nama-khoi Local Municipality Rustenburg Local Municipality<br />

Matjhabeng Local Municipality Namakwa District Municipality Sakhisizwe Local Municipality<br />

Matzikama Local Municipality Ndlambe Local Municipality Saldanha Bay Local Municipality<br />

Mbhashe Local Municipality Ndwedwe Local Municipality Sedibeng District Municipality<br />

Mbizana Local Municipality<br />

Mbombela Local Municipality<br />

Nelson Mandela Bay Metropolitan<br />

Municipality<br />

Senqu Local Municipality<br />

Setsoto Local Municipality<br />

Mbonambi Local Municipality Newcastle Local Municipality Sisonke District Municipality<br />

Merafong Local Municipality Ngqushwa Local Municipality Siyancuma Local Municipality<br />

Metsimaholo Local Municipality Ngwathe Local Municipality Siyanda District Municipality<br />

Metsweding District Municipality Nkandla Local Municipality Siyathemba Local Municipality<br />

Mhlontlo Local Municipality Nkangala Distric Municipality Sol Plaatje Local Municipality<br />

Midvaal Local Municipality Nketoana Local Municipality Southern District Municipality<br />

Mier Local Municipality Nkomazi Local Municipality Stellenbosch Local Municipality<br />

Mkhambathini Local Municipality Nkonkobe Local Municipality Steve Tshwete Local Municipality<br />

Mkhondo Local Municipality Nokeng tsa Taemane Local Municipality Sunday's River Valley Local<br />

Mnquma Local Municipality<br />

Nongoma Local Municipality<br />

Municipality<br />

Notes:<br />

Check a maximum of ten local departments. Only the first ten checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

43


B.2.6<br />

MAIN GOVERNMENT DEPARTMENTS SUPPORTED – LOCAL (CONTINUED)<br />

Local Government Department Local Government Department Local Government Department<br />

Swartland Local Municipality Ugu District Municipality Uphongolo Local Municipality<br />

Swellendam Local Municipality Ukhahlamba District Municipality Venterdorp Local Municipality<br />

Thaba Chweu Local Municipality Ulundi Local Municipality Vhembe District Municipality<br />

Thabazimbi Local Municipality Umdoni Local Municipality Vulamehlo Local Municipality<br />

Thabo Mofutsanyane District<br />

Municipality<br />

The Big Five False Bay Local<br />

Municipality<br />

Umgungundlovu District Municipality<br />

Umhlabuyalingana Local Municipality<br />

Umhlathuze Local Municipality<br />

Umjindi Local Municipality<br />

Waterberg District Municipality<br />

West Coast District Municipality<br />

West Rand District Municipality<br />

Westonaria Local Municipality<br />

Theewaterskloof Local Municipality Umlalazi Local Municipality Witzenberg Local Municipality<br />

Thembelihle Local Municipality Umngeni Local Municipality Xhariep District Municipality<br />

Thembisile Local Municipality Umshwati Local Municipality Zululand District Municipality<br />

Thulamela Local Municipality<br />

Tokologo Local Municipality<br />

Tsantsabane Local Municipality<br />

Tsolwana Local Municipality<br />

Tswaing Local Municipality<br />

Tswelopele Local Municipality<br />

Ubuhlebezwe Local Municipality<br />

Ubuntu Local Municipality<br />

Umsobomvu Local Municipality<br />

Umtshezi Local Municipality<br />

Umvoti Local Municipality<br />

Umzimkhulu Local Municipality<br />

Umzimvubu Local Municipality<br />

Umzinyathi District Municipality<br />

Umziwabantu Local Municipality<br />

Umzumbe Local Municipality<br />

Notes:<br />

Check a maximum of ten local departments. Only the first ten checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

44


B.2.7<br />

OTHER ORGANISATIONS SUPPORTED<br />

Other Organizations Other Organizations Other Organizations<br />

Child Welfare Society<br />

ECSECC<br />

European Union<br />

Financial Intelligence Centre<br />

JOSHCO<br />

<strong>National</strong> Development Agency<br />

NEPAD<br />

Perishable Products Export Control<br />

Board<br />

Public Administration Leadership and<br />

Management Academy (PALAMA)<br />

Public Service Commission<br />

SADC<br />

SASSA<br />

Social Housing Foundation<br />

South African Management<br />

Development Institute (SAMDI)<br />

Sport and Recreation South Africa<br />

(SRSA)<br />

Matola<br />

Notes:<br />

Check a maximum of five other organizations. Only the first five checked will be considered.<br />

