mbombela local municipality supplier database form 17 jul 2015 final.pdf · email:...

1

VENDOR NUMBER

MBOMBELA LOCAL MUNICIPALITY

SUPPLIER REGISTRATION FORM

For Enquiries Contact

Supply Chain Management Unit

TEL: (013) 759-2358

FAX: (013) 759-9175

EMAIL: [email protected]

1 NEL STREET P.O. BOX 45

NELSPRUIT NELSPRUIT

1200 1200

CLOSING DATE: 17 JULY 2015

COMPANY NAME:

COMPANY REG NO:

mailto:[email protected]

2

CHECK LIST FOR MLM OFFICIAL ________________________________________________________________________________________________

FOR OFFICIAL PURPOSES ONLY: Business Name: ________________________________________________________________

Registration Number ____________________________________________________________

DOCUMENTS ATTACHED Y N NA 1. Company Registration (Certified Copies) Must be latest CIPC 2. Proof of Ownership / Share Certificates 3. Latest Rates and Taxes Statement 4. Proof of Banking (Bank Stamp) 5. Original Tax Clearance Certificate 6. Proof of Registration to a Professional Body Regulating your Industry 7. Certified Copy (ID) of all Directors/Members/Shareholders/Owners 8. Valid BEE Certificate

Checked By: ………………………………………………………………………. Date: ……………………………………… Employee Number: ………………………………………

FOR OFFICE USE ONLY!

Date Received:

Date Processed:

APPLICATION APPROVED?

YES NO

VENDOR NUMBER

COMPLETED BY:

Signature:

Surname &Initials:

3

INTRODUCTION The Mbombela Local Municipality (MLM) hereby invites current and prospective suppliers to apply to be verified and registered on the Municipal Supplier Database as required by the Municipal Finance Management Act of 2003 and its Regulations. Henceforth, Mbombela Local Municipality (MLM) will not do business with suppliers that are not validated and registered on the database with a valid vendor number. Suppliers currently doing business with Mbombela Local Municipality (MLM) must reapply in terms of this new process. Instructions to Suppliers: 1. The application forms must be completed in full. 2. All the required and supporting documentations must be submitted jointly with the form. Company profiles and brochures are also welcome. 3. Failure to submit supporting and requested information will lead to your company being registered, but not available to

be used by MLM. 4. The Required Information section on page 4 is an indication of what information is required for your business to be

verified and registered without delays. 5. The Checklist for MLM Officials section on page 2 is not to be completed by Suppliers. 6. Business Registration and Business Information sections on pages 5 to 8 are pre-requisites for registration and

therefore must be completed in full. Failure to complete this section will lead to your business not being registered. 7. It is compulsory to complete Products and/or Services section on page 9 to 23. Please tick in the appropriate box. This

section will enable Mbombela Local Municipality (MLM) to grant your company an opportunity to submit quotations or tenders whenever the opportunities arise. Mbombela Local Municipality (MLM) will still invite tenders through public media. Failure to provide Products and/or Services indicated by your company will result in immediate removal from the database.

8. Trade Experience section on page 23 must be completed in full to give Mbombela Local Municipality (MLM) an understanding of whether your firm has experience of supplying the products and services your firm is applying for. Lack of experience will not necessarily lead to your firm not being verified or registered.

9. Latest audit financial statements must be supplied with the application to give Mbombela Local Municipality (MLM) an understanding of your company’s financial standing. Start-up companies without financial history will also be eligible for registration.

10. Facilities, Plant and Equipment section on page 24 & 25 must be completed in full to give the city an indication of your technical capacity.

11. Declaration by business under oath on page 34 is compulsory and must be completed in full by all suppliers. Failure to comply with the requirement will lead to your company not being registered. NB: The person making the Declaration under oath must be authorized by the company by completing page 39.

12. Mbombela Local Municipality reserves the right to validate all information supplied and any misrepresentation of facts may lead to disqualification and potentially being restricted to do business with other spheres of government and / or other organs of the state.

13. A duly completed form together with supporting documentation must be submitted to the address indicated on the front page. The form and documentation can also be faxed or emailed to the relevant details on the front page

14. For assistance on how to complete the form or any other query related to this process please contact the Supplier Verification & Registration Help Desk on (013) 759 2358.

15. Mbombela Local Municipality (MLM) will inform suppliers of the status of their application in writing / email / sms / fax.

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REQUIRED DOCUMENTS

Documents Required

Business Type Institutions Sole

Proprietor Corporations Close

Partnerships Company Public / Private

Business Trust Non Profit Organisation

1. Company Registration (Certified Copies

N/A Certificate of CK1 / CK2 incorporation

Duly Signed Partnership agreement

Certificate of Incorporation CM2C & Auditors Confirmation Letter

Deed of Trust Agreement

Certificate of Incorporation Section 21

Registrar of Close Corporation & Companies

2. Proof of Ownership

Yes Clear copy of ID

CK 1 CK 2

Partnership Agreement

Share Holder Certificate

Trustees Details Letter of Authority

Auditors Letter

3. Latest Rates and Taxes Statement or lease agreement (Municipal Account)

Supply Latest Certified Copy






Local Authority

4. Original Tax Clearance Certificate

For the owner of the business

For the company

For the partnership or partners

For the company

For the trust For the NPO / Proof of Exemption

Receiver of Revenue (SARS)

5. Proof of Registration to a Statutory Body Regulating your Industry

If applicable If applicable If applicable If applicable If applicable If applicable Industry Regulatory Authority

6. Certified Copy of ID

Clear copy of Identity Document of owner

Clear copy of Identity Document of members

Clear copy of Identity Document of partners

Clear copy of ID of Directors

Clear copy of Identity Document of trustees

Clear copy of Identity Document

7. CIDB Valid CIDB Certificate

Valid CIDB Certificate





CIDB

8. Broad-Based Black Economic Empowerment Compliance

Valid BEE Certificate






NB: If the shareholder in a Private Company (Pty) is a juristic person (Private Company, Closed Corporation, Trust) attach: 1. Juristic Shareholder CIPC document or Trust deed 2. Copies of ID of all Shareholders/Directors/Members/Trustees 3. Share Certificates of Shareholders.

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1. COMPULSORY REQUIREMENTS

BUSINESS REGISTRATION DETAILS 1.1 REGISTERED BUSINESS NAME

1.2 TRADING NAME

NB: Documentary proof must be provided as in page 3 (please mark relevant box)

1.3 TYPE OF BUSINESS ENTITY

PUBLIC COMPANY LTD

Certified of Incorporation CM2 & Auditors Confirmation Letter

PRIVATE COMPANY (PTY) LTD

Certificate of Incorporation CM2 & Auditors Confirmation Letter

CLOSE CORPORATION CC

Certificate of incorporation CK1 / CL2

SOLE PROPRIETOR

Copy of ID (Certified)

PARTNERSHIP

Duly Signed Partnership agreement

BUSINESS TRUST

Trust Deed

NON PROFIT ORGANISATION

Certified of Incorporation Section 21

1.4 COMPANY REGISTRATION NUMBER

If Sole Proprietor ID Number

Have you attached proof of registration documents?

1.5 INCOME TAX REGISTRATION Income Tax Registration Number

If qualify for Income Tax exemption, please attach an Income Tax exemption approval letter

Not applicable to all companies. Please specify if N/A Have you attached proof of your Income Tax documents? 1.6 PROOF OF P.A.Y.E. DOCUMENT Not applicable to all companies. Please specify if N/A Have you attached proof of P.A.Y.E. documents? 1.7 VAT 103 REGISTRATION NUMBER

If you qualify for VAT exemption, please attach a VAT exemption document

Not applicable to all business. Have you attached proof of your VAT 103 Registration documents?

Y N

N

Y N N/A

Y N N/A

Y N N/A

N/A

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1.8 TAX CLEARANCE CERTIFICATE Original of a valid Tax Clearance Certificate must be supplied

Have you attached proof of tax clearance? Tax Clearance Certificate Number:

Tax Clearance Certificate Expiry date:

1.9 MUNICIPAL RATES AND TAXES ACCOUNT Municipal Account Number

Attach latest statement

Name of local municipality

Have you attached latest Municipal statement? 1.10 PROOF OF REGISTRATION TO/ACCREDITATION BY A STATUTORY BODY REGULATING YOUR INDUSTRY Registration Number

Not applicable to all companies. Please specify if N/A

Have you attached proof of your registration/accreditation documents?

1.11 Do you give Settlement Discount if payment is made within 30 days?

If YES – indicate %

2. CONTACT INFORMATION

2.1 REGISTERED BUSINESS ADDRESS

CITY

PROVINCE

CODE

2.2 PHYSICAL ADDRESS (If different from 2.3)

CITY

PROVINCE

CODE

Y N N/A

Y N

N

Y N

%

Y N N/A

7

2.3 POSTAL ADDRESS

CITY

PROVINCE

CODE

2.4 TELEPHONE NUMBER (THIS IS FOR THE COMPANY)

MOBILE NUMBER

FAX NUMBER

EMAIL ADDRESS

2.5 DETAILS OF CONTACT PERSON - ACCOUNTS (NB: ATTACH A COPY OF THE ID EVEN IF ONLY AN EMPLOYEE)

TITLE

NAME

SURNAME

ID NO

DESIGNATION

TELEPHONE NUMBER

MOBILE NUMBER

FAX NUMBER

E-MAIL ADDRESS

PREFERRED METHOD OF CORRESPONDENCE

Fax E-Mail Telephone

2.6 DETAILS OF CONTACT PERSON - SALES (NB: ATTACH A COPY OF THE ID EVEN IF ONLY AN EMPLOYEE) TITLE

NAME

SURNAME

ID NO

DESIGNATION

TELEPHONE NUMBER

MOBILE NUMBER

8

FAX NUMBER

E-MAIL ADDRESS



2.7 BUSINESS WEB-PAGE ADDRESS

2.8 LIST OF SERVICE PROVIDERS PROVIDING THE FOLLOWING SERVICES:

SERVICE

BUSINESS NAME E-MAIL ADDRESS CONTACT PERSON TELEPHONE

Legal

Banking

Insurance

Accounting

3. PRODUCTS AND SERVICES

3.1 SUPPLIER CLASSIFICATION: (Please the relevant box or boxes)

Original Equipment

Manufacturer (OEM)

