Professional Documents
Culture Documents
Insurance Consultancy Tender Document
Insurance Consultancy Tender Document
Insurance Consultancy Tender Document
MSC-06-2015
Request for proposals for the Provision of Corporate insurance
Risk Management and Advisory services
Private Bag
August, 2015
TABLE OF CONTENTS
:
SECTION A - INVITATION TO TENDER ...................................................................................2
SECTION B: - INFORMATION TO CONSULTANTS .......................................................... 3-13
SECTION C TERMS OF REFERENCE..................................................................................
14
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 1
Where the tender document may be collected upon payment of a non-refundable fee per tender
document of KShs.5,000.00only payable to Mumias Sugar Company Ltd, Account No.
0800263393821Equity Bank, Enterprise Road NairobiBranch. The document can also be viewed
and downloaded from the website www.mumias-sugar.com. Bidders who download the tender
document from the website must forward their particulars immediately to tenders@mumiassugar.com to facilitate any further tender clarification and addenda and would be required to pay a
reduced fee of Kshs 3,000.00per tender document.
Tenders accompanied by tender document payment slip and a security bond where appropriate in
the form and amount specified must be delivered in plain sealed envelope marked tender number
before the closing date to the following address: -
The tenders should be dropped in the tender box on the first floor of the main Administration Block
at Mumias Sugar Factory.
Tenders will be opened soon after the closing time in the presence of the candidates
representatives who choose to attend at Mumias Sugar Company Administration block board room.
CHIEF SUPPLY CHAIN OFFICER
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 2
Mumias Sugar will select a firm among those invited to submit a proposal in
accordance with the method of selection detailed under this section
1.2
1.3
1.4
Please note that (i) the costs of preparing the proposal and of negotiating the
Contract, including any visit to Mumias Sugarprior to submission of this
Tender, are NOTreimbursable as a direct cost of the assignment; and (ii)
Mumias Sugar is not bound to accept any of the proposals submitted.
1.5
1.6
(1) Without limitation on the generality of this rule, Consultants shall not be
hired under the circumstances set forth below:
(a) Consultants or any of their affiliates shall not be hired for any
assignment which, by its nature, may be in conflict with another
assignment of the Consultant.
1.6
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1.7
(ii)
(b) Will reject a proposal for award if it determines that the firm
recommended for award has engaged in corrupt or fraudulent
activities in competing for the contract in question;
(c) Will cancel the firms contract if it at any time determines that corrupt
or fraudulent practices were engaged in by representatives of
Mumias Sugaror of a consultant during the selection process or the
execution of that contract, without the consultant having taken timely
and appropriate action satisfactory to Mumias Sugarto remedy the
situation;
(d) Will declare a firm ineligible, either indefinitely or for a stated period
of time, if it at any time determines that the firm has engaged in
corrupt of fraudulent practices in competing for, or in executing the
contract.
1.8
1.9
1.10
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2.2
At any time before the submission of proposals, Mumias Sugar may for any
reason, whether at his own initiative or in response to a clarification
requested by an invited firm, amend the RFP. Any amendment shall be
issued in writing through addenda. Addenda shall be sent by paper mail
mail, cable, telex or facsimile to all invited consultants and will be binding
on them.
2.3
Mumias Sugar may at its discretion, extend the deadline for submission of
proposals
3. TECHNICAL PROPOSAL
3.1
Preparation of Proposals
3.1.1
3.1.2
3.1.3
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Note that in the event of an award to a joint venture, the Lead Role will be
accountable on behalf of the joint venture, which will be jointly and
severally liable.
3.1
3.1.4
The Technical Proposal shall provide the information using the attached
Standard Forms below, where applicable;
3.2
3.2.1
3.2.2
3.2.3
3.2.4
3.2.5
3.2.6
3.2.7
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3.2.8
3.2
3.2.9
3.3
3.4
3.4.1
PreliminaryEvaluation;
During Evaluation, Mumias Sugar will examine the tenders to determine
whether they are complete, whether the mandatory documents as
stipulated in clause 3.2Technical Proposal, have been submitted. Further,
Consultants who do not meet the technical criteria as per Section F,
will not be considered for evaluation.
