(r409) iym scmu rfq 29-12/13 - Intsika Yethu Municipality

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6. BID DECLARATION6.1 Bidders who claim points in respect of B-BBEE Status Level of Contribution must complete thefollowing:7. B-BBEE STATUS LEVEL OF CONTRIBUTION CLAIMED IN TERMS OFPARAGRAPHS 1.3.1.2 AND 5.17.1 B-BBEE Status Level of Contribution …………. = …………… (Maximum of 10 or 20 points)(Points claimed in respect of paragraph 7.1 must be in accordance with thetable reflected in paragraph 5.1 and must be substantiated by means of a B-BBEE certificate issued by a Verification Agency accredited by SANAS or aRegistered Auditor approved by IRBA or an Accounting Officer ascontemplated in the CCA).8 SUB-CONTRACTING8.1 Will any portion of the contract be sub-contracted? YES / NO (delete which is notapplicable)8.1.1 If yes, indicate:(i) what percentage of the contract will sub-contracted?............……………….…%(ii) the name of the sub-contractor? ……………………................(iii) the B-BBEE status level of the sub-contractor? ……………..(iv) Whether the sub-contractor is an EME? YES / NO9 DECLARATION WITH REGARD TO COMPANY/FIRM9.1 Name of firm : .......................................................................................................................9.2 VAT registration number :9.3 Company registration number……………………………………………………………………. :9.4 TYPE OF COMPANY/ FIRMPartnership/Joint Venture / ConsortiumOne person business/sole proprietyClose corporationCompany(Pty) Limited[TICK APPLICABLE BOX]9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES………….. ...........................................................................................................................................................................................……………… ....................................................................................................................................................................................…………….. .......................................................................................................................................................................................
9.6 COMPANY CLASSIFICATIONManufacturerSupplierProfessional service providerOther service providers, e.g. transporter, etc.[TICK APPLICABLE BOX]9.7 MUNICIPAL INFORMATION<strong>Municipality</strong> where business is situated…………………………………………………………………..Registered Account Number …………………………….Stand Number ……………………………………………….9.8 TOTAL NUMBER OF YEARS THE COMPANY/FIRM HAS BEEN IN BUSINESS?……………………………………9.9 I/we, the undersigned, who is / are duly authorised to do so on behalf of thecompany/firm, certify that the points claimed, based on the B-BBE status level ofcontribution indicated in paragraph 7 of the foregoing certificate, qualifies the company/firm for the preference(s) shown and I / we acknowledge that:(i)(ii)(iii)(iv)The information furnished is true and correct;The preference points claimed are in accordance with the General Conditions asindicated in paragraph 1 of this form.In the event of a contract being awarded as a result of points claimed as shownin paragraph 7, the contractor may be required to furnish documentary proof tothe satisfaction of the purchaser that the claims are correct;If the B-BBEE status level of contribution has been claimed or obtained on afraudulent basis or any of the conditions of contract have not been fulfilled, thepurchaser may, in addition to any other remedy it may have –(a)(b)(c)(d)(e)disqualify the person from the bidding process;recover costs, losses or damages it has incurred or suffered as a resultof that person’s conduct;cancel the contract and claim any damages which it has suffered as aresult of having to make less favourable arrangements due to suchcancellation;restrict the bidder or contractor, its shareholders and directors, or onlythe shareholders and directors who acted on a fraudulent basis, fromobtaining business from any organ of state for a period not exceeding10 years, after the audi alteram partem (hear the other side) rule hasbeen applied; andforward the matter for criminal prosecution
Page 1 and 2: INTSIKA YETHU MUNICIPALITY EC 135QU
Page 3 and 4: [h][i][j][k]For all transactions ex
Page 5 and 6: General Conditions of Contract1. De
Page 7 and 8: 2. Application2.1 These general con
Page 9 and 10: 8.5 Where the goods or services ref
Page 11 and 12: under normal use of the supplied go
Page 15 and 16: 27.3 Should it not be possible to s
Page 17 and 18: INVITATION TO BIDYOU ARE HEREBY INV
Page 19 and 20: TAX CLEARANCE REQUIREMENTSIT IS A C
Page 21 and 22: ...................................
Page 23 and 24: 3. I/we furthermore confirm that I/
Page 25 and 26: Certified copy of the following mus
Page 27 and 28: 2.1 “all applicable taxes” incl
Page 29: B-BBEE Status Level ofContributorNu
Page 33 and 34: DECLARATION CERTIFICATE FOR LOCAL P
Page 35 and 36: Description of services, works or g
Page 37 and 38: CONTRACT FORM - RENDERING OF SERVIC
Page 39 and 40: MBD 8DECLARATION OF BIDDER’S PAST
Page 41 and 42: CERTIFICATE OF INDEPENDENT BID DETE
Page 43: MBD 96. The bidder has arrived at t

(r409) iym scmu rfq 29-12/13 - Intsika Yethu Municipality

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