Manufacturer Distributor/

Supplier/Agent

Professional Service Provider

3.2 SUPPLIER CLASSES

CODE DESCRIPTION

CON CONSULTANTS

FI FINANCIAL INSTITUTIONS

GS GOODS & SERVICES

NGO NON GOVERNMENTAL ORGANIZATIONS

PROF PROFESSIONAL BODIES

SD SKILLS DEVELOPMENT

SO STATE ONED

SPON SPONSORSHIP

SUB SUBSCRIPTIONS

3.3 LIST OF PRODUCTS AND SERVICES

Please indicate the nature of operations, products or services applicable to your business by ticking the appropriate box: (ONLY 5 MAIN CATEGORIES ALLOWED)

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CODE COMMODITY √ CODE COMMODITY √ 1 AGRICULTURAL SUPPLIES 24 GARDENING EQUIPMENT AND

ACCESSORIES

10001 FERTILIZERS 240001 CUTTER,BUSH

10002 FLOWER 240002 EDGE TRIMMER AND HEDGER

10003 PLANTS 240003 IRRIGATION PIPES

10004 SOIL 240004 LAWNMOWER

2 AIR PURIFYING EQUIPMENT 240005 SLASHER,GRASS

20001 EXTRACTOR,UNIT 240006 SPRAYER

20002 FILTER UNIT,AIR PURIFY SYSTEM 240007 SPREADER,FERTILIZER

3 ALARM AND SECURITY SYSTEM 240008 SPREADER,INSECTICIDE

30001 ACCESS CONTROL SYSTEM 240009 SPRINKLER

30002 ALARM 240010 TRACTOR

30003 BELL,COUNTER 240011 TRIMMER,BUSH

30004 BELL,ELECTRICAL 240012 WHEELBARROW

30005 BUZZER 25 GENERAL HARDWARE

30006 CARD,ACCESS 250001 BASE,STAND

30007 CLOSED CIRCUIT CAMERA 250002 BATTERY,NON RECHARGEABLE

30008 SECURITY SYSTEM 250003 BATTERY,RECHARGEABLE

4 BEVERAGES 250004 BELT,DRIVE

40001 LIQUOR 250005 BRACKET

40002 SOFT DRINK 250006 BRACKET,MOUNTING

40003 STRAW 250007 BRACKET,PIPE

5 BOLTS & NUTS 250008 BUSHING

50001 BOLT 250009 CAM FOLLOWER

50002 BOLTS, NUTS & WASHER ASSORT 250010 CAP,PROTECTION

50003 BOLTS AND NUTS ASSORTMENT 250011 CARRIER,MOBILE

50004 BOLT,EYE 250012 CASTOR

50005 BOLT,T 250013 CATCH,ELBOW

50006 BOLT,TOGGLE 250014 CATCH,SPRING ACTION

50007 NUT 250015 CATCH,WINDOW

50008 RAWL BOLT 250016 CLAMP,BATTERY

6 BUILDING MATERIAL 250017 CLAMP,BLOCK

60001 AIR VENT 250018 CLAMP,CABLE

60002 BRICK 250019 CLAMP,HOSE

60003 BUCKET,CONCRETE 250020 CLAMP,PIPE

60004 BUILDING BOARD 250021 CLAMP,SPECIAL

60005 CEMENT 250022 CLIP,BELT

60006 CONCRETE,READY MIX 250023 CLIP,HOSE

60007 DOOR 250024 CLIP,SPRING TENSION

60008 DOOR SEALER STRIP 250025 CLOSER,DOOR

60009 FASTENER,WINDOW 250026 CLOTHESLINE

60010 FRAME,DOOR 250027 CONNECTING LINK,RIGID

60011 GATE 250028 CONNECTOR,ROD END

60012 GROUT 250029 COUPLING

60013 GUTTER 250030 COVER

60014 LIME,HYDRATED 250031 CUP,HOOK

60015 POLE,BUILDING 250032 CUP,SUCTION

60016 POLE,FENCE 250033 CURTAIN RUNNER

60017 ROOFING METAL 250034 DISK,LICENCE

60018 SAND 250035 DOORKNOB

60019 SHEET,ASBESTOS 250036 DOORSTOP

60020 SKIRTING 250037 DRILL BITS

60021 STONE 250038 EASY RAIL

60022 SUPPORT,CEILING PANEL 250039 EYE HOOK

60023 TAPE,JOINT,WALLBOARD 250040 EYELET

60024 TILE 250041 FASTENER,CASEMENT

60025 WINDOW 250042 GABLER

60026 LOCKS 250043 GLASS

60027 DOOR CLOSERS 250044 GRIP,HANDLE

10

60028 AUTOMATIC DOORS 250045 GUARD,RAIL

60029 ACCESS CONTROL 250046 HANDLE

60030 HIGH SECURITY LOCKS AND HOSPITALITY 250047 HANGER,PHOTO

7 CHEMICALS 250048 HARDWARE KIT

70001 ACETYLENE 250049 HARNESS,CHEST

70002 GAS,LIQUID PETROLEUM 250050 H-CLIP

70003 GRANULAR CHLORINE 250051 HINGE,DOOR

70004 HOMEGAS 250052 HOLDER,KEY

70005 HYDROCHLORIC ACID 250053 HOLDER,PARING TOOL

70006 ILLUMINATING GAS 250054 HOLDER,SPARGE

70007 INSECTICIDE 250055 HOOK AND EYE DOOR

70008 LINSEED OIL 250056 HOOK,COAT AND HAT

70009 OXYGEN 250057 HOOK,SUPPORT

70010 HERBICIDES 250058 HOUSING

70011 RESIN 250059 INSERT SCREW

70012 SILICONE 250060 KEYRING

70013 PESTISIDES 250061 KNOB

70014 MIXING AGENT 250062 LATCH

8 CLEANING EQUIP AND SUPPLIES 250063 LATCH SET

80001 ANTISTATIC&CLEAN COMPOUND 250064 LID,FILTER

80002 BAG 250065 NAILS

80003 BLADE,SQUEEGEE,RUBBER 250066 NUTS

80004 BLEACH 250067 PICS

80005 BRACE,FLOOR SWEEPING BRUSH 250068 PLATE,ESCUTCHEON

80006 BROOM 250069 PLATE,KEY

80007 BRUSH 250070 PLATE,MOUNTING

80008 BUFFING POLISH 250071 PLUNGER

80009 CLEANER,DRAIN 250072 PRESS LEAD

80010 CLEANER,GLASS 250073 PULLEY

80011 CLEANER,HAND 250074 RAIL,CURTAIN

80012 CLEANER,INDUSTRIAL 250075 RAIL,MOUNTING

80013 CLEANER,LABORATORY 250076 RAIL,SLIDING

80014 CLEANER,OVEN 250077 REEL,WIRE

80015 CLEANER,PIPE 250078 RING,RETAINING

80016 CLEANER,POT 250079 ROD

80017 CLEANER,SURFACE 250080 ROD,CONTINUOUS THREAD

80018 CLEANER,SWIMMING POOL 250081 ROLLER,DOOR

80019 CLEANER,TOILET BOWL 250082 SCREWS

80020 CLEANING MACHINE 250083 SHOVELS

80021 CLOTH,CLEANING 250084 SPADES

80022 DETERGENT 250085 STABILIZER RUBBER

80023 DISHCLOTH 250086 STAPLE,WIRE

80024 DISHWASHING MACHINE 250087 STAY,SLIDING

80025 DISINFECTANT 250088 STOP,TRACK

80026 DISPENSER,CHEMICAL 250089 STRAP

80027 DISPENSER,SOAP 250090 STRIKE,CATCH

80028 DUSTER 250091 STUD

80029 DUSTPAN 250092 TAPE DANGER

80030 FABRIC SOFTNER 250093 TAPE MEASURING

80031 FRAME,MOP,SWEEPER 250094 KNIFE CARPET

80032 HANDLE,BROOM 250095 TIP,FURNITURE LEG

80033 HANDLE,BRUSH 250096 TURNBUCKLE

80034 HANDLE,MOP 250097 WALL PLUG

80035 HEAD,MOP,SWEEPER 250098 WASHERS

80036 IRONING BOARD 250099 WHEEL

80037 LIQUID DISHWASHING 250100 WHEELBARROW

80038 LIQUID CLEANER 250101 WINDOW OPENER

80039 LIQUID SOAP 250102 DISK CUTTING

80040 MOP 250103 LOCKS VARIOUS

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80041 NET,SWIM POOL CLEANING 250104 SEALANT