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 7
3.4.2
3.5
Team Leader
Other Technical Staff
(5 staff each 6 marks)
Points
40
10
10
10
5
5
40
10
30
*
(iii) Adequacy of the proposed work plan, methodology and work 20
plan in responding to the Terms of Reference
10
Technical Approach and methodology& ICT Application
Quality of Work Plan and the duration the assignment is
10
expected to take
Total Points
100
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A proposal shall be rejected at this stage if it does not achieve the minimum
technical score of60 Points
4. Financial Proposal
4.1
4.1.1
4.1.2
4.1.3
4.1.4
4.1.5
4.2
4.2.1
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4.2.2
4.2.3
Scores and the proposed prices shall be read and recorded when the
Financial Proposals are opened. Mumias Sugar shall prepare minutes of
the public opening.
4.3
4.3.1
4.3.2
4.3.3
The firm achieving the highest combined technical and financial score
will be considered most responsive to this tender, and may be invited for
negotiations.
5 Tender Validity
5.1
The Proposal must remain valid for 120 days after the submission date.
During this period, the consultant is expected to keep available, at his own
cost, the professional staff proposed for the assignment. Mumias Sugar will
make its best effort to complete negotiations within this period. If Mumias
Sugar wishes to extend the validity period of the proposals, the consultants
who do not agree have the right not to extend the validity of their proposals.
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6.2
6.3
The original and copies of the Technical Proposal shall be placed in a sealed
envelope clearly marked TECHNICAL PROPOSAL.Financial Aspects of
the bid shall not be shown in the Technical Proposal. The original and
copies of the Financial Proposal shall be placed in a sealed envelope clearly
marked FINANCIALPROPOSAL and warning: DO NOT OPEN WITH THE
TECHNICAL PROPOSAL. Both envelopes shall be placed into an outer
envelope and sealed. This outer envelope shall bear the submission address
and be clearly marked, DO NOT OPEN, EXCEPT IN PRESENCE OF THE
EVALUATION COMMITTEE.
(a) andbe addressed to Mumias Sugar at the following address:
Chief Executive Officer
Mumias Sugar Company Ltd
Private Bag
Mumias, KENYA.
(b) Bear, REQUEST FOR PROPOSALS FOR PROVISION OF CORPORATE
INSURANCE RISK MANAGEMENT AND ADVISORY SERVICES
6.4
The inner envelopes shall also indicate the name and address of the bidder
to enable the tender to be returned unopened in case it is declared late.
6.5
If the outer envelope is not sealed and marked as required, Mumias Sugar
will assume no responsibility for the tenders misplacement or premature
opening.
6.6
6.7
After the deadline for submission of proposals, the Technical Proposal shall
be opened immediately by the Tender Opening committee. The Financial
Proposal shall remain sealed and deposited with a responsible officer of
Mumias Sugar until all submitted proposals are opened publicly.
From the time the proposals are opened to the time thecontract is awarded,
the consultants should not contact the Mumias Sugar on any matter related
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8 Negotiations:
8.1
8.2
8.3
Before contract negotiations, Mumias Sugar will require assurances that the
experts will be actually available. Mumias Sugar will not consider
substitutions during contract negotiations unless both parties agree that
undue delay in the selection process makes such substitution unavoidable or
that such changes are critical to meet the objectives of the assignment. If this
is not the case and if it is established that key staff were offered in the
proposal without confirming their availability, the firm may be disqualified.
8.4
Having selected the firm on the basis of, among other things, an evaluation
of proposed key professional staff, Mumias Sugar expects to negotiate a
contract on the basis of the experts named in the proposal. Before contract
negotiations, Mumias Sugar will require assurances that the experts will be
actually available. Mumias Sugar will not consider substitutions during
contract negotiations unless both parties agree that undue delay in the
selection process makes such substitution unavoidable or that such changes
are critical to meet the objectives of the assignment. If this is not the case
and if it is established that key staff were offered in the proposal without
confirming their availability, the firm may be disqualified.
