public works & infrastructure Department: ube Works and infastuctre REPUBLIC OF SOUTH AFRICA QUOTATION FOR DEPARTMENT OF PUBLIC WORKS & INFRASTRUCTURE] IN THE NORTHERN CAPE PROVINCE PROJECT LEADER, | PEARL MOALAH!Notice and Initaon fr Quotaton: PA (GS) PA-03 (GS): NOTICE AND INVITATION FOR QUOTATION THE DEPARTMENT OF PUBLIC WORKS AND INFRASTRUCTURE INVITES BIDDERS FOR THE PROVISION OF THE BELOW GOODS AND SERVICES ensiion ATH: 6” VLAMBOOM STREET! APPOINTHENT OF PROFESSIONAL Sonspton: | Foun PLauntin Rezon [uote [eos ate: [ata peos 41. RESPONSIVENESS CRITERIA 8 Indleate substantive responsiveness criteria applicable for his quotation. Failure to comply wth the extra stated hereunder shall resul in the quotation offer boing siequalied rom further coneideration: a| a _|inzer motivation why the tender laiicaton meeting declared compulsory Registration on Central Supplier Database (CSD) ‘Submasion of(PA-16}: Preference Pains Cli For rvs othe Preeronal Procurement | Regustons 2022 Submission of PAO. : Pring Schedule SWAT | Professional Registration with SAGC andlor SACPLAN or RegistrationNCPPOSA Indeteedminsatve requirements applicable fo hs quotation. Suppl maybe required ‘submit the below documents where applicable.tain foe Quotation PA (6S) 2. Points scoring system applicable for this bid: 1 snore sro aon : : ] Inet ice wlhng ppc: sis ‘Weighting percentage - Vt dopo 10030) Pic 100 of pits Tos 100% ‘+ SANAS Accrottod BBBEE Cortate or swom afd whore applicable or + CSO Report | or ‘+ CPC (company registration) 2. AN EME oF QSE which is atleast £1% owned by women 4 Points + 1Dcopy. 2 Points'Naice and Fitaton for Quotation PA03 (68) “OF ee 4. AN EME oF QSE which i atleast 51% owned by youth 2 Points Fen eros | + 10copy or o | +6 empan eget | eo | | | + ofce maple Site or ‘+ Prisson Te Occupy rom lol cin case of rua reas (PTO) 4. COLLECTION OF QUOTATION DOCUMENTS: with representatives of the Department of Puble Works and Iasructre will {ake place at Inset eddress on ddimmijyyy staring at insert me 5. ENQUIRIES RELATED TO GUATATION DOCUMENTS MAY BE ADDRESSED TO: [Teieonwnes [ose [Fos I syne monotheism hb hn oe aig 821-25 Market Square ‘OLD MAGISTRATE COURT, KIMBERLEY RECEPTION AREA. ‘QUOTATION Box | or ‘QUOTATION DOCUMENTS MAY BE POSTED TO: a | | | KIMBERLEY ee sym et rin ny senor sl bese esa eiPA-16: PREFERENCE POINTS CLAIM FORM IN TERMS OF THE PREFERENTIAL PROCUREMENT REGULATIONS 2022 BEFORE COMPLETING THIS FORM, TENDERERS MUST STUDY THE GENERAL CONDITIONS, DEFINITIONS AND DIRECTIVES APPLICABLE IN RESPECT OF THE TENDER ANO PREFERENTIAL PROCUREMENT REGULATIONS, 2022 1. GENERAL CONDITIONS: ‘Rend valve of upto R50 000 000 (at 1.2 Preference Points System to be applied (Wick whichever ie appteabl). Bil The applicable preference point system for this tender is the 80/20 preference point system. isthe 90110 preference point system. 0 or 80/20 preference point systom will be applicable in tis tender. The be used t9 determine the accurate eyelem once, Points for this tender shall be awarded for: Price; and 2 Specific Goals 1.4 Tho maximum points for this tender are allocated as follows: 80 Goals labs coerce ea ‘otal points for Price and Specie GoalsBreakdown Allocation of Specific Goals Points nt transactions with rand value greater than R2 000.00 and up to Ri Million (Inclusive of all applicable taxes), the specific goals ae listed in table ‘Serial | Specific Goals Preference Documentation to be ‘submitted by bidders to validate thei claim for points Points allocated | out of20 “An EME or QUE which satleast51% | 10 ‘owned by black people eo + sD Report + oF {aPC (company registration) Office Municipal Rates i unaly Statement e done orserdcetaberendered : intiotarea, | Permison To Oca rm Deseo nud meas) or ese aremene AN EME oF QSE which is atleast 51% + ‘owned by women aor + csp Report | * Or ‘© aPC (company registration) | Page 2of 1Serial No Specific Goals %|AnEMEor ae owned by peo ne ‘+ Medical Cerincate ‘+ sD Report + oF ‘+ C1PC (company registration) Rn a a ‘© sD Report + oF ‘+ C1PC (company registration) 1.52. For procurement transactions with rand value greater than Ri Million and up to R50 Million (inclus Page 30f11Serial No ‘Spedifie