80042 PAD,BUFFING 250105 BOLTS

80043 PAD,FLOOR POLISHING 250106 DISK GRINDING

80044 PAD,SCRUBBING 26 GIFTS

80045 PAPER,CLEANING 260001 CORPORATE GIFT

80046 POLISH,FLOOR 260002 PAINTINGS

80047 POLISH,FURNITURE 27 GROCERIES

80048 POLISH,METAL 270001 BISCUITS

80049 POLISH,SHOE 270002 BREAD

80050 POLISHER 270003 BUTTER

80051 POOL CLEANSER 270004 COFFEE

80052 POWDER,SCOURING 270005 CREAM

80053 RAGS 270006 FOIL

80054 REMOVER,POLISH 270007 JAM

80055 REMOVER,STAIN 270008 MARGARINE

80056 SHAMPOO,CAR 270009 MILK

80057 SHAMPOO,CARPET 270010 SERVIETTES

80058 SOAP 270011 SUGAR

80059 SPONGE,CLEANING 270012 TEA

80060 SQUEEGEE 28 HIRE

80061 STEEL WOOL 280001 PLANT & EQUIPMENT

80062 VACUUM CLEANER 280002 EARTHMOVING EQUIPMENT WEAR PARTS

80063 WASHER,CARPET 280003 SEDAN

80064 WASHING MACHINE 29 KITCHEN & FOOD APPLIANCES

9 CLOTHING 290001 BASKET

90001 APRON 290002 BLENDER,FOOD

90002 BOILER SUIT 290003 BOWLS

90003 BOOTS 290004 BUCKET

90004 CLOTHING OUTFIT 290005 CUP AND SAUCER

90005 COAT 290006 DESSERT PLATES

90006 GLOVES 290007 FORKS

90007 GUMBOOTS 290008 GLASSES

90008 HAT 290009 KETTLE

90009 JACKET 290010 KNIFES

90010 JERSEY 290011 OVEN,MICROWAVE

90011 OVERALL 290012 PLATES

90012 PANTS 290013 SIDE PLATES

90013 RAINCOAT 290014 WINE GLASSES

90014 RAINSUIT 290015 FRIDGE

90015 SHIRT 290016 STOVE

90016 SHOES 30 LABOUR SAVING DEVICES AND ACCESSORIES

90017 SOCKS 300001 ADDING MACHINE

90018 T SHIRT 300002 BINDING MACHINE

90019 UNIFORM 300003 BOOK BONDING MACHINE

90020 WETSUIT 300004 CALCULATOR

90021 SPECTACLES SAFETY 300005 CASH REGISTER

90022 VESTS 300006 COPYING MACHINE

90023 EPAULETTES 300007 FAX MACHINE

90024 MASKS 300008 FRANKING MACHINE

90025 FACE SHEILD 300009 LAMINATING MACHINE

90026 RANKS 300010 NUMBERING MACHINE

90027 FLASH SHOULDER 300011 PHOTOCOPYING MACHINE

90028 BELTS 300012 PROJECTOR,DATA

90029 HANDCUFFS,BATONS&ACCESORIES 300013 SHREDDER

90030 BADGES 31 LIBRARY SERVICES

90031 SKIRTS 310001 AUDIO TAPES

10 COMMUNICATION EQUIPMENT AND 310002 BOOK RELATED STATIONERY

12

ACCESSORIES

100001 AMPLIFIER 310003 BOOKS

100002 ANSWERING MACHINE 310004 CD’S

100003 BASE,TELEPHONE 310005 NEWSPAPERS

100004 CASE,RADIO 310006 PERIODICALS

100005 CELLULAR PHONE 310007 VIDEO’S

100006 COMMUNICATION SYSTEM 32 MEDICAL

100007 TELEPHONE, CORD & EXTENSION 320001 DENTAL – MEDICAL

100008 DECODER 320002 DENTAL – CONSUMABLES

100009 INTERCOM 320003 DENTAL – MEDICAL WASTE

100010 MEGAPHONE 320004 OPTOMETRIST – MEDICAL

100011 PUBLIC ADDRESS SET 320005 OPTOMETRIST-CONSUMABLES

100012 SOUND SYSTEM 320006 CLINIC – MEDICAL

100013 TELEFAX 320007 CLINIC – CONSUMABLES

100014 TELEPHONE SET 320008 CLINIC – MEDICAL WASTE

100015 TWO WAY RADIO 33 MEDICAL EQUIPMENT

11 COMPUTER EQUIPMENT & SOFTWARE 330001 DENTAL – MEDICAL EQUIPMENT

110001 DATA CABLE 330002 OPTOMETRIST–MEDICAL EQUIP

110002 CD CASE 330003 CLINIC – MEDICAL EQUIPMENT

110003 CD ROM COMBO 330004 DISABILITY EQUIPMENT

110004 CENTRAL PROCESSING UNIT 34 NUTRITIONAL CARE

110005 COMPACT DISC (CD) 340001 NUTRITIONAL CARE

110006 DESKTOP 35 PAINT,SEALER,ADHESIVE AND ACCESSORIES

110007 HARD DRIVE 350001 ADHESIVE (GLUE)

110008 HUB 350002 APPLICATOR

110009 KEYBOARD 350003 BRUSH,PAINT

110010 KEYBOARD AND MOUSE COMBO 350004 COATING COMPOUND

110011 MEMORY 350005 FIBRE GLASS

110012 MEMORY STICK 350006 FILLER

110013 MODEM 350007 GUM GUM

110014 PC MONITOR 350008 LACQUER

110015 MOTHERBOARD 350009 PAINT

110016 MOUSE 350010 PIGMENT PAINT

110017 NETWORK CABLE 350011 PRIMER

110018 NETWORK CARD 350012 PUTTY

110019 NETWORK CARD 350013 REMOVER

110020 PARRALLEL PORT 350014 ROLLER,PAINT

110021 PLOTTER 350015 SEALER

110022 POWER SUPPLY 350016 THINNER,PAINT

110023 PRINTER 350017 TINTING

110024 SCANNER 350018 TRAY,PAINT

110025 VGA CARD SCREEN 350019 TURPENTINE

110026 SERVER 350020 VARNISH

110027 SOFTWARE 350021 WALLPAPER

110028 AUDIO SOUND CARD 350022 WOOD FILLER

110029 SPEAKERS 36 PHOTOGRAPHIC EQUIPMENT

110030 SWITCHES 360001 CAMERA DIGITAL

110031 TAPE STREAMER 360002 CAMERA, STILL PICTURE

110032 USB CABLE 360003 CAMERA, VIDEO

110033 USB PORT 360004 CASSETTE,PHOTOGRAPHIC

110034 VIDEO CARD 360005 COMPACT FLASH MEM CARD

110035 PC WORK STATION 360006 FLASH UNIT

110036 PRINTER CARTRIDGE 360007 LENS,CAMERA

110037 MULTIMEDIA PROJECTOR 360008 PROJECTOR,MULTIMEDIA

110038 CD AND DVD WRITERS 360009 PROJECTOR,OVERHEAD

110039 NETWORK CONNECTORS 360010 SCREEN,PROJECTION

110040 UPS 37 REFRIDGERATION,AIRCONS,AIR CIRCULATION

13

110041 NETWORK CABINET 370001 AIR CONDITIONER

110042 COPIERS 370002 COLDROOM

110043 DIGITAL TWO WAY RADIOS 370003 COOL BOX

110044 ROUTERS 370004 COOLER,WATER

110045 VPN/MPLS/DIGINET 370005 FAN

110046 SAN 370006 FREEZER

110047 NAS 370007 FRIDGE

110048 IDS 370008 FRIDGE/FREEZER

110049 IPS 38 PRECAST CONCRETE

110050 TAPE DRIVE 380001 CONCRETE CULVERT BASES

110051 SERVER EQUIPMENT 380002 CONCRETE CULVERTS – RIBBED SKEW HAUNCH CLASS A, B AND C

110052 NETWORK WIRELESS EQUIPMENT 380003 CONCRETE CULVERTS CLASS A, B EN C

110053 SERVER REPAIR&MAINT SERVICES 380004 CONCRETE PAVING SLABS

110054 NETWORK REPAIRS MAINT SERV 380005 COVER SLABS

110055 ICT CONSULTING SERVICES 380006 PRECAST CONCRETE KERB INLETS

110056 WEBSITE AND INTRANET 380007 PRECAST CONCRETE TSHWANE KERB INLETS

110057 DATA COMMS SERVICES 380008 PRECAST CONCRETE MANHOLE

110058 NETWORK CABLING 380009 PRECAST CONTRETE BASES

110059 PC/LAPTOPS 380010 PRECAST CONTRETE KERBING

110060 RACKS AND CABINETS 380011 SLIPFORM KERBING

110061 UPS 380012 STORMWATER PIPES

110062 GENERATORS 380013 PRECAST CONCRETE CHANNELS

110063 SPEAKERS 380014 VALVE BOXES

110064 FLAT SCREENS 380015 CABLE MARKERS

110065 CCTV CAMERAS 380016 BOLLARDS

110066 VOIP PHONES 380017 CONCRETE PLINTHS

110067 ANALOGUE PHONES 380018 PRECAST CONCRETE PALISADE

110068 ICT POLICIES AND PROCEDURES 39 SCAFFOLDING AND LADDERS

110069 CLEAN POWER ELECT CABLING 390001 LADDER

110070 SWITCH BOARD 390002 PALLET

12 CONTAINERS AND PACKAGING SUPPLIES 390003 SCAFFOLDING

120001 BAG 390004 STEPLADDER

120002 BIN,STORAGE 40 SIGNS AND ACCESSORIES

120003 BOTTLE 400001 BADGES

120004 BOX 400002 BANNER

120005 CAN 400003 EMBLEM

120006 CLING WRAP 400004 PLATE,IDENTIFICATION

120007 CONTAINER 400005 SIGN BOARD

120008 CYLINDER 400006 SIGN,LABEL

120009 DRUM,STORAGE 400007 TAPE,CHEVRON

120010 PAPER,WRAPPING 41 SOUND RECORDING EQUIPMENT AND ACCESORIES