8.5
The negotiations will conclude with a review of the draft form of the
Contract. To complete negotiations Mumias Sugar and the selected firm will
initial the agreed Contract. If negotiations fail, Mumias Sugar will invite the
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 12
9 Award of Contract
9.1
9.2
The selected firm is expected to commence the assignment on the date and at
the location to be specified.
10
Confidentiality
10.1
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1. Background
Mumias Sugar Company is Kenyas leading producer of Sugar and diversified products
which include Ethanol and Bottled Water. The Company also generates significant
quantities of electricity.
Our Vision is to be a world class integrated producer of Sugar and Green Energy &
related products.
Mumias Sugar has operations located in the western part of the country, Kakamega
County.
Mumias Sugar requires the professional services of a consultant, to provide the services in
Valuation of buildings, plant and machineryand insurance advisory services.
2. Purpose
The main objective of undertakingRisk management Consultancy servicewill be to;
3. Final Report
The final report should give more economic value to Mumias Sugar and concrete
proposals for immediate or future reduction in Insurance costs and be delivered on time
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 14
The Consultant shall prepare or cause the Contractor to prepare and submit to Mumias
Sugar a full report upon completion of the task. The above documents shall also be
submitted in soft copy.
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Form of Contract..
II
General Provisions
1.1
1.2
1.3
1.4
1.5
1.6
1.7
2.
Definitions.
Law Governing the Contract..
Language..
Notices
Location.
Authorized Representatives
Taxes and Duties
Effectiveness of Contract..
2.2
Commencement of Services..
2.3
Expiration of Contract.
2.4
Modification.
2.5
Force Majeure.
2.6
2.5.1
Definition..
2.5.2
No Breach of Contract..
2.5.3
Extension of Time..
2.5.4
Payments..
Termination.
2.6.1
2.6.2
By Mumias Sugar
By the Consultant
2.6.3
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3.
Confidentiality.
3.4.
3.5.
3.6
Reporting Obligations
3.7
Consultants Personnel
4.1
4.2
Description of Personnel
Removal and/or Replacement of Personnel
Contract Price
6.2
Settlement of Disputes
7.1
Amicable Settlement
7.2
Dispute Settlement
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 18
III
(b)
The following documents attached hereto shall be deemed to form an integral part
of this Contract:
(a)
The General Conditions of Contract;
The following Appendices:
Appendix A: Reporting Requirements
2.
The mutual rights and obligations of Mumias Sugar and the Consultants shall be as
set forth in the Contract; in particular:
(a)
The Consultant shall carry out the Services in accordance with the
provisions of the Contract; and
(b)
Mumias Sugar shall make payments to the Consultant in accordance with
the provisions of the Contract.
IN WITNESS WHEREOF, the Parties hereto have caused this Contract to be signed in
their respective names as of the day and year first above written.
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G(II).
1. General Provisions
1.1
Definitions
(b)
(c)
(f)
(g)
(h)
(i)
(j)
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 22
(l)
1.2
Relation
between
Parties
1.3
Law Governing This Contract, its meaning and interpretation, and the relation
Contract
between the Parties shall be governed by the Applicable Law.
1.4
Language
1.5
Headings
The headings shall not limit, alter or affect the meaning of this
Contract.
1.6
Notices
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 23
SC.
1.6.3 A Party may change its address for notice hereunder by
giving the other Party notice of such change pursuant to
the provisions listed in the SC with respect to Clause GC
1.6.2.
1.7
Location
1.8
Authority
Member
Charge
1.9
Authorized
Representatives
1.10 Taxes
Duties
and Unless otherwise specified in the SC, the Consultant, SubConsultant and Personnel shall pay such taxes, duties, fees and
other impositions as may be levied under the Applicable Law.
of This Contract shall come into force and effect on the date (the
Effective Date) of Mumias Sugars notice to the Consultant
instructing the Consultant to begin carrying out the Services.