B.2.8<br />

MAIN OTHER COUNTRIES/REGIONS WORKED IN (OTHER THAN SOUTH AFRICA)<br />

Other Countries Other Countries Other Countries<br />

Angola Seychelles Europe<br />

Botswana Swaziland North America<br />

DRC Tanzania South America<br />

Lesotho Zambia Asia<br />

Madagascar Zimbabwe Middle East<br />

Malawi West Africa Far East<br />

Mauritius Central Africa Australia / New Zealand<br />

Mozambique<br />

East Africa<br />

Namibia<br />

North Africa<br />

Notes:<br />

Check a maximum of five countries/regions. Only the first five checked will be considered.<br />

Nominated Individual’s<br />

Signature<br />

Service Provider’s<br />

Signature<br />

45


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

TECHNICAL PROPOSAL<br />

ANNEXURE C<br />

C1: PROJECT EXPERIENCE SHEETS<br />

Maximum 3 per Nominated Individual<br />

Also to be completed in Electronic Format using the<br />

prescribed format<br />

<br />

<br />

<br />

<br />

<br />

46


ANNEXURE C.1: PROJECT EXPERIENCE SHEETS<br />

C.1.1 PROJECT EXPERIENCE SHEET NO 1<br />

Item Detail Description<br />

Reference Number of Nominated<br />

Individual<br />

Name of Nominated Individual<br />

Organization Name<br />

Organization’s Role in the Project<br />

Nominated Individual’s Role in the<br />

Project<br />

Project Name<br />

Project Location<br />

Value of Project in ZAR<br />

Client Name<br />

Client Organization Type<br />

Client Contact Details<br />

Project Start Date<br />

Project End Date<br />

Duration of Project<br />

Name of Project Reference Person<br />

Contact Details of Reference Person<br />

Reference Person’s Role in the Project<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Enter the name of the organization<br />

that employed the nominated<br />

individual during the project.<br />

Enter a description of the<br />

organizations role in the project.<br />

Enter a description of the nominated<br />

individual’s role in the project.<br />

Enter the name of the project.<br />

Enter the location where the project<br />

was executed.<br />

Enter the total value of the project in<br />

South African Rand (ZAR).<br />

Enter the name of client of the project.<br />

Enter a description of the client’s type<br />

of organization.<br />

Enter the current contact details of the<br />

client.<br />

Enter the date when the project was<br />

started.<br />

Enter the date when the project was<br />

completed.<br />

Enter the duration of the project.<br />

Enter the name of a reference person<br />

for the project.<br />

Enter the current contact details of the<br />

reference person.<br />

Enter the reference person’s role in<br />

the project.<br />

Description of Project<br />

(Describe below, in a maximum of 50 words, significant highlights of your professional experience and achievements. Please<br />

type the description in the shaded field below.)<br />

Personal Achievement Related to the Project<br />

(Enter a maximum of five bullet points in the shaded fields below.)<br />

●<br />

●<br />

●<br />

●<br />

●<br />

47


Signature of Nominated Individual<br />

Date of signature<br />

Name of Service Provider Submitting<br />

this <strong>Bid</strong><br />

Service Provider Representative’s<br />

Name<br />

Service Provider Representative’s<br />

Signature<br />

Date of signature<br />

The nominated individual described<br />

above must sign here.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

The representative of the service<br />

provider must sign here<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

48


C.1.2 PROJECT EXPERIENCE SHEET NO 2<br />

Item Detail Description<br />

Reference Number of Nominated<br />

Individual<br />

Name of Nominated Individual<br />

Organization Name<br />

Organization’s Role in the Project<br />

Nominated Individual’s Role in the<br />

Project<br />

Project Name<br />

Project Location<br />

Value of Project in ZAR<br />

Client Name<br />

Client Organization Type<br />

Client Contact Details<br />

Project Start Date<br />

Project End Date<br />

Duration of Project<br />

Name of Project Reference Person<br />

Contact Details of Reference Person<br />

Reference Person’s Role in the Project<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Enter the name of the organization<br />

