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

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MBD 7.2CONTRACT FORM - RENDERING OF SERVICESPART 2 (TO BE FILLED IN BY THE PURCHASER)1. I……………………………………………. in my capacityas……………………...………………………………..Accept your bid under reference number ………………dated………………………for therendering of services indicated hereunder and/or further specified in the annexure(s).2. An official order indicating service delivery instructions is forthcoming.3. I undertake to make payment for the services rendered in accordance with the terms andconditions of the contract, within 30 (thirty) days after receipt of an invoice.DESCRIPTION OFSERVICEPRICE (VATINCL)COMPLETIONDATEPREF POINTSCLAIMED FOR HDIsPREF POINTSCLAIMED FORRDP GOALS4. I confirm that I am duly authorized to sign this contract.SIGNED AT ……………………………………… ON ………………………………..NAME (PRINT) ………………………………………….SIGNATURE…………………………………………OFFICIAL STAMPWITNESSES1 ….…………………………2 …..………………………..MBD 9
MBD 8DECLARATION OF BIDDER’S PAST SUPPLY CHAINMANAGEMENT PRACTICES1 This Municipal Bidding Document must form part of all bids invited.2 It serves as a declaration to be used by municipalities and municipal entities inensuring that when goods and services are being procured, all reasonable stepsare taken to combat the abuse of the supply chain management system.3 The bid of any bidder may be rejected if that bidder, or any of its directors have:a. abused the municipality’s / municipal entity’s supply chain managementsystem or committed any improper conduct in relation to such system;b. been convicted for fraud or corruption during the past five years;c. willfully neglected, reneged on or failed to comply with any government,municipal or other public sector contract during the past five years; ord. been listed in the Register for Tender Defaulters in terms of section 29 of thePrevention and Combating of Corrupt Activities Act (No 12 of 2004).4 In order to give effect to the above, the following questionnaire must becompleted and submitted with the bid.Item Question Yes NoYes No4.1 Is the bidder or any of its directors listed on the National Treasury’s Database of Restricted Suppliersas companies or persons prohibited from doing business with the public sector?ompanies or persons who are listed on this Database were informed inwriting of this restriction by the Accounting Officer/Authority of theinstitution that imposed the restriction after the nd can be accessed byclicking on its link at the bottom of the home page.4.1.1 If so, furnish particulars:4.2 Is the bidder or any of its directors listed on the Register for Tender Defaulters interms of section 29 of the Prevention and Combating of Corrupt Activities Act (No12 of 2004)?Register for Tender Defaulters can be accessed on the National Treasury’swebsite (www.treasury.gov.za) by clicking on its link at the bottom ofthe home page.4.2.1 If so, furnish particulars:YesNo
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 and 30: B-BBEE Status Level ofContributorNu
Page 31 and 32: 9.6 COMPANY CLASSIFICATIONManufactu
Page 33 and 34: DECLARATION CERTIFICATE FOR LOCAL P
Page 35 and 36: Description of services, works or g
Page 37: CONTRACT FORM - RENDERING OF SERVIC
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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