This notice shall confirm that the effectiveness conditions, if
any, listed in the SC have been met.
2.2 Termination of
Contract
for
Failure to Become
Effective
2.3 Commencement
of Services
The Consultant shall begin carrying out the Services at the end
of such time period after the Effective Date as shall be
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2.5 Entire Agreement This Contract contains all covenants, stipulations and
provisions agreed by the Parties. No agent or representative
of either Party has authority to make, and the Parties shall not
be bound by or be liable for, any statement, representation,
promise or agreement not set forth herein.
2.6 Modification
(b)
(c)
2.7.2 No Breach of The failure of a Party to fulfil any of its obligations hereunder
Contract
shall not be considered to be a breach of, or default under, this
Contract insofar as such inability arises from an event of Force
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 25
(b)
(c)
2.7.4 Extension of Any period within which a Party shall, pursuant to this
Time
Contract, complete any action or task, shall be extended for a
period equal to the time during which such Party was unable
to perform such action as a result of Force Majeure.
2.7.5 Payments
2.7.6 Consultation
Not later than thirty (30) days after the Consultant, as the
result of an event of Force Majeure, have become unable to
perform a material portion of the Services, the Parties shall
consult with each other with a view to agreeing on appropriate
measures to be taken in the circumstances.
2.8 Suspension
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By Mumias Mumias Sugar may, by not less than thirty (30) days written
Sugar
notice of termination to the Consultant (except in the event
listed in paragraph (f) below, for which there shall be a written
notice of not less than sixty (60) days), such notice to be given
after the occurrence of any of the events specified in
paragraphs (a) through (g) of this Clause GC 2.9.1, terminate
this Contract:
(a)
(b)
(c)
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 27
Mumias Sugar.
(h)
2.9.2
Bythe
Consultant
The Consultant may, by not less than thirty (30) days written
notice to Mumias Sugar, such notice to be given after the
occurrence of any of the events specified in paragraphs (a)
through (d) of this Clause GC 2.9.2, terminate this Contract:
(a)
(b)
(c)
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2.9.3
2.9.4
2.9.5
2.9.6
Payment
upon
Termination
Disputes
about Events
of
Termination
(b)
(c)
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 29
Law
Governing
The Consultant shall perform the Services in accordance with
Services
the Applicable Law and shall take all practicable steps to
ensure that any Subcontract, as well as the Personnel of the
Consultant and any Subcontract, comply with the Applicable
Law. Mumias Sugar shall notify the Consultant in writing of
relevant local customs, and the Consultant shall, after such
notification, respect such customs.
3.2 Conflict
Interests
3.2.1
of
Consultant
Not to Benefit
from
Commissions,
Discounts, etc.
3.2.2 Procurement
If the Consultant, as part of the Services, have the
Rules
of responsibility of advising Mumias Sugar on the procurement
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 30
Funding
Agencies
3.2.3 Consultant
and Affiliates
Not to Engage
in
Certain
Activities
3.2.4 Prohibition of The Consultant shall not engage, and shall cause their
ConflictingAct Personnel as well as their Subcontract and their Personnel not
ivities
to engage, either directly or indirectly, in any of the following
activities:
3.3 Confidentiality
3.4 Liability of
Consultant
(a)
(b)
the Subject to additional provisions, if any, set forth in the SC, the
Consultant liability under this Contract shall be as provided
by the Applicable Law.