that employed the nominated<br />

individual during the project.<br />

Enter a description of the<br />

organizations role in the project.<br />

Enter a description of the nominated<br />

individual’s role in the project.<br />

Enter the name of the project.<br />

Enter the location where the project<br />

was executed.<br />

Enter the total value of the project in<br />

South African Rand (ZAR).<br />

Enter the name of client of the project.<br />

Enter a description of the client’s type<br />

of organization.<br />

Enter the current contact details of the<br />

client.<br />

Enter the date when the project was<br />

started.<br />

Enter the date when the project was<br />

completed.<br />

Enter the duration of the project.<br />

Enter the name of a reference person<br />

for the project.<br />

Enter the current contact details of the<br />

reference person.<br />

Enter the reference person’s role in<br />

the project.<br />

Description of Project<br />

(Describe below, in a maximum of 50 words, significant highlights of your professional experience and achievements. Please<br />

type the description in the shaded field below.)<br />

Personal Achievement Related to the Project<br />

(Enter a maximum of five bullet points in the shaded fields below.)<br />

●<br />

●<br />

●<br />

●<br />

●<br />

49


Signature of Nominated Individual<br />

Date of signature<br />

Name of Service Provider Submitting<br />

this <strong>Bid</strong><br />

Service Provider Representative’s<br />

Name<br />

Service Provider Representative’s<br />

Signature<br />

Date of signature<br />

The nominated individual described<br />

above must sign here.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

The representative of the service<br />

provider must sign here<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

50


C.1.3 PROJECT EXPERIENCE SHEET 3<br />

Item Detail Description<br />

Reference Number of Nominated<br />

Individual<br />

Name of Nominated Individual<br />

Organization Name<br />

Organization’s Role in the Project<br />

Nominated Individual’s Role in the<br />

Project<br />

Project Name<br />

Project Location<br />

Value of Project in ZAR<br />

Client Name<br />

Client Organization Type<br />

Client Contact Details<br />

Project Start Date<br />

Project End Date<br />

Duration of Project<br />

Name of Project Reference Person<br />

Contact Details of Reference Person<br />

Reference Person’s Role in the Project<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Enter the name of the organization<br />

that employed the nominated<br />

individual during the project.<br />

Enter a description of the<br />

organizations role in the project.<br />

Enter a description of the nominated<br />

individual’s role in the project.<br />

Enter the name of the project.<br />

Enter the location where the project<br />

was executed.<br />

Enter the total value of the project in<br />

South African Rand (ZAR).<br />

Enter the name of client of the project.<br />

Enter a description of the client’s type<br />

of organization.<br />

Enter the current contact details of the<br />

client.<br />

Enter the date when the project was<br />

started.<br />

Enter the date when the project was<br />

completed.<br />

Enter the duration of the project.<br />

Enter the name of a reference person<br />

for the project.<br />

Enter the current contact details of the<br />

reference person.<br />

Enter the reference person’s role in<br />

the project.<br />

Description of Project<br />

(Describe below, in a maximum of 50 words, significant highlights of your professional experience and achievements. Please<br />

type the description in the shaded field below.)<br />

Personal Achievement Related to the Project<br />

(Enter a maximum of five bullet points in the shaded fields below.)<br />

●<br />

●<br />

●<br />

●<br />

●<br />

51


Signature of Nominated Individual<br />

Date of signature<br />

Name of Service Provider Submitting<br />

this <strong>Bid</strong><br />

Service Provider Representative’s<br />

Name<br />

Service Provider Representative’s<br />

Signature<br />

Date of signature<br />

The nominated individual described<br />

above must sign here.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

The representative of the service<br />

provider must sign here<br />

This detail is updated automatically<br />

based on Annexure B.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

52


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

PROJECT EXPERIENCE SHEET<br />

(Not to exceed 1xA4 in length)<br />

Company name:<br />

<br />

No: …….<br />

Contact person:<br />

<br />

Project name:<br />

<br />

<br />

Client Name:<br />

<br />

<br />

Client contact details:<br />

<br />

<br />

Start date:<br />

Completion date:<br />

<br />

<br />

Name of associated consultants, if any: <br />

<br />

Location:<br />

<br />

<br />

Duration of project:<br />

<br />

Total No. of staff-months:<br />

<br />

Value of services/fees:<br />

<br />

No of staff months<br />

provided by associated<br />

consultants:<br />

Names of key nominated personnel responsible for the project and tasks<br />

performed:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Description of project and service provided:


