INVITATION TO ALL EXISTING AND PROSPECTIVE SUPPLIERS TO APPLY FOR REGISTRATION FOR THE PROCUREMENT OF GOODS AND SERVICES PASSENGER RAIL AGENCY OF SOUTH AFRICA: PRASA Technical Passenger Rail Agency of South Africa is hereby inviting prospective vendors /suppliers, to be registered on the supplier data base. Kindly note that, all existing Prasa Technical office, vendors are also requested to submit renewed information for example Tax Clearance Certificates, BBBEE certificates etc.,in compliance with Preferential Procurement Policy Framework Act [No of 2000]. The official registration can be obtained from the PRASA website on www.prasa.com Prospective and updating suppliers are requested to attach the following documentation to their applications: Original Valid Tax Clearance Certificate VAT Certificate [If Applicable] Valid BBBEE certificate issued by SANAS or registered accountants.also note that Exempted Micro Enterprise can submit a sworn affidavit as per the dti Codes of Practice. Attached also find the templates of the said sworn Affidavit Proof of registration with UIF or Compensation Commissioner etc Proof of Banking details[the bank stamp must not be older that three months] Company Registration Documents Directors ID Copy/s Shareholder Certificate/s (Were Applicable) Company Letter Head Company Profile Valid company Accreditation Documents [e.g. CIDB, PSIRA, SETA certificate, etc.] Page 1 of 7
A list of supplier references Vendor registration forms must be submitted by hand or courier services Gauteng,Johannesburg: Supply Chain Management,PRASA Technical, Head Office, 30 Wolmarans Street,Umjantshi House, Braamfontein contact person: Rosemary Moagi at Tel 011 7731789 Email rmoagi@prasa.com. Vendors with missing and expired information/documentation will be disqualified. Please note application will be accepted throughout the financial year but however, application will only be adjudicated and loaded on the data base on quarterly bases. Page 2 of 7
PRASA VENDOR MASTER INPUT AND ASSESSMENT FORM PRASA Technical Approved vendor Numbers For Office Use Only SAP Mandatory Fields: For Office Use Only Requested by: Date: Company Code Purchasing Organisation Purchasing Group Name Handwritten Payment Terms Accounting Clerk Trade (SCM) Sundry (FI) Payroll (HR) Supplier Contact Details Name of Business Trading name Registration Number VAT number Income Tax Reference number Previous name(s) of business if any Business street Address Postal Code Business Postal Address Telephone number Cellular Phone Number Fax number E-mail address Postal Code Contact Person ü The type of business Page 3 of 7
Public Company Listed on JSE Private Company (i.e. (PTY) Ltd) Close Corporation Partnership Sole Proprietor ACCREDITATION YES NO CERTIFICATION BODY [CIDB, CETA etc.] COMMENTS Compulsory Banking Details Bank Name: Cheque Account No.: Branch Name: Branch Code: Bank Reference (Supplier Account No): Compulsory: Product / Services Category [where applicable you can include more than commodity 4 1. 5. 2. 6.. 3. SHAREHOLDER/OWNERSHIP Surname First Names South African ID Number Male Female In my capacity Position Page 4 of 7
Of the organization and duly confirms that the information given above is authentic.i also declare that I fully understand that any inaccurate information that is deliberately supplied herein will lead to be disqualification of my application. Signature of the Vendor Signed by Signature DATE / / Compulsory Reason for loading : Please note that this is a compulsory section. (For Office use) Contract Please indicate whether the value of the contract is more than a R1000 000 If the contract is a R1m and above is the VAT certificate include Three quotes If other specify the reason for loading YES NO YES NO YES NO YES NO Please note that all vendors that have been awarded a contract to a value of R 1000 000 and above should be VAT registered FOR OFFICIAL USE BY END USER DEPARTMENT FOR OFFICIAL USE BY SCM/ FINANCE /HCM Approved by : Approved Signature: Signature Name of vendor Handwritten by a manager Date- Name of vendor Handwritten by a manager Date APPLICATION CHECKED FOR COMPLIANCE AND LOADED BY : APPLICATION CHECKED FOR COMPLIANCE AND APPROVED BY : Signature: Date Signature: Date Please Note: Before you forward the request to the vendor master unit please ensure that all the required documents are attached The following documents must be attached: For Sundry Vendors: Proof of Bank Account (which is either a cancelled cheque or letter from the bank Company Letter Head/or pro-forma tax invoice with company details Copy of a VAT certificate or Tax Clearance Certificate where the company is VAT registered For Trade Vendors: Original Valid Tax Clearance Certificate Valid BBBEE certificate issued by SANAS or registered accountants.also note that Exempted Micro Enterprise can submit a sworn affidavit as per the dti Codes of Practice. Attached also find the templates of the said sworn Affidavit Proof of registration with UIF or Compensation Commissioner etc. Page 5 of 7