Goals. out of 20 10 © SANAS Accredited BOBEE Certfia mafidavit + cSDReport + oF ‘© CaPC (company registration) Vocated ina specific Local) 2 Municipality or Distriet Municipality for Metro ar Province area for work “ARENE or QSE orany ently whichis | atleast 51% owned by women ‘An EME or QBE or any entity ‘atleast 51% ovmed by peoph aisabiity ‘+ 1D Copy (Mandatory) + or + Office Municipal Rates Statement + or + Permission To Occupy from local chief in case of rural areas (PTO) + or ‘+ Lease Agreement + 1DCopy + or + SD Report or + C1°C (company reastration) + 1DCopy (Mandatory) or + Medical Certifieate + or Page of 11Serial | Specific Goals No [Preference [Documentation to be Points allocated out of 20 submitted by bidders to validate their claim for points [7 | arleast5196 owned by youth. ‘All Acauisiions Tabled Serial | Specific Goals No | Disadvantaged Individuals (D1) | 1 __|ANEME or Q8E orany entity whichis | 4 at east 519 owned by Historically ‘ANENE or QSE orany entity whichis | 2 115.3 For procurement transactions with rand value great than R50 Mili ofall applicable taxes) the specific g ale as listed in table 3 below are Preference | Documentation to be = South African Socal Security “Agency (SASSA) registration + or ‘National Counc for Persons with Physical Disability in| South ‘Africa registration (NePPDsA} or SD Report or 1PC (company registration) I Copy + or + CSD Report | + or + C1PC (company registration) submitted by bidders to validate their claim for points + 1Wcopy + or “+ SANAS Accredited BBBEE Certificate or sworn affidavit | ‘where applicable | + or | age SofSerial | SpeeiicGoals—=S*S*«*&~reerence | Documentation tobe No Points| submitted by bidders to allocated | validate their claim for points foutof 10 + CSD Report + or ‘+ C1PC (company registration) Tacated ina pecite “Tal! 2 | ap coms atandamryy + or tobedonerservicestoberendered inthatares| + Offce Municipal Rates Statement + oF . To Occupy from fn ease of rural + or ‘Lease Agreement 3. | ANEMEorQSE orany entity whichis |Z atleast 51% owned by women, + ID Copy + oF CSD Report + oF ‘iPc (company registration) 4. | An BME or QSE orany entity whichis | 2 at least 51% owned by people with ‘isability 1 Copy (Mandatory) + or Medical Certificate or "South African Social Security ‘Agency (SASSA) registration + or + National Counc! for Persons swith Physical Disability in South Africa registration (ncPeDsa) oR Page 6of 2Serial [Specific Goals "| Preference [Documentation to be No Points | submitted by bidders to allocated validate ther claim for points ‘out of 10 —- a} atleast 51% owed by youth. or | ‘AnEMEor QSEoray ent whichis + 1weopy | 0 Report + oF ‘+ aPC (company res ‘oak wll be interpreted to 117 The organ of state reserves the right to require of a eorvice provdertenderer, eer before a tender is adjudicated or ai any time subsequent, to substantiate any claim In regard to preferences, in any manne required by the organ of state 2. DEFINITIONS: (@) “tondor” moans a writen offer in the form determined by an organ of state in Getemins by an agen ost In texpons © a maton fo the cna (0) “the Act” means the Preferential Procurement Policy Framework Act, 2000 (Act No 5 of 2000)3. FORMULAE FOR PROCUREMENT OF GOODS AND SERVICES. 3.1. POINTS AWARDED FOR PRICE. 8.1.1. THE 60120 OR 90/10 PREFERENCE POINT SYSTEMS ‘A maximum of 80 or 90 points is allocated fr price onthe folowing bass: s0r20 : oor ps=00(1-Z2M™) of ps = 90(1-"=tR) Wee Pe oh sed or co tener nde consieaton Pmin = Price of lowest acceptable tender 32. FORMULAE FOR DISPOSAL OR LEASING OF STATE ASSETS AND INCOME GENERATING PROCUREMENT 3.2.1. POINTS AWARDED FOR PRICE ‘A maximum of 80 or 90 points is allocated fr price onthe folowing bass: son Ps =00(14 22) op ve Pe = Ponto rf ir comotn P= Pfr renter Prec = Pn et age 4. POINTS AWARDED FOR SPECIFIC GOALS stated in able 1,2 and 8 above as may be supported by prea decumentaton stated in te conditions ofthis tender: cases where organs of stale intend to use Regulation 32) ofthe Regulations, which sta tis unclear whether the 80/20 or 80710 preference point system apples, ‘an organ of state must, nthe tender documents, stipulate in the ease of— 42, Page of 1aTable 4: Specific goals forthe tonder and points claimed are indicated per the table below. (Note to organs of state: Where either the 90/10 or 80/20 preference point system is applicable, corresponding points must also be indicated as such. Note to tenderers: The tenderer must indicate how they claim points for each preference point system.)Note: in respect of the 90/10 pont system a selection of ether disabiliy or youth may be "made wit an allocation of 2 points for ether of them, 44 45. DECLARATION WITH REGARD TO COMPANYIFIRM "Name of companyftiem, Company regisvaton number: TYPE OF COMPANY/ FIRM Parinershipiloint Venture / Consortium (ne-person businessisole propriety Close corporation Public Company Personal Liabilty Company (Py) Limite Non-Profit Company State Owned Company Mex arPuicast 80x) |. the undersigned, who is duly authorised to do so on behalf of the companyitim, erty that the points claimed, based on the specific goals as advised inthe tender, ‘uals the company! im forthe preference(s) shown and | acknowledge that |) The information fumnished is tue and correct |i) The preference points claimed ae n accordance wth the General Coeitions as iated in paragraph # ofthis frm; the event ofa contract being awarded as a result of points calmed as shown paragraphe iv) Ifthe specific goals have been claimed or abtainad on a fraudulent basis or any of the conditions of contract have not been fll, the organ of stata may, 14 ‘adalion to any other remedy itmay have ~ (2) dlsquaity the person trom the tendering process; (©) recover costs, losses or damages It has incured or suflered as 2 al person's conduct any damages which it has sufered 8 a result of having to make less favourable arrangements cue to such cancelation: (6) recommend thatthe tenderer or contactor, is sharsholders anc ° the other side) rule has been applied; and (6) forward the matter for criminal prosecution, i deemed necessary Page 100f31‘SIGNATURE(S) OF TENDERER(S) SURNAME AND NAME: are: ‘poRESs: Page an of 12Pricing schedule: PA30:3 PA=303: PRICING SCHEDULE, (Prlestlenal Svcs) Ss0NO: Aang. (LOSING THE 1140 on 20 a2 (OFFER TOBE VALIDFOR DAYS FROMTHE CLOSING DATE CF 8D TBDPRICE W REA CURRENCY INCLUSIVE OF YALU ADDED TAX Ts PS Ton Fae Rag “Trav epeae (pct eae risen atten, cass fatwa ce). Ony acl ass se ecoverabe. Poll ‘expenses eure angry crs nes. DESORPTION OF EXPENSE TOBE INCURREDame of Bier: DESORPTION OF EXPENSE TOBE INCURRED PATE quay akon R. R a R. — R TOA: R. 6 Pert waite fr cnentoorent wih pop ater sap bs 7. tintin dys conten ch pet 4. ote gat nt he ilps eat nk ft i psi prove cts of heb on wih Susman wl te apple, recap conser pine Pet Moi ‘is Fru s ALIGNED wT S80 23 yen at Brn yo cme sale oth be ei Ferien Use fected Septet 2011 Veron 10PA 32: INVITATION TO BID PART Aga works ee ce ee = ca [Projet Lender [Peat Moo Bia/avote no: ‘(orn |. THE BIDDER MUST COMPLETE THE FOLLOWING RETUNABLE DOCUMENTS: (Biers may use he turtle document” coun cane documents fave boon competed snared ny fren ae) ‘Womberof | Returnable Pages: ‘document. Pages Pages Pages Pooes Popes Pages Panes Poss | Pages Pages Pages Panes Pages Pages Pages Paoes Poges_| Pages Pages Pages Pages Pages Pages Paoes Paes Panes ololojojo|o}o)o}ojojojo)ojojojojo ojojojojo|ojojojo soya rth hh mn yt oar a wae rang ne Formanalé anal ee eevee September 205 VereUs of Retumable Documents: PA-0D (6S) Sis alas aso oy lon ora" hn ane any er onaernon tbe cars a av he ame ea erates Poe Feinena Eze Use tt Sepa 05 SePA.10: General Contons of Canroct (GCC) PA-10: GENERAL CONDITIONS OF CONTRACT (GCC) 53. Nationa Industral Partipaton Programme (NPP) 1K, Prohibition of restrictive practicesPALO: Genera Condens of Contact (GC) 9° ocours whan a private enterprise abroad marke is goods on oa inate inthe RSA ices than that of tbe couney of rg and whieh have the potent te harm te oral1120, "Project site" where applicable, means he pace inca in bc documents 121, "Purchaser" means he oganzation purchasing the goods. 