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

ANNEXURE D<br />

PRICE PROPOSAL<br />

Also to be completed in Electronic Format using the<br />

prescribed format


ANNEXURE D: PRICE PROPOSAL<br />

Ref.<br />

No.<br />

First Name<br />

Surname<br />

Hourly Rate<br />

(R excl. VAT)<br />

VAT<br />

Hourly Rate<br />

(R incl. VAT)<br />

1 0.00<br />

2 0.00<br />

3 0.00<br />

4 0.00<br />

5 0.00<br />

6 0.00<br />

7 0.00<br />

8 0.00<br />

9 0.00<br />

10 0.00<br />

Service Provider Name<br />

Representative’s Name<br />

Representative’s Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Date of Signature<br />

This detail is updated automatically<br />

based on Annexure A.1.<br />

Notes:<br />

Select the shaded fields and enter the relevant data or select the relevant option.<br />

The First Name and Surname fields are automatically updated to reflect the names entered in the ‘Nominated Individuals’<br />

table in Appendix A.3.<br />

Enter the hourly rate excluding VAT, and the VAT amount. The hourly rate including VAT is calculated automatically.<br />

When a field is selected, a help prompt is shown in the status bar at the bottom of the document window. The help prompt<br />

can also be displayed by pressing the F1 key.<br />

When completed, print a copy and sign. Submit the signed copy as part of the bid.<br />

55


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

ANNEXURE E.1<br />

<br />

<br />

DECLARATION OF INTEREST (SBD 4)


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

SBD 4<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

DECLARATION OF INTEREST<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

YES<br />

<br />

<br />

<br />

YES<br />

<br />

<br />

<br />

YES<br />

<br />

NO<br />

<br />

<br />

<br />

NO<br />

<br />

<br />

<br />

NO


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

DECLARATION<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Signature<br />

Date<br />

<br />

<br />

<br />

<br />

Position<br />

Name of <strong>Bid</strong>der


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE E.2<br />

<br />

<br />

PREFERENCE POINTS CLAIM FORM (SBD 6.1)<br />

<br />

<br />

PriceTechnical Proposal <br />

PriceTechnical Proposal<br />

<br />

price<br />

<br />

technical proposal


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

SBD 6.1<br />

<strong>Bid</strong> no. NT005/11R<br />

PREFERENCE POINTS CLAIM FORM IN TERMS OF THE<br />

PREFERENTIAL PROCUREMENT REGULATIONS 2001<br />

PURCHASES<br />

<br />

<br />

<br />

<br />

NB:<br />

BEFORE COMPLETING THIS FORM, BIDDERS MUST STUDY THE GENERAL<br />

CONDITIONS, DEFINITIONS AND DIRECTIVES APPLICABLE IN RESPECT OF<br />

EQUITY OWNERSHIP BY HISTORICALLY DISADVANTAGED INDIVIDUALS (HDIs),<br />

AS PRESCRIBED IN THE PREFERENTIAL PROCUREMENT REGULATIONS, 2001. <br />

<br />

<br />

1. GENERAL CONDITIONS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

- <br />

- <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

POINTS<br />

1.3.1.1 PRICE 90<br />

1.3.1.2 SPECIFIC CONTRACT PARTICIPATION GOALS <br />

<br />

(a) Historically Disadvantaged Individuals:<br />

<br />

<br />

<br />

<br />

<br />

Total points for Price, HDIs and other RDPgoals<br />

must not exceed 100<br />

Separate Preference Points Claim Forms will be used for the promotion of the<br />

specific goals for which points have been allocated in paragraph 1.3.1.2 (b) above.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

2. GENERAL DEFINITIONS<br />

<br />

<br />

means any bid, which, in all respects, complies with the<br />

specifications and conditions of bid as set out in the bid document.<br />

means a written offer in a prescribed or stipulated form in response to an<br />

invitation by an organ of state for the provision of goods works or services.<br />

2.3 means the price after the factors of a non-firm price and all<br />

unconditional discounts that can be utilised have been taken into consideration.<br />