Proof of Banking details[the bank stamp must not be older that three months] Company Registration Documents, Directors ID Copy/s and Shareholder Certificate Company Letter Head Valid company Accreditation Documents [e.g. CIDB, PSIRA, SETA certificate, etc.] The supplier profile List of Commodities for PRASA Technical Rail Rolling Stock Electrical Equipment Tests/Commissioning Environmental Control Officer Emergency Storage Material Consumables: Electrical /Mechanical (Manufactures and Suppliers) Material Consumables: Cleaning Materials Occupational Health and Safety, Environmental Services Repair: Electrical / Mechanical Rail Components Traffic Impact Studies Services Tree Feeling Human Resource Accredited Training and Skills Development Practitioner: Soft Skill and Hard Skills (All Training Related Categories Valid SETA Accreditation Certificate must be attached) Promotional Material (HIV/AIDS) Psychologist and Psychiatrist Registered Health Practitioners Recruitment and Placements Services Information Technology Electrical Maintenance: (Cabling and Network Point) IT Software and Hardware IT Equipment Supplier Telecommunication Services Marketing, Public Relation and Library Brand Activations Corporate Gifts Promotional Items Media Placement (Advertorials and Advert Placement) Mobile App Development Out of Home Advertising (billboards and Street Pole Advertising) Printing of Business Cards and Post Cards Page 6 of 7
Printing of Annual Report and Corporate Plan Photography Production of Radio and Television PR Agency TV, Radio and Print Product Placement( Media Sponsorship) Video Production and Editing Finance, Audit and Bank Services Risk Management Other Services Cleaning & Hygiene Supplies Cleaning Material Supplier Construction / Maintenance Services (All CIDB Related categories, CIDB Certificate must be attached) Courier Services Hygiene Management Locksmiths Mobile Office Hire Office /Home Removal Companies Personal Protective Equipment Pest Control Sheq Training Sheq Consultants Waste Management Page 7 of 7
SBD 4 DECLARATION OF INTEREST 1. Any legal person, including persons employed by the state*, or persons having a kinship with persons employed by the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid (includes a price quotation, advertised competitive bid, limited bid or proposal). In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons employed by the state, or to persons connected with or related to them, it is required that the bidder or his/her authorised representative declare his/her position in relation to the evaluating/adjudicating authority and/or take an oath declaring his/her interest, where- - the bidder is employed by the state; and/or - the legal person on whose behalf the bidding document is signed, has a relationship with persons/a person who are/is involved in the evaluation and or adjudication of the bid(s), or where it is known that such a relationship exists between the person or persons for or on whose behalf the declarant acts and persons who are involved with the evaluation and or adjudication of the bid. 2. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid. 2.1 Full Name of bidder or his or her representative:. 2.2 Identity Number: 2.3 Position occupied in the Company (director, shareholder etc): 2.4 Company Registration Number:... 2.5 Tax Reference Number:. 2.6 VAT Registration Number:... * State means (a) any national or provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act No. 1 of 1999); (b) any municipality or municipal entity; (c) provincial legislature; (d) national Assembly or the national Council of provinces; or (e) Parliament.
-2-2.7 Are you or any person connected with the bidder YES / NO presently employed by the state? 2.7.1 If so, furnish the following particulars: Name of person / director / shareholder/ member:... Name of state institution to which the person is connected: Position occupied in the state institution: Any other particulars: 2.8 Did you or your spouse, or any of the company s directors / YES / NO shareholders / members or their spouses conduct business with the state in the previous twelve months? 2.8.1 If so, furnish particulars:....... 2.9 Do you, or any person connected with the bidder, have any relationship (family, friend, other) with a person employed by the state and who may be involved with the evaluation and or adjudication of this bid? 2.9.1 If so, furnish particulars.. YES / NO 2.10 Are you, or any person connected with the bidder, aware of any relationship (family, friend, other) between the bidder and any person employed by the state who may be involved with the evaluation and or adjudication of this bid? 2.10.1 If so, furnish particulars. YES / NO
-3-2.11 Do you or any of the directors /shareholders/ members of the company have any interest in any other related companies whether or not they are bidding for this contract? 2.11.1 If so, furnish particulars: YES / NO DECLARATION I, THE UNDERSIGNED (NAME) CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2.1 TO 2.11.1 ABOVE IS CORRECT. I ACCEPT THAT THE STATE MAY ACT AGAINST ME IN TERMS OF PRASA GENERAL CONDITIONS OF CONTRACT SHOULD THIS DECLARATION PROVE TO BE FALSE... Signature. Position.. Date Name of bidder