120011 STRING 410001 CD WRITER

120012 WRAP,BUBBLE PLASTIC 410002 MEMO SCRIBER

13 ELECTRONIC COMPONENTS 410003 MICROCASSETTE

130005 CAPACITOR 410004 PLAYER MICROCASSETTE

130023 FUSE 410005 TAPE,CASSETTE

130024 FUSEHOLDER 410006 TRANSCRIBER

130038 REGULATOR,VOLTAGE 42 STATIONERY

130039 RELAY 420001 ALPHABETICAL INDEX

130041 RESISTOR 420002 BAND,RUBBER

130052 TRANSISTOR 420003 BROWN PAPER

130054 CABLE 420004 BULLDOG GRIP

14 ELECTRICAL COMPONENTS (INCLUDING TRANSFORMERS)

420005 CARD

140001 ADAPTOR 420006 CARDBOARD

140002 BALLAST 420007 CARTRIDGE,COMBINED DRUM AND

14

TONER

140003 BASE PLATE 420008 CARTRIDGE,INK

140004 BATTERY RECHARGABLES 420009 CARTRIDGE,TONER

140005 BATTERY NON RECHARGABLES 420010 CD

140006 BOARD GALVANISED 420011 CHALK

140007 BOX DISTRIBUTION 420012 CHART

140008 BUCKLES 420013 CLAMP,BOOK BINDING

140009 JOINT CABLE 420014 CLIP

140010 CABLE TIES 420015 CLIPBOARD

140011 CAPACITOR 420016 CORRECTION FLUID

140012 CAPTYRE 420017 CORRECTION PEN

140013 CIRCUITBREAKER 420018 CORRECTION TAPE

140014 CLAMP 420019 COVER,BOOK

140015 CONDUIT PIPE 420020 DATING & NUMBER MACHINE

140016 CONNECTION STRIPS 420021 DESK PAD

140017 CONTACT CLEANER 420022 DIARY

140018 CONTACTOR 420023 DISPENSER,STATIONERY

140019 CROSSBY CLAMP 420024 DIVIDERS

140020 CURRENT TRANSFORMER (CT`S) 420025 ENVELOPE

140021 TAPE DANGER 420026 ERASER

140022 EARTH RINGS 420027 FASTENER,PAPER

140023 DRILL MACHINE 420028 FILE

140024 EARTH LEAKAGE 420029 FILE,COVER

140025 ELEMENTS 420030 FILM,IMAGING

140026 END CAPS 420031 FILM,LAMINATING

140027 ENERGY METER 420032 FINGER PAD

140028 EURO PLUG TOP 420033 FINGERPRINT

140029 EXTENTION 420034 FLIP CHART

140030 FERRULES 420035 FOLDER,PLASTIC

140031 SWITCH FLOAT 420036 GRIP,BINDER

140032 HOLDER FUSE 420037 GUILLOTINE,PAPER

140033 FUSE 420038 INDEX SHEET

140034 GLAND 420039 INDEX TAB

140035 TAPE INSULATION 420040 INK,PAD

140036 INSULATORS 420041 INK,STAMP

140037 IPC CONNECTOR 420042 LABEL

140038 ISOLATOR 420043 LAMINATOR

140039 COUPLER 420044 LEAD,PENCIL

140040 K –CLAMP 420045 LETTER OPENER

140041 TERMINALS 420046 MARKER, PEN

140042 LAMP 420047 MESSAGE PAD

140043 SWITCH LIGHT 420048 NOTE,COMPLIMENTORY

140044 LIGHTS & FITTINGS 420049 ORGANISER,DESK

140045 LINE TAP 420050 PAD,WRITING

140046 TESTING EQUIPMENT 420051 PAPER CLIP

140047 LUGS 420052 PAPER,CARBON

140048 MACHINE SCREWS 420053 PAPER,COMPUTER

140049 TAPE MASKING 420054 PAPER,COPYING

140050 MULTIPLUG 420055 PEN

140051 MUTTON CLOTH 420056 PENCIL

140052 NAILS 420057 PIN,PAPER

140053 CABLE NORSK 420058 PUNCH,PAPER

140054 OIL TRANSFORMER 420059 REMOVER,STAPLE

140055 HINGE PERANO 420060 RULER

140056 OVERLOADS 420061 SCALE,DRAFTING

140057 LEVER HOISTS 420062 SCISSORS

140058 PG CLAMPS 420063 SHARPENER,PENCIL

140059 PHOTOCELL 420064 STAMP,RUBBER

140060 PLIERS 420065 STAPLER

15

140061 PLUG 420066 STAPLES

140062 WIRE HOUSE 420067 THINNER CORRECTION FLUID

140063 RACHET 420068 THUMBTACK

140064 RAWL BOLTS 420069 WRAP,GIFT

140065 REDUCERS 420070 ADHESIVE NOTES

140066 RIPCORD 420071 BINDERS

140067 SADDLES 420072 BOARD

140068 BOX SLIDER LID 420073 BOOK

140069 SCREWS 420074 LACE

140070 SELFTAPERS 43 STEEL: BAR, WIRE, MESH

140071 SHROUD 430001 ANGLE IRON

140072 SILICONE 430002 BAR,METAL,FLAT

140073 SOLDERING IRON 430003 BAR,METAL,ROUND

140074 DOL STARTERS 430004 BARBED WIRE

140075 SWITCH DISCONNECT 430005 LOCKING WIRE

140076 STAY ROD 430006 PLATE,METAL

140077 STRAPPING 430007 SHAFT,STRAIGHT

140078 TRANSFORMER 430008 SHEET, CORRUGATED

140079 SLEEVES 430009 SHEET, IBR

140080 THERMOSTAT 430010 SHEET,METAL

140081 TIMER 430011 SQUARE TUBING

140082 TRUNKING 430012 WELDED MESH

140083 PANEL KEY 430013 WIRE,BINDING

140084 EARTH SPIKE 430014 WIRE,FENCE

140085 WELDING 430015 WIRE,MESH

140086 CABLE 430016 WIRE,METAL

140087 WRENCHES 430017 WIRE,RAZOR

140088 IGNITERS 44 TAR PRODUCTS

140089 CONNECTOR 440001 BITUMEN

140090 LOCK LEVER 45 TOILETRIES

140091 SWITCH ISOLATOR 450001 AIR FRESHENER

140092 TERMINATION 450002 LOTION,HAND

140093 CONDUCTOR 450003 PAPER,TOILET

140094 GENERATOR 450004 TISSUES

140095 POLE TRANSFOMERS 450005 TOWEL,PAPER

140096 SUBMERSIBLE PUMP 450005 TOWEL,PAPER

15 ELECTRIC INSULATION & WIRES & BRUSHES (INCL.CABLE)

46 TOOLS, HAND AND MACHINE (ALL)

150001 CABLE TIE 460001 ALLEN KEY

150002 CABLE,ELECTRICAL 460002 ANGLE GRINDER

150003 CLIP,CABLE 460003 AXE

150004 GLAND,CABLE 460004 BOWSAW

150005 HEATSHRINK 460005 BRUSH,WIRE

150006 JUMPER,CABLE,BATTERY 460006 CALIPER

150007 LEAD,ELECTRIC 460007 CHAINSAW

150008 TAPE,INSULATION 460008 CHALK LINE

150009 WIRE,ELECTRICAL 460009 CHISEL

150010 LIGHTING ARRESTOR 460010 CHISEL SET,WOOD

16 ELECTRICAL SWITCHGEAR 460011 CLAMP

160001 ELECTRICAL SWITCHGEAR 460012 CRIMPING TOOL

17 MINI SUBSTATION 460013 CROWBAR

170001 MINI SUB STATION 460014 CUTTER,BOLT

18 FIBRE OPTIC 460015 CUTTER,PIPE

180001 CABLE,FIBRE OPTIC 460016 CUTTER,TUBE

180002 ENDOSCOPIC INSTRUMENT 460017 DRILL

180003 FIBRE,OPTIC LIGHT 460018 FORK,GARDEN

180004 HANDLE,LARYNGOSCOPE 460019 FRAME,HACKSAW

180005 ILLUMINATOR 460020 GLUE GUN

180006 LIGHT CARRIER 460021 GRINDER

16

180007 LIGHT,ENDOSCOPIC INSTRUMENT 460022 HACKSAW

19 FILTER 460023 HAMMER

190001 FILTER,ACID 460024 HEAT GUN

190002 FILTER,AIR 460025 JIGSAW

190003 FILTER,BACTERIA 460026 LEVEL,SPIRIT

190004 FILTER,FUEL 460027 PICK

190005 FILTER,PAPER 460028 PLIERS

190006 FILTER,WATER 460029 POP RIVETER

20 FIRE,RESCUE & SAFETY EQUIP 460030 RAKE

200001 COMMUNICATIONS (RADIOS) 460031 SAW

200002 FIRE EQUIPMENT CONSUMABLES 460032 SAW,CIRCULAR

200003 FIRE EXTINGUISHERS 460033 SCREWDRIVER SET

200004 FIRE FIGHTING EQUIPMENT (SUPPLY AND MAINTENANCE)

460034 SHEARS

200005 FIRE TRAILERS (SUPPLY & MAINT) 460035 SHIFTING SPANNER

200006 FOAM 460036 SHOVEL

200007 HAZMAT EQUIP (SUPPLY & MAINT) 460037 SICKLE

200008 HYDRAULIC EQUIPMENT 460038 SILICONE GUN

200009 PROTECTIVE CLOTHING 460039 SOCKET SET

200010 RESCUE EQUIP (SUPPLY & MAINT) 460040 SOLDERING IRON

200011 SERVICING- FIRE EXTINGUISHERS 460041 SPADE

200012 SPECIALIZED FIRE FIGHTING EQUIP (SUPPLY & MAINT)

460042 TAPE,MEASURING

200013 BELT,SAFETY 460043 TOOL BOX

200014 BLANKET,SAFETY 460044 TOOL KIT

200015 EAR MUFFS 460045 TORCH,WELDING

200016 EAR PLUGS 460046 TROWEL

200017 EXTINGUISHER,FIRE 460047 VISE GRIP

200018 FACE SHIELD 460048 WEEDEATER