<br />

<br />

<br />

<br />

“Consortium or joint venture” <br />

<br />

<br />

“Contract”<br />

<br />

<br />

2.6 means the goals as stipulated in the Preferential<br />

Procurement Regulations 2001.<br />

<br />

<br />

<br />

<br />

<br />

<br />

“Control” <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

“Disability” <br />

<br />

<br />

“Equity Ownership” <br />

<br />

“Historically Disadvantaged Individual (HDI)” <br />

<br />

(1) who, due to the apartheid policy that had been in place, had no franchise in<br />

national elections prior to the introduction of the Constitution of the<br />

Republic of South Africa, 1983 (Act No 110 of 1983) or the Constitution of the<br />

Republic of South Africa, 1993, (Act No 200 of 1993) (“the interim<br />

Constitution); and/or


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

“Management” <br />

<br />

<br />

<br />

<br />

“Owned” <br />

<br />

<br />

<br />

“Person” <br />

“Rand value” <br />

<br />

<br />

“Small, Medium and Micro Enterprises (SMMEs)<br />

<br />

“Sub-contracting” <br />

<br />

<br />

“Trust” <br />

<br />

“Trustee” <br />

<br />

<br />

3. ESTABLISHMENT OF HDI EQUITY OWNERSHIP IN AN ENTERPRISE<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

4. ADJUDICATION USING A POINT SYSTEM


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

5. POINTS AWARDED FOR PRICE<br />

5.1 THE 90/10 PREFERENCE POINT SYSTEMS<br />

<br />

<br />

<br />

90/10<br />

Pt P min <br />

Ps 901<br />

<br />

P min <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

6. Points awarded for historically disadvantaged individuals<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

NEP NOP <br />

EP<br />

100


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

7. BID DECLARATION<br />

<br />

<br />

<br />

<br />

<br />

8. EQUITY OWNERSHIP CLAIMED IN TERMS OF PARAGRAPH 2.10 ABOVE. POINTS<br />

TO BE CALCULATED FROM INFORMATION FURNISHED IN PARAGRAPH 9.8.<br />

<br />

Ownership<br />

8.1 <br />

<br />

<br />

<br />

<br />

8.2 <br />

<br />

8.3 <br />

<br />

<br />

Percentage owned (to be<br />

completed by bidder)<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Points claimed (to be<br />

completed by bidder<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

9. DECLARATION WITH REGARD TO EQUITY<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

9.4 TYPE OF FIRM<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

9.6 COMPANY CLASSIFICATION<br />

<br />

<br />

<br />

<br />

<br />

<br />

9.7 TOTAL NUMBER OF YEARS THE FIRM HAS BEEN IN BUSINESS<br />

<br />

9.8 List all Shareholders by Name, Position, Identity Number, Citizenship, HDI status and<br />

ownership, as relevant. Information to be used to calculate the points claimed in paragraph 8.<br />

Name<br />

Date/Position<br />

occupied in<br />

Enterprise<br />

ID Number<br />

Date RSA<br />

Citizenship<br />

obtained<br />

No<br />

franchise<br />

prior to<br />

elections<br />

* HDI Status<br />

Women<br />

Disability<br />

%<br />

of business /<br />

enterprise<br />

owned<br />

*Indicate YES or NO<br />

9.9 Consortium / Joint Venture<br />

9.9.1<br />

In the event that preference points are claimed for HDI members by consortia / joint<br />

ventures, the following information must be furnished in order to be entitled to the points<br />

claimed in respect of the HDI member:<br />

Name of HDI member (to be<br />

consistent with paragraph 9.8)<br />

Percentage (%) of the contract<br />

value managed or executed by<br />

the HDI member


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

9.10 <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

WITNESSES:<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

SIGNATURE(S) OF BIDDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

ADDRESS:…………………………..<br />

<br />

….…………………………………….


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE E.3<br />

TAX CLEARANCE REQUEST FORM (SBD2)


SBD 2<br />

TAX CLEARANCE CERTFICATE REQUIREMENTS<br />

It is a condition of bid that the taxes of the successful bidder must be in order, or that<br />

satisfactory arrangements have been made with South African Revenue Service (SARS) to meet<br />

the bidder’s tax obligations.<br />

1 In order to meet this requirement bidders are required to complete in full the attached form TCC 001<br />

“Application for a Tax Clearance Certificate” and submit it to any SARS branch office nationally. The Tax<br />

