AGRO MARKETING AND TRADE AGENCY (AMTA) PROCUREMENT COMMITTEE. Erf 209 Industrial Road, Lafrenz. Windhoek

Transcription

1 AGRO MARKETING AND TRADE AGENCY (AMTA) PROCUREMENT COMMITTEE Erf 209 Industrial Road, Lafrenz EXPRESSION OF INTEREST Windhoek REGISTRATION OF SUPPLIERS FOR THE SUPPLY OF GOODS/ WORKS/ SERVICES TO BE RENDERED FOR 2018/2019 FINANCIAL YEAR A. Supplier Details 1. Supplier Name 2. Company Registration No. 3. VAT No 4. Income Tax Registration No 5. Business Physical Address Contact Person. 7. Cellphone 8. Telephone 9. Postal Address 10. Fax Number 11. E Mail Address. 1

2 B. Supplier s Goods / Works/ Services applied to be registered for: NB// Only tick the services and goods that are listed under your company activities as per your company registration documents 1. GOODS Supply of stationery/general Office Supplies Supply of hygiene goods, cleaning materials, and related equipment s/materials Supply of sport wear and related sport supplies Supply of IT equipment and IT accessories Supply of maintenance equipment, tools and materials Supplies of data communication network and related equipment Supply of cell phone and tablets Supply of promotional items Supply of office furniture s Supply of building Materials Supply of CCTV, security equipment and related security goods and services Supply of Packaging Materials Supply of Safety Wear/ Personal Protecting Equipment (PPE) Supply of pest control chemicals and grain fumigants Supply of Branded seals Supply of staff uniforms Supply of Laboratory chemicals and consumables Supply of protective clothing and lab coats 2

3 Supply of printer cartridges and toners Supply of medical goods(first aid kits) Supply of refreshments Supply Oil and Lubrication Supply Platform scales Supply of Empty bags for grain packing (Polythrene) Supply of Bag Closure Machine and their threads Supply of fumigants 2. WORKS Supply of Operational equipment & office equipment Supply and installation of pre-fabricated structures and materials Electrical, plumbing and mechanical services Construction and renovations of Offices Supply of Civil services Service and maintenance of silo bins, conveyors and systems 3. CONSULTANCY SERVICES Architectural Services Quantity Survey and Services Engineering Services Interior design services Financial services 3

4 4. NON CONSULTANCY SERVICES Service of security system(access control and surveillance cameras) Printing Advertisement Computer licenses and software Branding services Security Services Rental of photocopy machines Courier services Pest Control services Catering services Car rentals Air tickets Photography services Calibration of weighbridge and platform scales Servicing and Maintenance of air conditioners Servicing and repair of silo control system Servicing and repair of mobile pre-cleaners Servicing of forklifts and cleaning machines Servicing of cold rooms and air conditions Servicing of fire Extinguishers and related equipment 4

5 Please tick below, to indicate whether each of the mandatory documents listed below are original or certified copy. *All mandatory documents listed below should be attached, failure to do so will result in disqualification Document name / title 1 Expression of Interest Document ( obtained from the Procurement Office, via ) 2 Valid Company Registration Certificate or Founding Statement ( should have contact details, location and suppliers goods / services 3 An original valid Good Standing Tax Certificate from Inland Revenue 4 A valid Affirmative Action Compliance Certificate( issued in terms of Section 42 of the Affirmative Action ( Employment) Act 29 of 1998, 5 An original or valid Certified copy of Good Standing Social Security Certificate 6 A Certificate indicating SME Status (for bids reserved for SMEs) 7 Original Letter from the Bank confirming banking details (letter should be on letterhead, stamped and signed by the Bank Official). Tick D. Declaration 10. I (.full names), Identity Number / Passport number in my capacity as the. (designation) of the Company. Contact number.hereby declare that the information provided above is correct and that should any information found not in good order, AMTA reserves the right to disqualify my application. Signature: Date: 5

6 FOR OFFICE USE ONLY Pre Qualified By: Bid evaluation committee Chair: Signature Rank Date Approved by: Procurement Committee Chair: Signature Rank Date Registered by: Bid evaluation committee.. Secretary: Signature Rank Date 6