3.5 Insurance to be The Consultant (i) shall take out and maintain, and shall
Taken Out by the cause any Subcontract to take out and maintain, at their (or
Consultant
the Subcontract, as the case may be) own cost but on terms
and conditions approved by Mumias Sugar, insurance against
the risks, and for the coverages, as shall be specified in the
SC, and (ii) at Mumias Sugars request, shall provide evidence
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3.7 Consultant
The Consultant shall obtain Mumias Sugars prior approval in
Actions
writing before taking any of the following actions:
Requiring
Mumias Sugars (a) appointing such members of the Personnel as are listed
Prior Approval
in Appendix C merely by title but not by name;
(b)
(c)
3.8 Reporting
Obligations
3.9 Documents
Prepared by the
Consultant to be
the Property of
Mumias Sugar
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General
4.2
Description
Personnel
(b)
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(c)
4.3
Approval
Personnel
4.4
(b)
4.5
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Personnel
4.6
Resident
Consultant
(c)
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(b)
(c)
(e)
(f)
(g)
5.3 Change in the If, after the date of this Contract, there is any change in the
Applicable Law
Applicable Law with respect to taxes and duties which
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5.6 Counterpart
Personnel
(a)
(b)
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7.2 Operation of the The Parties recognize that it is impractical in this Contract to
Contract
provide for every contingency which may arise during the
life of the Contract, and the Parties hereby agree that it is
their intention that this Contract shall operate fairly as
between them, and without detriment to the interest of
either of them, and that, if during the term of this Contract
either Party believes that this Contract is operating unfairly,
the Parties will use their best efforts to agree on such action
as may be necessary to remove the cause or causes of such
unfairness, but no failure to agree on any action pursuant to
this Clause shall give rise to a dispute subject to arbitration
in accordance with Clause GC 8 hereof.
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8. Settlement of Disputes
8.1 Amicable
The Parties shall use their best efforts to settle amicably all
Settlement
disputes arising out of or in connection with this Contract or
the interpretation thereof.
8.2 Dispute
Settlement
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1.6.1
1.6.2
1.9
2.1
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2.2
The time period shall be not exceeding one (2) months as per
TOR or such other time period as the parties may agree in
writing.
2.3
The time period shall be seven (7) days or such other time
period as the parties may agree in writing.
2.4
The time period shall be such time period as the parties may
agree in writing.
3.4
(b)
3.5
(ii)
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(b)
(c)
6.1
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Appendix A
1.0
1.1
1.2
1.3
1.4
1.5
invitation.
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ii)
iii)
iv)
Description of the methodology and work plan for performing the assignment.
v)
vi)
vii)
viii)
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Date:
To:
..
to
Kshs
Performance Evaluation
[Client to tick / indicate as appropriate]
How do you rate the
performance of the
Consultant in the execution
of your contract
Excellent
V. Good
Good
Average
Poor
Name of Company/Client ..
Nature of Business/Industry Sector
Email Contacts
Tel Contacts
Signature
Date..
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AND
WORK
PLAN
FOR
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Tasks
3.
Position
Tasks
Name
Position
Tasks
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Key Qualifications:
[Give an outline of staff members experience and training most pertinent to tasks on assignment.
Describe degree of responsibility held by staff member on relevant previous assignments and give
dates and locations].
Education:
[Summarize college/university and other specialized education of staff member, giving names of
schools, dates attended and degree[s] obtained.]
Employment Record:
[Starting with present position, list in reverse order every employment held. List all positions held
by staff member since graduation, giving dates, names of employing organizations, titles of
positions held, and locations of assignments.]
Certification:
I, the undersigned, certify that these data correctly describe my qualifications, my
experience, and me.
_________________________________________________________ Date: _______________
[Signature of staff member]
___________________________________________________________ Date;______________
[Signature of authorized representative of the firm]
Full name of staff member: _____________________________________________________
Full name of authorized representative: _________________________________________
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 50
Name
Position
Reports
Due/Activities
Activity (Work)
Full Name___________________________
Address______________________________
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Draft Report
2.
Final
Date
Four (4) hard copies and one (1) soft copy to be submitted in each case. Each report to
have an abstract of the main findings.
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ii)
Summary of costs.
iii)
iv)
v)
vi)
Miscellaneous expenses.