Clearance Certificate Requirements are also applicable to foreign bidders / individuals who wish to submit<br />

bids.<br />

2 SARS will then furnish the bidder with a Tax Clearance Certificate that will be valid for a period of 1 (one) year<br />

from the date of approval.<br />

3 The original Tax Clearance Certificate must be submitted together with the bid. Failure to submit the original<br />

and valid Tax Clearance Certificate will result in the invalidation of the bid. Certified copies of the Tax<br />

Clearance Certificate will not be acceptable.<br />

4 In bids where Consortia / Joint Ventures / Sub-contractors are involved, each party must submit a separate<br />

Tax Clearance Certificate.<br />

5 Copies of the TCC 001 “Application for a Tax Clearance Certificate” form are available from any SARS branch<br />

office nationally or on the website www.sars.gov.za.<br />

6 Applications for the Tax Clearance Certificates may also be made via eFiling. In order to use this provision,<br />

taxpayers will need to register with SARS as eFilers through the website www.sars.gov.za.<br />

Jeyrel:\Mdk416-SBD2 tax clearance<br />

68


TAX CLEARANCE<br />

Application for a Tax Clearance<br />

Certificate<br />

TCC 001<br />

Purpose<br />

Select the applicable option Tenders Good standing<br />

If “Good standing”, please state the purpose of this application<br />

Particulars of applicant<br />

Name/Legal name<br />

(Initials & Surname<br />

or registered name)<br />

Trading name<br />

(if applicable)<br />

ID/Passport no<br />

Income Tax ref no<br />

Company/Close Corp.<br />

registered no<br />

PAYE ref no<br />

7<br />

VAT registration no<br />

4<br />

SDL ref no<br />

L<br />

Customs code<br />

UIF ref no<br />

U<br />

Telephone no<br />

C O D E<br />

N U M B E R<br />

Fax<br />

no<br />

C O D E<br />

N U M B E R<br />

E-mail address<br />

Physical address<br />

Postal address<br />

Particulars of representative (Public Officer/Trustee/Partner)<br />

Surname<br />

First names<br />

ID/Passport no<br />

Income Tax ref no<br />

Telephone no<br />

E-mail address<br />

C O D E<br />

N U M B E R<br />

Fax<br />

no<br />

C O D E<br />

N U M B E R<br />

Physical address<br />

69<br />

Page 1 of 2


Particulars of tender (If applicable)<br />

Tender number<br />

Estimated Tender<br />

amount<br />

Expected duration<br />

of the tender<br />

R ,<br />

year(s)<br />

Particulars of the 3 largest contracts previously awarded<br />

Date started<br />

Date finalised Principal Contact person Telephone number Amount<br />

Audit<br />

Are you currently aware of any Audit investigation against you/the company<br />

If “YES” provide details<br />

YES<br />

NO<br />

Appointment of representative/agent (Power of Attorney)<br />

I the undersigned confirm that I require a Tax Clearance Certificate in respect of Tenders<br />

or Goodstanding.<br />

I hereby authorise and instruct<br />

SARS the applicable Tax Clearance Certificate on my/our behalf.<br />

to apply to and receive from<br />

C C Y Y<br />

M M<br />

D<br />

D<br />

Name of<br />

representative/<br />

agent<br />

Signature of representative/agent<br />

Date<br />

Declaration<br />

I declare that the information furnished in this application as well as any supporting documents is true and correct in every<br />

respect.<br />

C C Y Y<br />

M M<br />

D<br />

D<br />

Signature of applicant/Public Officer<br />

Name of applicant/<br />

Public Officer<br />

Date<br />

Notes:<br />

1. It is a serious offence to make a false declaration.<br />

2. Section 75 of the Income Tax Act, 1962, states: Any person who<br />

(a) fails or neglects to furnish, file or submit any return or document as and when required by or under this Act; or<br />

(b) without just cause shown by him, refuses or neglects to-<br />

(i) furnish, produce or make available any information, documents or things;<br />

(ii) reply to or answer truly and fully, any questions put to him ...<br />

As and when required in terms of this Act ... shall be guilty of an offence ...<br />