200019 FIRE GEAR 460049 WELDING MACHINE

200020 FIRE HOSE 460050 SPANNERS

200021 FOAM 460051 SPANNER COMBINATION

200022 GOGGLES,SAFETY 460052 FILE AND RASPS

200023 HARNESS,SAFETY 460053 TORCHES

200024 HELMET,SAFETY 460054 DIES

200025 LIGHTNING EQUIPMENT 460055 BREAKER

200026 MASK,DUST 460056 RAMMER

200027 REEL,FIRE HOSE 460057 ROLLER

200028 RESQUE EQUIPMENT 460058 TRAILER FOR ROLLER

200029 RESQUE GEAR

200030 SMALL GEAR 47 TRAFFIC

200031 VISOR 470001 CLOTHING

21 FIREARMS, AMMUNITION AND ACCESSORIES

470002 COMMUNICATION DEVICES

210001 AMMUNITION 470003 ROAD MARKINGS

210002 CLEANING KIT 470004 ROAD SIGNS

210003 HANDCUFFS 470005 TRAFFIC CONES

210004 MAGAZINE 470006 TRAFFIC CONTROL CAMERAS, FILMS AND GEAR

210005 FIREARMS 470007 TRAFFIC EMERGENCY LIGHTS AND SIRENS (SUPPLY &MAINT)

210006 SWAB,CLEANING,COTTON 470008 POLES, STREET LIGHT

210007 REPAIR ON FIREARMS 48 PUMPS & VALVES

210008 SHOOTING RANGE FACILITY 480001 PARTS KIT,SOLENOID VALVE

22 FUEL AND LUBRICANTS 480002 REGULATOR,GAS

220001 COAL 480003 VALVE ASSEMBLY

220002 DIESEL 480004 VALVE BOXES

220003 GREASE 480005 VALVE, GATE, AGRI. TYPE

220004 HYDRAULIC FLUID 480006 VALVE,BALL

17

220005 LUBRICATING OIL 480007 VALVE,BUTTERFLY

220006 METHYLATED SPIRITS 480008 VALVE,CHECK

220007 PARAFFIN 480009 VALVE,CLINICAL CHEMISTRY

220008 PENETRATING OIL 480010 VALVE,CONTROL

220009 PETROL 480011 VALVE,DIAPHRAGM

220010 SILICONE SPRAY 480012 VALVE,EXPANSION

23 FURNITURE 480013 VALVE,FLOAT

230001 ARMREST,CHAIR 480014 VALVE,FLOW CONTROL

230002 ASHTRAY 480015 VALVE,FLUSH

230003 BASKET,WASTEPAPER 480016 VALVE,GATE

230004 BENCH 480017 VALVE,GLOBE

230005 BIN,REFUSE 480018 VALVE,MASTERFLO

230006 BIN,WASTE 480019 VALVE,NONRETURN

230007 BLACKBOARD 480020 VALVE,REGULATING

230008 BOARD,NOTICE 480021 VALVE,RELIEF

230009 BOOKCASE 480022 VALVE,SAFETY

230010 BOX,CASH 480023 VALVE,SOLENOID

230011 BOX,SUGGESTION 480024 VALVE,STOP

230012 BULLETIN BOARD 480025 VALVE,VACUUM

230013 CABINET 480026 VALVES FLANGED

230014 CARPET 480027 VALVES PLAIN END

230015 CASKET,BURIAL 480028 VALVES PLAIN END SOCKETED

230016 CHAIR 480029 PUMP,ELECTRICAL

230017 CHALKBOARD 480030 PUMP,MECHANICAL

230018 COUCH 49 WASTE DISPOSAL

230019 COUNTER,CASH REGISTER 490001 PIPES

230020 COUNTER,RECEPTION 490002 MERCURY WASTE

230021 CREDENZA 490003 BINS

230022 CUPBOARD 490004 LOADER

230023 DESK 490005 STEEL REFUSE CONTAINER

230024 DRAWING BOARD 50 WATER AND SEWER

230025 EASEL,DISPLAY 500001 STAINLESS STEEL REPAIR COUP

230026 GARDEN FURNITURE 500002 VJ COUPLINGS

230027 HEADREST,MORTUARY 500003 SADDLES

230028 LOCKER 500004 CI EQUIL TEE

230029 MAT,FLOOR 500005 CI UN EQUIL TEE

230030 MATTRESS 500006 PVC PIPE CLASS 16 – BUSH

230031 MIRROR 500007 PVC PIPE CLASS 16 – COUP

230032 PARTITION 51 WATER PURIFICATION

230033 PEDESTAL 510001 WATER PURIFY CONSUMABLE

230034 PLATFORM 510002 WATER PURIFY SOLUTION

230035 PODIUM 52 AGRICULTURAL SUPPORT SERV

230036 RACK 520001 AGRIC&OTHER LAND BUSINESS PLAN SERV(INCL. COMPILE OF BUSINESS PLANS SERV)

230037 RUG 520002 AGRIC CONSULT SERVICE

230038 SAFE 520003 AGRIC ECONOMIST / AGRIC ECONOMIC SUPPORT SERVICES (INCL. RESEARCH)

230039 SCREEN,FOLDING 520004 AGRIC,LAND & FARM MANAGE SERVICES(PLANNING, DEVELOP & SUPPORT)– ON-SITE/OFF-SITE

230040 SHELF UNIT,OFFICE 520005 AGRICULTURAL BUSINESS PLANNING SERVICES

230041 SHELF,BOOKCASE 520006 AGRIC ENGINEERING SERVICES

230042 SHELF,BOX STORAGE 520007 COMMERCIAL FARM MANAGE MENTORING SERVICES

230043 SHELVING,STORAGE 53 CLEANING SERVICES

230044 STAND 530001 CARPET & UPHOLSTERY CLEAN SERVICES

18

230045 STOOL 530002 CLEANING OF BUILDINGS (EXTERIOR) SERVICES

230046 STRETCHER 530003 CLEANING OF BUILDINGS (INTERIOR, EXCL. DEEP CLEANING) SERVICES

230047 TABLE, WITH CHAIRS 530004 DRY CLEANING SERVICES

230048 TABLE 530005 LAUNDRY SERVICES

230049 TRAY,DESK 530006 WASHING OF WALLS

230050 TRAY,DRAWER 530007 WASHING OF WINDOWS (EXTERIOR)

230051 TRAY,PAPER 530008 WASHING OF WINDOWS (INTERIOR)

230052 TROLLEY 530009 MERCURY WASTE REMOVAL

230053 WALL UNIT 54 COMMUNICATION & INFORMATION MANAGEMENT SUPPORT SERVICES

230054 WHITEBOARD 540001 ADVERTISING

230055 WORK STATION,OFFICE 540002 BROADCASTING

230056 BED 540003 FRANKING AND POSTAGE SERVICES

230057 SIDEBOARD 540004 MATERIALS DESIGN & DEVELOP SERVICES (MULTIMEDIA)

230058 STORAGE, BULK FILER 540005 MATERIALS DESIGN & DEVELOP SERVICES - PRINTING

55 FINANCIAL SERVICES 540006 MEDIATING SERVICES

550001 BUSINESS & FINANCIAL ADVISORY 540007 PUBLISHING SERVICES

550002 CHARTERED ACCOUNTANTS / AUDITING SERVICES

540008 SUBSCRIPTION SERVICES

550003 FINANCE SYSTEMS DESIGN SERV 540009 TRANSL & INTERPRETER SERV

550004 INSURANCE BROKERS 57 HR MANAGE SUPPORT & SERV

550005 METER READING SERVICES 570001 AFFIRMATIVE ACTION SPECIALIST SERVICES

550006 DISCONNECTION & RECONNECTION SERVICES

570002 CHANGE MANAGEMENT SPECIALIST SERVICES

550007 LONG TERM LOAN 570003 DISCIPLINE & GRIEVANCES SPECIALIST SERVICES

550008 CASH MANAGEMENT 570004 DISPUTE RESOLUTION SPECIALIST SERVICES

550009 BANKING SERVICES 570005 EMPLOYMENT EQUITY SPECIALIST SERVICES

56 GENERAL SERVICES 570006 GENDER EQUITY SPECIAL SERV

560001 AUCTIONEERING SERVICES 570007 HRM & HRD FACILITATING SERV

560002 CODIFICATION / CATALOGUING SERVICES 570008 HR PLANNING & ASSESSMENT SUPPORT & SERVICES

560003 FRAMING SERVICES 570009 ORGANISATION DEVELOP SERV

560004 MARKETING SERVICE 570010 PERSONNEL PLACE AGENCIES & STAFFING SPECIALISTS SERV

560005 INSP & TESTING SERV (SABS STUDIES, CSIR STUDIES, WATER ANAL, ETC.)

570011 PPMS DESIGNING SERVICES

560006 LANDSCAPING SPECIALISTS & GARDENING SERVICES

570012 SKILLS DEVELOPMENT EXPERT SERVICES

560007 URBAN DESIGNING SERVICES 570013 TEAM BUILDING FACILITATING SERVICES

560008 PLAN DRAFTING SERVICES 570014 TRAINING COURSE DESIGN AND DEVELOPMENT SPECIALIST SERVICES

560009 SCIENTIFIC CONSULTANTS: CARTOGRAPHIC SPECIALIST SERV

570015 WORK STUDY EXPERT SERVICES

560010 SCIENTIFIC CONSULTANTS: GEODETIC SPECIALIST SERVICES

58 INFORMATION TECHNOLOGY SERVICES

560011 SCIENTIFIC CONSULT: PHOTO GEOMETRIC SPECIALIST SERVICE

580001 CENTENNIAL SYSTEMS INTEGRATING SERVICES

560012 STORAGE / RECORDS MANAGEMENT SERVICES

580002 DATA CAPTURING SERVICES

560013 STRAT MANAGEMENT FACILITATION SERV (CONSULTANTS)

580003 G.I.S. (OPERATORS, SYSTEM & DATABASE DESIGN, DEVELOP &

19

MAINTENANCE)