1.22, "Republic" means he Republic of Sout Aca 22, Where appeabe, special condtons of contract are aso laid down to cover spect cups, ervioes oF woes, 23, Where auch special conditions of contact are in conf wah these general condone the special ‘onations shat apyurchaser again al hepa lis of ntingorent of paton, ‘design rts arsing from use of the goods or any part theroot by the sey eros er Bathe wn Oe Sauron became ohare mens1110 "The goods supplied under the contact shall be ful insured In a realy converte currency aglnst loss or damage incidontal to manufacture or aoquiston, wansporaton, storage and delivery he ‘manne spctied nthe SCC. 12. Transportation 321. Shout 9 price oer than an alLincualvedaliveres price be require, tis shall be species inthe sec. warranty eblgations under is Aaya at Bebe rn ay cher donate alco oh enamine Frtaeaites ce dt fags 2010 eon154. Upon recat of such note, the supper shal, within the period speciied in SCC and with a reasonable speed, ropar of replace the defecive goods oF pars there, witout costs fo the purchaser 464, Payment wi be made in Rend unless chenwae stgulatad in SCC. 47. Prices FerCaorte ‘et te aga 2010‘alsty extension, as the eae '* modification of the terms of the contact shell be made except by wren red by he pares concerned, No provision n a contract shal be deemed te prohibit the obtaining of suplles oF sericea from a natloral Gepsrnert, provincal depart, fa local autor.FerCanwattes tect sat 02 Ags 2010a4 1 supplier any monies due the suppl. 28, Limitation of Liabitty| 28:1 Exceptin cases of riminal negligence or wif misconduct, and inthe case of iningement pursuant29. Governing language Ea 31.2. The time mentoned inthe contact documents fox perorming any ac afer sh aforesaid notice as been gan, shal be reckanes tom th dae of posting of such nate, ‘Name of ier Signature I aie 1| REVISED PA-11: BIDDER’S DISCLOSURE BIDDER’S DISCLOSURE 4, PURPOSE OF THE FORM ‘Any person jrstic) may make an offeror offers in toms of in line wih the principles of transparency, ality, and ethics as enshrined in the Const of uth Africa and further expressed in various pieces of itis required forthe bidder to make this decaration nrespact Where a personis are listed inthe Register for Tender Defauitrs ad / fr the List of Restricted Suppliers, that person will automaticaly be ‘isqualified from the bid process. 2. _Bidder’s declaration 21 Isthe bidder, or any of is drectors/ trustees / shareholders / members| partners or any person having a controling interest inthe enterprise, ‘employed by the state? ‘YESINO 2.1.1 t's, furnish particulars of the names, indidualidenty numbers, and if ‘applicable, stale employee numbers of sole proprietor directo / {rustess / shareholders / members! partners or eny person having @ controling interest inthe enterprise, in table below. Full Name TTdentty Number [Name of Sisto fe2.2 Do you, or any person connected withthe bidder, have a relationship with any person who is employed by the procuring institution? YESINO n the , submiting the sccompanying bid, do hereby” make the folowing ‘statements that I cert to Be true and complete in every respect; REVISED PA-11: BIDDER’S DISCLOSURE ‘disclosed by the bidder, directly or indirectly, to eny competior, prio to the date and time ofthe official bid opening or ofthe awarding ofthe ‘contract. ‘3.5 There have been no consultations, communications, agreements or ‘or any other applicable legislation. I CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 4, 2 and 3 ABOVE IS CORRECT. VACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME IN TERMS OF PARAGRAPH 6 OF PFMA SCM INSTRUCTION 08 OF 2021/22 ON PREVENTING AND COMBATING ‘ABUSE IN THE SUPPLY CHAIN MANAGEMENT SYSTEM SHOULD ‘THIS DECLARATION PROVE TO BE FALSE. mnenninnie sennapubleworics Rescluton of Boartof Directors: A154 a PA-15.1; RESOLUTION OF BOARD OF DIRECTORS: RESOLUTION o meeting ofthe Board of "Decors / Membre / Parcs of \opatcorct it ear oa opraton naer anpesbe, ee Etc) ad et ee om ety hat tere sis Bid Tender to he Deparment of Publis Work in respect of tho flowing prot: (eect ceonyton ep Tend Dacor id Tender Number; Tt ta 4 Tote Dr 2. -wenis: inhi Capocty a: (Pete nt rin) and who wl signa folows and is ee, auosed oan the Bi Ted, and any anal te doses are Ccrrespondence n comet wth andra othe Bi Tener aswel stag any Contec syer Toomer: om eo fe Ba Ter he Ein tid Nome Capacity ‘Signature