3. SARS will, under no circumstances, issue a Tax Clearance Certificate unless this form is completed in full.<br />

4. Your Tax Clearance Certificate will only be issued on presentation of your South African Identity <strong>Document</strong> or Passport (Foreigners only)<br />

as applicable.<br />

Page 2 of 2<br />

70


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE E4<br />

DECLARATION OF BIDDER’S PAST SUPPLY<br />

CHAIN MANAGEMENT PRACTICES


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

DECLARATION OF BIDDER’S PAST SUPPLY CHAIN MANAGEMENT PRACTICES<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

4 In order to give effect to the above, the following questionnaire must be<br />

completed and submitted with the bid.<br />

Item Question Yes No<br />

<br />

<br />

<br />

<br />

<br />

Is the bidder or any of its directors listed on the <strong>National</strong> Treasury’s database as<br />

companies or persons prohibited from doing business with the public sector<br />

(Companies or persons who are listed on this<br />

database were informed in writing of this restriction<br />

by the <strong>National</strong> Treasury after the audi alteram<br />

partem rule was applied).


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE E.5<br />

Certificate of Independent <strong>Bid</strong> Determination<br />

Annexure (SBD9)


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

SBD 9<br />

CERTIFICATE OF INDEPENDENT BID DETERMINATION<br />

<br />

________________________________________________________________________<br />

<br />

:<br />

_________________________________________________________________________<br />

_____<br />

<br />

<br />

:<br />

<br />

:_______________________________________________________


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

SBD 9<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

³ Joint venture or Consortium means an association of persons for the purpose of combining their expertise,<br />

property, capital, efforts, skill and knowledge in an activity for the execution of a contract.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

SBD 9


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE F<br />

GENERAL CONDITIONS OF CONTRACT


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

GOVERNMENT PROCUREMENT<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

GENERAL CONDITIONS OF CONTRACT<br />

NOTES


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

TABLE OF CLAUSES


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

General Conditions of Contract<br />

1. Definitions


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

2. Application <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

3. General <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

4. Standards <br />

<br />

5. Use of<br />

contract<br />

documents<br />

and<br />

information<br />

inspection.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

6. Patent rights <br />

<br />

<br />

<br />

<br />

7. Performance<br />

security<br />

8. Inspections,<br />

tests and<br />

analyses


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

9. Packing <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

10. Delivery<br />

and documents


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

11. Insurance <br />

<br />

<br />

<br />

<br />

12.<br />

Transportation<br />

13. Incidental<br />

services<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

14. Spare parts <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

15. Warranty


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

16. Payment <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

17. Prices <br />

<br />

<br />

<br />

<br />

18. Contract<br />

amendments


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

19. Assignment <br />

<br />

<br />

20. Subcontracts <br />

<br />

<br />

<br />

<br />

21. Delays in the<br />

supplier’s<br />

performance


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

22. Penalties <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

23. Termination<br />

for default<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

23.3 <br />

<br />

<br />

<br />

<br />

23.4 <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

23.5


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

23.6 <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

23.7 <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

24. Anti-dumping<br />

and<br />

countervailing<br />

duties and rights<br />

25. Force<br />

Majeure


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

26. Termination<br />

for insolvency<br />

27. Settlement of<br />

Disputes<br />

28. Limitation of<br />

liability


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

29. Governing<br />

language<br />

30. Applicable<br />

law<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

31. Notices <br />

<br />

<br />

<br />

<br />

<br />

31.2 The time mentioned in the contract documents for<br />

performing any act after such aforesaid notice has been<br />

given, shall be reckoned from the date of posting of such<br />

notice.<br />

32. Taxes and<br />

duties<br />

33. <strong>National</strong><br />

Industrial<br />

Participation<br />

(NIP) Programme


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

ANNEXURE G<br />

TAX QUESTIONNAIRE


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

In order for <strong>National</strong> Treasury to discharge its obligation of determining whether or<br />

not you are an employee (as defined in the Fourth Schedule), and if so what rate of<br />

employees’ tax apply, it is necessary for you to complete, and sign the attached<br />

questionnaire. The signed copy must be forwarded to <strong>National</strong> Treasury by <br />

. The relevant documentation must be forwarded to the<br />

following address:<br />

<br />

<strong>National</strong> Treasury<br />

Private Bag X115<br />

Pretoria<br />

0001<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

If you are in possession of an IRP30 exemption certificate (labour broker) or any<br />

IRP3 (b) tax directive, for the current tax year, an original or certified copy should<br />

accompany your questionnaire. A copy with any manual changes, even if certified<br />

as correct, will not be accepted.