560014 VETE RINARIAN SERVICES 580004 INFORMATION TECHNOLOGY EQUIPMENT(HARDWARE) MAINT & REPAIR SERVICES

560015 PEST CONTROL SERVICES 580005 INFORMATION TECHNOLOGY LICENSING FEES & SERVICES

560016 FENCING & PAVING 580006 INFORMATION TECHNOLOGY RENTAL EQUIPMENT

560017 BUILDING CONSTRUCTION 580007 INFORMATION TECHNOLOGY SOFTWARE MAINTENANCE, UPGRADE & REPAIR SERVICES

560018 TREE FELLING 580008 NETWORK CONTROLLERS / DESIGNERS & AUDITORS

560019 GRASS CUTTING 580009 PROGRAMMERS

560020 LANDFILL SITE MANAGEMENT& REFUSE COLLECTION SERVICES

59 INSTALLATIONS, MAINTENANCE & REPAIR SERVICES

560021 ELECTRICAL INSTALLATION & MAINTENANCE SERVICES

590001 AIR CONDITIONER INSTALL, MAINT & REPAIR SERVICES

560022 SCIENTIFIC CONSULT: GEOLOGICAL SPECIALIST SERVICES

590002 BUILDING (EXTERIOR) PAINTING MAINTENANCE & SERVICES

560023 REMOVAL OF ERECTED ADVERS SIGNS AND BILL BOARDS

590003 BUILDING (INTERIOR) PAINTING MAINTENANCE & SERVICES

560024 PREVENTION OF INVASION SERVICES 590004 CARPENTRY & JOINERY INSTALL, MAINT & REPAIR SERVICES

560025 WASTE MANAGEMENT 590005 ELECTRICAL INSTALL, MAINT & REPAIR SERVICES

560026 FRANKING SERVICES 590006 ELECTRONIC & LABOUR SAVING DEVICE (EXCL. COMPUTERS & IT RELATED ITEMS) INSTALL, MAINT & REPAIR SERVICES

560027 MAILROOM EQUIPMENT 590007 GLASS INSTALL, MAINTENANCE & REPAIR SERVICES

560028 MODELLING 590008 LOCKSMITH INSTALL, MAINT & REPAIR SERVICES

560029 REPAIRS AND MAINT TO PLANT & EQUIPMENT (INCLUDING LAWNMOWERS, ETC)

590009 MACHINERY (EXCL OFFICE EQUIPMENT) INSTALL, MAINT & REPAIR SERVICES

560030 WATER TREATMENT WORKS 590010 PLUMBING & DRAIN INSTALLATIONS, MAINTENANCE & REPAIR SERVICES

60 INTERIOR DECORATING AND HOUSEHOLD SERVICES

590011 WELDING INSTALL, MAINT & REPAIR SERVICES

600001 FLOOR WARE (TILES AND LAMINATED FLOORS)

590012 ROADS & STORMWATER CONSTRUCT, MAINT & REPAIR

600002

GENERAL INTERIOR DECORATING SERVICES - FURNITURE DESIGN AND MANUFACTURING

590013 SEWER RETICULATION NETWORKS

600003 LAUNDRY AND UPHOLSTERY SERVICES 590014 ALTERATIONS TO BUILDINGS RENOVATIONS TO ADMINISTRATION BUILDING

600004 WALL WARE SERVICES 590015 ALTERATIONS TO BUILDINGS RENOVATIONS TO VAAL MARINA BUILDING

600005 WINDOW WARE SERVICES 590016 ALTERATIONS TO BUILDINGS RENOVATIONS AND REFURBISHMENT OF TAXI RANK

600006 BLINDS 590017 ALTERATIONS TO BUILDINGS RENOVATIONS AND REFURBISHMENT OF BUS STOP

600007 INSTALLATION OF CARPETS 590018 ALTERATIONS TO BUILDINGS RENOVATIONS TO VAAL MARINA

20

ADMINISTRATION BUILDING

61 LAND DEVELOPMENT PLANNING SERVICES 590019 WATER AND SEWER PIPELINES

610001 ENVIRONMENTAL IMPACT ASSESSMENT / ENVIRONMENTAL SCOPING SERVICES

590022 COUNCIL ROOFS

610002 GEO-TECHNICAL SERVICES 590023 LIBRARY & TOWN HALL

610003 LAND DEVELOPMENT - ENGINEERING SUPPORT SERVICES

590027 EARLY LEARNING CENTRE

610004 LAND & RURAL DEVELOPMENT & PLAN COORDINATING SERVICES

590032 INSTALLATIONS, MAINTENANCE & MOVING OF RADIO AND IT EQUIPMENT

610005 LAND PARTICIPATORY SITUATION ANALYSIS SERVICES

590033 MAINT&REPAIR, UNDERWATER

610006 LAND SURVEYOR SERVICES 590034 COSTS FOR REFURBISHMENT OF M/33 SWITCHING STATION BUILDING

610007 LAND USE PLAN & INVEST SERV 590035 COST FOR CONSTRUCT OF RIVERSDAL SWITCH STATION

610008 NATURAL & LAND RESOURCE MANAGEMENT EXPERT / ASSESSOR (INCL. FEASIBILITY STUDIES) SERVICES

590036 COSTS FOR RISSIEVILLE LV NETWORK UPGRADE

610009 PROPERTY LEASE MANAGEMEN SERVICES 590037 COSTS FOR SUPPLY & DELIVER OF WATER AND SEWER PIPELINES

610010 SERVICES WITH REGARDS TO STATE LAND ISSUES

590038 INSTALLATION OF PALLISADES AND GATE

610011 STATE LAND AUDIT SERVICES 590044 TRUCKSTOP&ABLUTIONBLOK

610012 TOWN, REGIONAL & INTEGRATED RURAL DEVELOP PLANNING SERVICES (INCL. TOWNSHIP ESTABLISHMENT)

590045 SUPPLY AND INSTALLATION OF LIFT

610013 ARCHITECTURAL SERVICES 590046 HYDRAULIC REPAIRS&SERVICES

610014 QUANTITY SURVEYOR SERVICES 590048 REPAIRING OF POLES

610015 GENERAL PROJECT MANAGEMENT SERVICES

590049 INSTALLATION OF SLABS

610016 ALIENATION 590050 REMOVAL OF PRECAST WALL

62 LAND REFORM, RESTITUTION, REDISTRIBUTION & LAND TENURE PROGRAMME SERVICES

590051 INSTALLATION OF INSTRUMENTATION,GPRS COMMS AND SCADA SYSTEM

620001 DIAGNOSTIC EVALUATION STUDIES & SERVICES

590052 MAINTENANCE REPAIR OF PUMPS AND MOTORS

620002 LAND REFORM PROGRAMME MANAGEMENT MONITORING & EVALUATION SERVICES

68 SIGNAGE & ENGRAVING SERVICES

620003 LAND REFORM PROGR ORIENTATION, FACILITATION, COMMUNITY SURVEY & SCOPING SERV

680001 GLASS & PORCELAIN ENGRAVING SERVICES

620004 LAND REFORM, REST, REDISTBTN & LAND TENURE RESEARC, ADVISORS, ANALYSTS & NEEDS ASSESSORS

680002 LINEN MARKING SERVICES

620005 MEDIATION & CONFLICT RESOLUTION SERV - LAND REFORM, RESTITUTION & REDISTRIBUTION (INCL BENEFICIARY VERIFICATION, LAND RIGHTS ENQU)