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______________________________________
______________________________________
______________________________________
[Name and address of Mumias Sugar ]
Ladies/Gentlemen:
We, the undersigned, offer to provide the consulting services for (____________) [Title of
consulting
services]
in
accordance
with
your
Request
for
Proposal
dated
(__________________) [Date] and our Proposal. Our attached Financial Proposal is for the
sum
of
(_________________________________________________________________)
[Amount in words and figures] inclusive of the taxes, commissions, fees, gratuities and any
other charges .
We understand you are not bound to accept any Proposal you receive.
We remain,
Yours sincerely,
_____________________________
[Authorized Signature]:
_____________________________
_____________________________
[Name of Firm]
_____________________________
[Address]
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 54
Currency(ies)Kshs
Fees
Subtotal
Local Taxes
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 55
Activity
No.:____________________
Activity
No.:_____________________
Description:____________
Price Component
Currency(ies)
Amount(s)
Remuneration
Reimbursables
Miscellaneous Expenses
Subtotal
____________________
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Names
Regular staff
Position
Name:_____________________
Input
Remuneration
Currency(ies) Rate
Amount
Local staff
Consultant
Grand Total
____________________
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No.
1.
Description
International flights
_____________________________
Unit
Trip
2.
Trip
3.
Subsistence allowance
Day
4.
5.
Office rent/accommodation/
clerical assistance
Quantity
Unit Price
Total Amount
Grand Total
Local transportation costs are not included if local transportation is being made
available by the Client. Similarly, in the project site, office
rent/accommodations/clerical assistance costs are not to be included if being made
available by the Client.
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 58
No.
Description
Quantity
1.
2.
3.
4.
Software
Grand Total
Unit
Unit Price
Total Amount
_____________
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 59
To:
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 60
You are requested to give the particulars in Part 1 and either Part 2 (a), 2 (b) or 2 (c), whichever applies to
your type of business. Part 2 (d) to part 2(i) must be filled.
You are advised that giving wrong or false information on this Form will lead to automatic disqualification
/ termination of your business proposal at your cost.
Part 1 General
Business Name:......
Certificate of Incorporation / Registration No. .
Location of business premises:
Country ....
Physical address .Town ..
Building
Floor.
Plot No. .Street / Road ...
Postal Address Postal / Country Code.
Telephone Nos Fax Nos. .
E-mail address
Website
Contact Person (Full Names) Direct / Mobile Nos. ..
Title Power of Attorney (Yes / No) If Yes, attach written document.
Nature of Business (Indicate whether manufacturer, distributor, etc) .....
(Applicable to Local suppliers only)
Local Authority Trading License No. Expiry Date ..
Value Added Tax No...
Value of the largest single assignment you have undertaken to date (US$/KShs)
Was this successfully undertaken? Yes / No. .(If Yes, attach reference)
Name (s) of your banker (s) ....
Branches . Tel Nos. ..
Part 2 (a) Sole Proprietor
N/A
Part 2 (b) Partnerships
Give details of partners as follows:
Nationality
Full Names
1. .
2.
3.
4
..
Citizenship Details
.
.
...
Shares
...
....
.
.
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 61
1..
2
3
4
Citizenship Details
Shares
..
......
......
......
a)
b)
c)
d)
...
....
have not been convicted of any criminal offence relating to professional conduct or the making of false
statements or misrepresentations as to its qualifications to enter into a procurement contract within a period
of three (3) years preceding the commencement of procurement proceedings.
Signed .
For and on behalf of M/s ..
In the capacity of
Dated this day of .2015.
Suppliers / Companys Official Rubber Stamp .
Part 2 (f) Conflict of Interest
I/We, the undersigned state that I / We have no conflict of interest in relation to this procurement:
a)
b)
c)
d)
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 62
(Date)
Country
1..
2.
3.
.
.
.
...
....
....
REQUEST FOR PROVISION OF CORPORATE INSURANCE RISK MANAGEMENT & ADVISORY SERVICES |PAGE 63