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

PLEASE COMPLETE QUESTIONNAIRE A OR B<br />

<br />

<br />

<br />

<br />

<br />

Contractor/Supplier Name:<br />

<br />

Natural Persons:<br />

Surname:<br />

Initials:<br />

First two names:<br />

Title:<br />

ID number or passport number:<br />

<strong>National</strong>ity:<br />

Income Tax reference number:<br />

Date of birth:<br />

If not a citizen of the RSA, furnish a<br />

certified copy of a work permit:<br />

Postal address and code:<br />

<br />

<br />

Residential address and code:<br />

<br />

<br />

Telephone numbers:<br />

Facsimile numbers:<br />

E-mail address:<br />

If in possession of a tax clearance<br />

certificate or exemption certificate<br />

(IRP30), furnish a certified copy<br />

thereof:<br />

Jurisdiction in which contractor is<br />

“ordinarily resident” i.e. place of<br />

permanent residence:<br />

<br />

<br />

Question Yes No<br />

Do you supply services on behalf of a Labour <br />

Broker<br />

Are you subject to the control or supervision of the


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

Question Yes No<br />

<strong>National</strong> Treasury (NT) Including, but not limited<br />

to, the following:<br />

The manner of duties performed;<br />

The hours of work;<br />

The quality of work.<br />

<br />

<br />

<br />

Will payment to you include any benefits <br />

Including, but not limited to, the following:<br />

Leave pay;<br />

Medical aid;<br />

Training;<br />

Sick Leave.<br />

Will, or have you be/been in the full time <br />

employment of the NT<br />

Will you require of the NT to provide any <br />

equipment, tools, materials or office space, in order<br />

to fulfil the contract<br />

Do you supply these, or similar, services only to the <br />

NT and not to any other client or the general<br />

public<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Non-Residents of the RSA


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

PARTICULARS OF PERSON ACTING AS REPRESENTATIVE OF THE<br />

ENTERPRISE<br />

<br />

<br />

<br />

<br />

<br />

Representative’s Full<br />

Capacity:<br />

Contact number:<br />

Names:<br />

Signature:<br />

Date:


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

PLEASE COMPLETE QUESTIONNAIRE A OR B<br />

Contractors’/Suppliers’ Questionnaire – All Service Providers<br />

(excluding Individuals): Questionnaire B:<br />

<br />

<br />

<br />

<br />

<br />

Contractor/Supplier Name:<br />

<br />

Corporate Contractors (including<br />

companies, close corporations and<br />

trusts):<br />

Registered name and furnish a<br />

certified copy of registration:<br />

Nature of legal entity:<br />

Trade name:<br />

Registration number:<br />

Date of incorporation:<br />

Jurisdiction of incorporation:<br />

Jurisdiction where effective<br />

management is performed:<br />

Income tax reference number:<br />

Employees’ Tax reference number:<br />

Value Added Tax number and furnish a<br />

certified copy of VAT 103 Certificate:<br />

Postal address and code:<br />

<br />

<br />

Physical address and code:<br />

<br />

<br />

Telephone numbers:<br />

Facsimile numbers:<br />

E-mail address:<br />

<br />

<br />

<br />

Question Yes No


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

Question Yes No


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

any one client <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

PARTICULARS OF PERSON ACTING AS REPRESENTATIVE OF THE<br />

ENTERPRISE<br />

<br />

<br />

<br />

<br />

<br />

Representative’s Full<br />

Capacity:<br />

Contact number:<br />

Names:<br />

Signature:<br />

Date:


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

ANNEXURE H<br />

TENDER COMPLETION CHECKLIST


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

ANNEXURE H<br />

TENDER COMPLETION CHECKLIST<br />

<br />

<br />

<br />

<br />

<br />

<br />

Item Description Yes Signed Witness<br />

Technical Proposal <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Original and valid <br />

<br />

<br />

<br />

one (1) <br />

three (3) <br />

<br />

(NB: do not include the pricing<br />

documents or the electronic data<br />

with these!)


NT 005/11R: APPOINTMENT OF ADDITIONAL CONSULTANTS TO AN EXISTING PANEL OF SERVICE PROVIDERS<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Price proposal <br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

one (1)<br />

three (3)<br />

<br />

<br />

<br />

<br />

<br />

(NB: This should be submitted with<br />

the pricing documents!)<br />

<br />

<br />

Service Provider’s name:………………………………………….<br />

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