680003 METAL ENGRAVING SERVICES

620006 SOCIAL SCIENCE PRACTITIONERS 680004 PLASTIC ENGRAVING SERVICES

63 LEGAL SERVICES 680005 SIGN BOARDS & POSTER MANUFACTURING & MAINTENANCE SERVICES

630001 ACT (ACT 111 & ACT 119) COMMISSIONERS & SPECIALIST SERVICES

69 TELECOMMUNICATION SERVICES

630002 CONVEYANCE & NOTARY SERV 690001 CELL-PHONE SYSTEM SERVICES

630003 LABOUR LAW SPECIALIST SERVICES 690002 LAND-LINE SYSTEM SERVICES

630004 LAND DEVELOPMENT & PLAN - LAW SPECIALIST SERV

690003 TELECOMM INSTALLATIONS, MAINTENANCE & REPAIR

630005 LAND LEGAL SPECIALIST (LEGAL 70 TRAINING OF STAFF & COMMUNITY

21

REPRESENTATION - INSECURE TENURE PEOPLE) SERV

TRAINING SERVICES

630006 LEGAL DRAFTERS AND ADVISORY SERVICES 700001 ADULT BASED, ECONOMIC LITERACY TRAINING

630007 LEGAL ENTITY ESTABLISHMENT SERVICES 700002 AGRICULTURAL,FARM BUSINESS & NATURAL RESOURCE SUPPORT & TRAIN SERV

630008 PARALEGAL SPECIALIST SERVICES 700003

HR MANAGEMENT (E.G. BEHAVIOUR SKILLS) TRAINING

64 LOGISTICAL SERVICES 700004 INFORM TECHNOLOGY (HARDWARE & SOFTWARE) TRAINING SUPPORT & COURSES

640001 ACCOMMODATION FACILITIES (INCLUDING B&B FACILITIES) & SERVICES

700005 JOB RELATED TRAINING SUPPORT & COURSES

640002 ATTENDANCE FEES FOR MEETINGS / SEMINARS / WORKSHOPS / CONFERENCES

700006 LAND REFORM, RESTITUTION & DEVELOPMENT (MAP AWARE, LAND REGISTRATION,) TRAINING

640003 CATERING SERVICES 700007 PROJECT MANAG TRAINING

640004 ENTERTAINMENT 700008 PUBLIC ADMINISTRATION AND / OR PUBLIC FINANCE TRAINING

640005 EXHIBITION FACILITIES / CENTRES & EXHIBITION SUPPORT SERVICES

700009 TECHNICAL TRAINING SUPPORT & COURSES

640006 FUNCTION & EVENT HIRE, MANAGEMENT (MARQUEES, PORTABLE TOILETS, TABLES, CHAIRS, ETC.) SERS

700010 TRAINING IMPACT ASSESSMENT SERVICES

640007 OFFICE PLANTS - MAINTENANCE & MANAGEMENT SERVICES

700011 TRAINING MONITORING & EVALUATION EXPERT SERVICES

640008 TRAVEL AGENT SERV (RESERVE, BOOKINGS, ETC.)

700012 TRAINING NEEDS ASSESSMENT / SKILLS AUDITING SERVICES

640009 VENUES / FACILITIES AND/OR PACKAGES FOR MEETINGS / SEMINARS / WORKSHOPS / CONFERENCES

700013 TRAINING OF TRAINER SERV

65 REPROGRAPHIC SERVICES 700014 TRAINING PROGRAMME MANAGE SPECIALIST SERV

650001 DVD-ING SERVICES:- DEVELOPING, COPYING, EDITING, ETC.

700015 UNIVERSITY-BASED TRAINING SUPPORT & COURSES

650002 PHOTOGRAPHIC SERVICES:- DEVELOP, ENLARGEMENTS, ETC.

700016 AUDIO VISUAL PRODUCTION SERVICES

650003 PRINTING & COPYING SERVICES 72 VALUATION SERVICES

650004 VIDEO-ING SERV-DEVELOP, COPY, EDIT, ETC.

720001 PROPERTY ASSESSORS

650005 GRAPHIC DESIGNS 720002 PROPERTY VALUERS: AGRICULTURAL & RURAL PROPERTY VALUING SERVICES

66 SOCIAL SERVICES 720003 PROPERTY VALUERS: ARBITRATORY SERVICES

660001 PAUPER BURIALS 720004 PROPERTY VALUERS: INDUSTRIAL / DEVELOPMENT PROPERTY VALUING SERVICES

660002 MEDICAL SERVICES 720005 PROPERTY VALUERS: RESIDENTIAL / MUNICIPAL / URBAN PROPERTY VALUING SERVICES

660003 MEDICAL / HAZARDOUS WASTE REMOVAL 73 VEHICLE MAINTENANCE & SERVICES

660004 FUNERAL & UNDERTAKING SERVICES 730001 ADDITIONAL EXTERIOR INSTALLATIONS TO VEHICLES SERVICES

660005 TOILETS AND TENT HIRE FOR FUNERAL SERVICES

730002 ADDITIONAL INTERIOR INSTALLATIONS TO VEHICLES SERVICES

67 SHE: SAFETY (SECURITY), HEALTH & ENVIRONMENT SERVICES

730003 AUTO ELECTRICAL SERVICES

670001 FUMIGATING & HYGIENE SERVICES 730004 VEHICLE CLEAN & VALET SERV

670002 GENERAL SECURITY SERVICES 730005 VEHICLE ENGINE SERVICES / REPAIRS

22

670003 HEALTH & MEDICAL SERVICES 730006 TRANSMISSION SERVICES / REPAIRS

670004 SAFETY: FIRE CONTROL EQUIPMENT SERVICES

730007 DIFFERENTIAL SERVICES/REPAIR

670005 SECURITY SURVEILLANCE & ALARM SERVICES

730008 HYDRAULIC SERVICES / REPAIRS

670006 SUPERVISION SERVICES 730009 VEHICLE EXTERIOR SERVICES

670007 WASTE DISPOSAL SERVICES 730010 VEHICLE GLASS SERVICES

670008 ENVIRONMENTAL WASTE RECYCLING 730011 VEHICLE INTERIOR SERVICES

71 TRANSPORT, RE-LOCATION & FREIGHT SERVICES

730012 VEHICLE TYRE SERV (FITTING, BALANCING, WHEEL ALIGNMENT, TYRE REPAIR SERV, ETC)

710001 AIR FREIGHT SERVICES 730013 VEHICLE TRACKING SERVICES

710002 BUS & PUBLIC TRANSPORT SERVICES 730014 PANELBEATING SERVICES

710003 GENERAL ROAD TRANSPORT & DELIVERY SERVICES

75 MOTORISED PLANT SPARES

710004 OFFICE FURNITURE & HOUSEHOLD REMOVAL / RE-LOCATION SERVICES

750001 VEHICLE TYRES

710005 POSTAL & COURIER SERVICE 750002 VEHICLE BATTERY

710006 RAILWAY TRANSPORT SERVICES 750003 TUBE TYRE INNER

710007 SEA FREIGHT SERVICES 750004 SPARK PLUG

710008 TRANSPORT & REMOVAL OF HAZARDOUS SUBSTANCES

750005 TYRE FLAPS

710008 TRANSPORT & REMOVAL OF HAZARDOUS SUBSTANCES

750006 TURE RIMS

710009 TRANSPORT OF MONEY SERV 750007 GEAR CABLE

710010 CAR LEASING 77 SANITARY WARE

74 PROFESSIONAL SERVICES (INCLUDING CONSULTANTS)

770001 BATHS

740002 CIVIL WORKS 770002 TAPS

740003 ROAD TRAFFICING WORKS 770003 TOILETS

740004 MAINTENANCE & CONSTRUCTION 770004 BASINS

740005 ATTORNEY AND LEGAL SERVICES 770005 SHOWERS

740006 FORENSICS SERVICE 770006 GEYSERS

740007 INVESTIGATION 79 MOBLE CONTAINER HOME AND OFFICES

740008 LABOUR BROKER 790001 CONTAINER HOMES

740009 IT CONSULTING 790002 CONTAINER OFFICES

740010 INSURANCE BROKERS 80 WELDING RELATED EQUIP

76 MOTORISED VEHICLES 800001 WELDING RODS

760001 SEDAN 800002 WELDING CYLINDERS AND GAS

760002 HATCHBACK 800003 WELDING SUNDRIES

760003 LDV (BAKKIE) 82 PUBLISHERS & SUPPLIERS OF BOOKS

760004 TRUCK 820001 PUBLISHERS AND SUPPLIERS OF EDUCATIONAL AND TRADE TEXT BOOKS

760005 TRACTOR 820002 PUBLISHERS AND SUPPLIERS OF LAW BOOKS AND ACTS

760006 CONSTRUCTION EQUIPMENT 83 CATERING

760007 TRAILER 830001 FUNCTIONS (COCKTAILS, BUFFETS, PLATTERS)

78 RAIN WATER GOODS 830002 TAKEAWAYS

780001 DOWN PIPES 830003 BREAKFAST, LUNCH & SUPPER

780002 OFFSETS 830004 FOOD

780003 FITTINGS

780004 OUTLETS 84 LABORATORY & ENVIRONMENT EQUIP

780005 BRACKETS 840001 ELECTRONIC TEST & MEASUREMENT INSTRUMENTS

780006 STOPENDS 840002 LABORATORY EQUIPMENT

780007 SHOES 840003 ENVIRONMENTAL EQUIPMENT

780008 GUTTER ANGLES

23

4. TRADE EXPERIENCE

4.1 Do you have any previous contract work or tendering experience? If yes, please complete the fields below. List the last contracts awarded to you (the tendering business) or previous experience with other business related to this type of work supply.

A. TENDERS

1. Name 3 tender references / referees of previous projects and provide their name(s) and telephone numbers.

Business Name Contact Number Contact Person Number of years

E-mail Address Value of Business (Rands)

B. COMMERCIAL

1. Name 3 commercial references / referees of previous projects and provide their name(s) and telephone numbers.

Business Name Contact Number Contact Person Number of years

E-mail Address Value of Business (Rands)

780009 DOWNPIPE SPREADER 85 FLEET MANAGEMENT

780010 HOLDER BAT 850001 FLEET MANAGEMENT SERVICES

780011 ACCESSORIES 850002 RENTAL OF VEHICLES

81 ENGINEERING SERVICES 850003 VEHICLE TRACK & MONITOR SERVICES

810001 CIVIL ENGINEERING WORKS

810002 ELECTRICAL ENGINEERING WORKS

810003 MECHANICAL ENGINEER WORKS

810004 CHEMICAL ENGINEERING WORKS

810005 ROAD TRAFFICING ENGINEERING

810006 ROAD MAINT & REHABILITATION

810007 GENERAL BUILDING

810008 WATER SEVICES

Y N

24

5. LEGAL INFORMATION

5.1 Are there any pending Legal proceedings against the Business?

If yes, provide full details:

5.2 Are there any previous judgements against the Business?


5.3 Have any of the Owners / Directors / Members ever been declared insolvent?


6. QUALITY, SAFETY AND ENVIRONMENT

A. TECHNICAL

1 Is your business a permit holder under the SABS marks scheme or ISO? If “Yes”, indicate products for which permits are held, including permit numbers.

Product Name

Permit Number

Product Name

Permit Number

Product Name

Permit Number

B. ENVIRONMENTAL 1. Do you have an Environmental Policy in place? 2. Does your facility routinely work with any hazardous substances?

C. FACILITIES, PLANTS AND EQUIPMENT

1. Please give a summary of your plant and / or facilities:

Y N

Y N

Y N

Y N

Y N

Y N

25

(Photos are welcome)

2. Describe all property agreements relating to facilities used by the firm and the nature of the agreement indicating whether facilities are owned or leased by the firm:

Facility Owned / Rented Rental Amount/Month Owner Agreement Type

3. Number of Employees

Full Time

Part Time

Has your Business undergone a Formal Broad Based Black Economic Empowerment (BBBEE) Verification?

(Tick/Select Applicable Box)

Yes No

If answered “Yes”, State Name of Verification Agency:

Level 1

Level 2

Level 3

Level 4

Level 5

Level 6

Level 7

Level 8

Non Compliant

BBBEE Certificate Expiry Date

7.TRADE NAMES

(Maximum of 8 will be registered)

Trade names

(Example: iQual) Description

(Example: Sole supplier of iQual Database Software)

8.BBBEE/BEE STATUS

(Tick/Select Applicable Box)

Select Your Business BEE Component/Ownership: Black Owned %

Black Women Owned %

Black Disabled %

White Owned %

26

9. Business Owners This section is compulsory. Failure to complete this section will result in the application being declined!

All Directors, Shareholders, Members, Trustees must complete an MBD 4 (pages )

Business Owner 1

Name Surname

Capacity SA Citizenship Yes No

ID Number

Gender Male Female Percentage Ownership %

Population Group Asian Black Coloured Indian White

Telephone Number Facsimile Number

Mobile Number Fax To Email

Email Address

Participation Full Time Less than 50% Less Than 75%

Other Employment

Company Registered Name

Company Trading Name

Company Registration Number

If in full time employment with a company other than the company Registering as a supplier with the

Municipality attach a letter authorization to conduct business outside of employment.

