download RFQ Submission Document for completion and ... - Tender
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download RFQ Submission Document for completion and ... - Tender
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Private Bag X20 Hatfield, 0028,<br />
Tel: (012) 420 2433<br />
Email: schalk claasen@up.ac.za<br />
www.up.ac.za<br />
DEPARTMENT OF FACILITIES MANAGEMENT SERVICES<br />
<strong>RFQ</strong> NO.: FM/FEN/2013/87<br />
Closing Date <strong>and</strong> Time: 09 August 2013 at 12:00<br />
ENGINEERING 2 - FUME CUPBOARDS<br />
CHEMICAL LABORATORIES<br />
KINDLY PROVIDE ALL THE INFORMATION REQUESTED IN THE SPACES<br />
PROVIDED AND INSERT SUPPLEMENTARY PAGES IF REQUIRED FOR<br />
ADDITIONAL INFORMATION REQUESTED IN MAIN TENDER DOCUMENT.<br />
(Failure to provide all the requested in<strong>for</strong>mation will compromise the <strong>RFQ</strong> <strong>and</strong><br />
may lead to disqualification from the tender process)<br />
COMPANY DETAILS/PROFILE OF MAIN CONTRACTOR<br />
Name of <strong>Tender</strong>er<br />
Date established<br />
Company Registration no<br />
VAT registration no<br />
Name of Applicant/CEO/Director<br />
Primary/core business service<br />
offering:<br />
Annual turnover (mark with an<br />
X): Large Business (R35m +)<br />
Qualifying Small Enterprise (R5m to<br />
R35m)<br />
Exempt Micro Enterprise (less than<br />
R5m)<br />
1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / Noncompliant<br />
BBBEE Status (Level):
CONTACT INFORMATION<br />
L<strong>and</strong>line: ( )<br />
Fax no: ( )<br />
Mobile number:<br />
E-mail address:<br />
Website (n/a if no website):<br />
Physical Address:<br />
Postal Address:<br />
Private Company<br />
Public Company<br />
Partnership<br />
Other Specify:<br />
FORM OF ORGANISATION<br />
Mark Appropriate with an X<br />
Sole Proprietor<br />
Trust<br />
Closed Corporation<br />
DETAILS OF MAJOR CONTRACTS THAT ALLIGN CLOSEST WITH THE ONE<br />
ON OFFER, EXECUTED IN THE PAST 5 YEARS<br />
1<br />
2<br />
3<br />
4<br />
Client, Project & Year Description Monetary Value<br />
5<br />
PRESENT ASSIGNMENTS AT HAND (max. 5 - related or unrelated to the<br />
one on offer)<br />
1<br />
2<br />
3<br />
4<br />
5<br />
Project Description Monetary Value
1<br />
2<br />
3<br />
CONTACT DETAILS OF THREE MAJOR CLIENTS<br />
Client Email Address Telephone Contact Person<br />
THE FOLLOWING DOCUMENTS MUST ACCOMPANY THIS SUBMISSION<br />
Kindly confirm its inclusion by placing an X in the column adjacent to it.<br />
Please ensure that the documents are in order as described below.<br />
No. DOCUMENT (X)<br />
Proof of insurance <strong>and</strong> current limits <strong>for</strong> both public liability<br />
1 <strong>and</strong> contractor’s all risk insurance<br />
2 VAT registration certificate<br />
Proof of banking details by means of: cancelled cheque (or<br />
certified copy thereof) or written confirmation of account<br />
3 details from the bank concerned<br />
4 Tax clearance certificate from SARS<br />
5 Registration document (CK1/CK2) of the enterprise<br />
Verified certificate, issued by a SANAS accredited<br />
verification agency, disclosing the B-BBEE status of the<br />
enterprise in terms of the codes of Good Practice, B-BBEE of<br />
6 2007<br />
7 Company Profile<br />
Proof of previous experience in Fume Cupboards<br />
installations in laboratory construction projects with chilled<br />
8 water HVAC<br />
Proof of previous experience in construction projects where<br />
the work was required to be interphased with the continued<br />
9 occupation of the works by the client.<br />
Are any of the directors, members or proprietors or any of their family<br />
members employed at the University of Pretoria? (Mark with an X)<br />
Yes<br />
If yes, please provide details:<br />
No<br />
NO LATE SUBMISSIONS WILL BE CONSIDERED.<br />
I hereby certify that the in<strong>for</strong>mation<br />
submitted is correct <strong>and</strong> that all copies of<br />
original documents submitted are authentic.<br />
I am authorised to sign on behalf of the<br />
applicant.<br />
Name:<br />
Capacity:<br />
Signature:<br />
________________________<br />
________________________<br />
________________________