NB: This is not applicable to Employees in the employment of state as this practise is not allowed.

Other Business Interest

Company Name Company Registration Number

Capacity No of Shares

Nominal Value of Shares

Remuneration

27

Business Owner 2

Name Surname


ID Number





Email Address


Other Employment











Remuneration

28

Business Owner 3

Name Surname


ID Number





Email Address


Other Employment











Remuneration

29

Business Owner 4

Name Surname


ID Number





Email Address


Other Employment











Remuneration

Please Note : If there is more than 4 Business Owners , copy this page and attach to the back of this form

30

JURISTIC OWNER 2. COMPULSORY REQUIREMENTS

BUSINESS REGISTRATION DETAILS 1.1 REGISTERED BUSINESS NAME

1.2 TRADING NAME (Only if different from Registered Business Name)

1.3 BUSINESS / COMPANY REGISTRATION NUMBER

Have you attached proof of registration documents?

1.4 INCOME TAX REGISTRATION Income Tax Registration Number

Have you attached proof of your Income Tax documents? 1.5 TAX CLEARANCE CERTIFICATE Original of a valid Tax Clearance Certificate must be supplied

Have you attached proof of tax clearance?

6. CONTACT INFORMATION

2.1 TELEPHONE NUMBER

MOBILE NUMBER

FAX NUMBER

EMAIL ADDRESS

2.2 DETAILS OF CONTACT PERSON

TITLE

NAME

SURNAME

IDENTITY NUMBER (Compulsory even if Contact person is just an Employee)

DESIGNATION

TELEPHONE NUMBER

MOBILE NUMBER

FAX NUMBER

E-MAIL ADDRESS



Y N

N

Y N

N

Y N N/A

N/A

N/A

31

3. Business Owners

Business Owner 1

Name Surname


ID Number

Gender Male Female Number of Shares




Email Address

Business Owner 2

Name Surname


ID Number

Gender Male Female Number of Shares




Email Address

32

PLEASE NOTE:

If there is more than 2 Business Owners, copy this page and attach to the back of this form

This form need to be completed for each and every Juristic Owner

The MBD4 (pages 36,37,38) also need to be completed for every Juristic Owner

DOCUMENTS ATTACHED Y N NA 9. Company Registration CIPC 10. Proof of Ownership (Share Certificate) 11. Original Tax Clearance Certificate 12. Certified Copy of ID of Directors and Owners

33

10.SMME STATUS OF YOUR ENTERPRISE

Please use this table to determine the SMME Status of your enterprise

Please the relevant box in each column

A. Sector B. Full time paid employees C. Annual Turnover (millions)

D. Total Gross asset value

(property excluded) (millions)

Medium Small Very Small Micro Medium Small Very Small Micro Medium Small Very Small Micro

Agriculture 100 50 10 5 4 2 0.4 0.15 4 2 0.4 0.1

Mining and

Quarrying 200 50 20 5 30 7.5 3 0.15 18 4.5 1.8 0.1

Manufacturing 200 50 20 5 40 10 4 0.15 15 3.75 1.5 0.1

Construction 200 50 20 5 20 5 2 0.15 4 1 0.4 0.1

Retail and Motor

trade 100 50 10 5 30 15 3 0.15 5 2.5 0.5 0.1

Wholesale Trade 100 50 10 5 50 25 5 0.15 8 4 0.5 0.1

Catering,

Accommodation 100 50 10 5 10 5 1 0.15 2 1 0.2 0.1

Transport, Storage 100 50 10 5 20 10 2 0.15 5 2.5 0.5 0.1

Finance & Business

Services 100 50 10 5 20 10 2 0.15 4 2 0.4 0.1

Repair/Allied

Services 100 50 10 5 30 15 3 0.15 5 2.5 0.5 0.1

Communications 100 50 10 5 20 10 2 0.15 5 2.5 0.5 0.1

Other Trade 100 50 10 5 10 5 1 0.15 2 1 0.2 0.1

Commercial Agents 100 50 10 5 50 25 5 0.15 8 4 0.5 0.1

Community& Social

Services 100 50 10 5 10 5 1 0.15 5 2.5 0.5 0.1

Personal Services 100 50 10 5 10 5 1 0.15 5 2.5 0.5 0.1

SMME STATUS OF YOUR ENTERPRISE: (Please the relevant box)

(According to SMME table) (compulsory)

Micro

Very Small

Small

Medium

Large

34

11. DECLARATION BY BUSINESS UNDER OATH

This section to be completed by the person authorized by means of a special resolution. Please complete page 39

I / We ………………………………………………………………………………………………………………………. declare that the above particulars and information furnished to the Mbombela Local Municipality for the purposes of registering our organization on the supplier database are true in substance and in fact and that I / We fully understand the meaning thereof. Name: ……………………………………………………………………… Signature: ………………………………………………………………. Date: ……………………………………………………………………….. Designation: …………………………………………………………… Signed and sworn to before me at ………………………………………………………… on this the …………. Day of …………………………………….. by the Deponent, who has acknowledged that he / she knows and understands the contents of this affidavit, that it is true and correct to the best of his / her knowledge and that he / she has no objection to taking the prescribed oath, and that the prescribed oath will be binding on his / her conscience.

………………………………………………………………………………….. COMMISSIONER OF OATHS

NOTE: SUPPLIERS PROVIDING FALSE OF FRAUDULANT INFORMATION OR DOCUMENTATION SHALL SUBJECT THEMSELVES TO IMMEDIATE DISQUALIFICATION.

35

CREDIT ORDER INSTRUCTION FORM

ATTENTION: ________________________________________________

I/We hereby request and authorise you to pay any amounts which accrue to me/us to the credit of my /our bank account

with the mentioned bank.

I/We understand that the credit transfer hereby authorized will be processed by computer through a system known as the

"ACB ELECTRONIC FUNDS TRANSFER SERVICE", and I/we also understand that no additional advice of payment will be provided by

my/our bank.

Initials and surname Authorised signature Date

Name of individual/organisation:

Name of bank:

Branch code:

Account number:

*Type of account:

1 - Cheque account 4 - Bond account

2 - Savings account 5 - (Not in use)

3 - Transmission account 6 - Subscription Share account

DATE STAMP OF BANK

36

ANNEXURE A

MBD 4

DECLARATION OF INTEREST

1. No bid will be accepted from persons in the service of the state¹.

2. Any person, having a kinship with persons in the service of the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid. In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons connected with or related to persons in service of the state, it is required that the bidder or their authorised representative declare their position in relation to the evaluating/adjudicating authority.

3 In order to give effect to the above, the following questionnaire must be completed and submitted with the bid.

3.1 Full Name of bidder or his or her representative:

3.2 Identity Number:

3.3 Position occupied in the Company (director, trustee, hareholder²):

3.4 Company Registration Number:

3.5 Tax Reference Number:

3.6 VAT Registration Number:

3.7 The names of all directors / trustees / shareholders members, their individual identity

numbers and state employee numbers must be indicated in paragraph 4 below.

3.8 Are you presently in the service of the state?

3.8.1 If yes, furnish particulars :

¹MSCM Regulations: “in the service of the state” means to be – (a) a member of –

(i) any municipal council; (ii) any provincial legislature; or (iii) the national Assembly or the national Council of provinces;

(b) a member of the board of directors of any municipal entity; (c) an official of any municipality or municipal entity; (d) an employee of 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);

(e) a member of the accounting authority of any national or provincial public entity; or (f) an employee of Parliament or a provincial legislature.

² Shareholder” means a person who owns shares in the company and is actively involved in the management of the company or business and exercises control over the company.

3.9 Have you been in the service of the state for the past twelve months?

3.9.1 If yes, furnish particulars :

Y N

Y N

37

3.10 Do you have any relationship (family, friend, other) with persons in the service of the state and who

may be involved with the evaluation and or adjudication of this bid?

3.10.1 If yes, furnish particulars.

3.11 Are you, aware of any relationship (family, friend, other) between

any other bidder and any persons in the service of the state who

may be involved with the evaluation and or adjudication of this bid?

3.11.1 If yes, furnish particulars

.

3.12 Are any of the company’s directors, trustees, managers,

principle shareholders or stakeholders in service of the state?


3.13 Are any spouse, child or parent of the company’s directors

trustees, managers, principle shareholders or stakeholders

in service of the state?


3.14 Do you or any of the directors, trustees, managers,

principle shareholders, or stakeholders of this company

have any interest in any other related companies or

business whether or not they are bidding for this contract.

3.14.1 If yes, furnish particulars:

Y N

Y N

Y N

Y N

Y N

38

4. Full details of directors / trustees / members / shareholders.

Full Name Identity Number State Employee

Number

………………………………….. ……………………………………..

Signature Date

…………………………………. ………………………………………

Capacity Name of Bidder

39

Authority for Signatory Details of person responsible for the Compilation of The Supplier Database Registration Name …………………………………………………………………………………………………………….. Address of office ………………………………………………………………………………………………… ……………………………………………………………………………………………………………………… Telephone no……………………………………………………………………………………………………. Fax No. …………………………………………………………………………………………………………… E-mail ddress…………………………………………………………………………………………………….. Signatories for close corporations and companies shall confirm their authority by attaching to this form a duly signed and dated original or certificated copy of the relevant resolution of their members of their board of directors, as the case may be. *By resolution of the board of directors passed on (date) ……………………………………………. Mr / Ms……………………………………………………………………………………………………………. Has been duly authorized to sign all documents in connection with the Supplier Database Registration Company Name…………………………………………………………………………………………… Company Registration number………………………………………………………………………………… SIGNED ON BEHALF OF THE COMPANY ……………………………………………………………. IN HIS CAPACITY AS……………………………………………………………………………………….. DATE…………………………………………………………………………………………………………….. FULL NAMES OF SIGNATORY…………………………………………………………………………… AS WITNESSES 1 ……………………………………………………………………………… 2 ………………………………………………………………………………