ETHICS AND ANTI-CORRUPTION COMMISSION PRE-QUALIFICATION … · ETHICS AND ANTI-CORRUPTION...

ETHICS AND ANTI-CORRUPTION COMMISSION

PRE-QUALIFICATION OF SUPPLIERS FOR GOODS, SERVICES & SMALL WORKS

2014/2015 & 2015/2016

FINANCIAL YEAR

EACC/T12/2013-2014

2

ETHICS AND ANTI-CORRUPTION COMMISSION

TENDER NOTICE

PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES FOR PERIOD

FINANCIAL YEAR 2014/2015 &2015/2016

The Ethics and Anti-Corruption Commission (EACC) invites eligible candidates to pre-qualify as

suppliers for the following goods, services and small works for the FY 2014/2015 and 2015/2016.

CATEGORY NO. CATEGORY DESCRIPTION

A. GOODS

EACC/T12/A1/2013-2014 Supply of general office stationery, Reserved for Youth, Women

and Persons with Disability.

EACC/T12/A2/2013-2014 Supply of toners for printers

EACC/T12/A3/2013-2014 Supply of office furniture and fittings

EACC/T12/A4/2013-2014 Supply and maintenance of ICT equipment & Accessories

(including but not limited to computers, laptops, scanners,

photocopiers and printers)

EACC/T12/A5/2013-2014 Supply and maintenance of office equipment

EACC/T12/A6/2013-2014 Supply, Installation and Maintenance of air conditioners,

neon/directional signs and related equipments including those in

Regional offices.

EACC/T12/A7/2013-2014 Supply of Electric Appliances, Fittings, Accessories and

Assorted Hardware materials

EACC/T12/A8/2013-2014 Supply of Library Books

EACC/T12/A9/2013-2014 Supply & Printing of Branded Polo Shirts, T-Shirts, Caps, Gift

Bags and Promotional Items.

Reserved for Youth, Women and Persons with Disability

EACC/T12/A10/2013-

2014

Supply of Audio & Visual Equipment (including but not limited

to Digital cameras, projectors and related equipment,

Accessories and consumables.

3

B. SERVICES

EACC/T12/B1/2013-2014 Provision of Air Travel, Reservations and Ticketing.

IATA Registered Firms

EACC/T12/B2/2013-2014 Provision of Event Management Services.


EACC/T12/B3/2013-2014 Provision of editing, design and printing Services.

EACC/12/B4/2013-2014 Provision of small works including partitioning, painting,

plumbing and electrical related services to Headquarters and

Regional Offices.

EACC/T12/B5/2013-2014 Provisions of taxi and general transport hire services, truck

caravan for Roadshow Services for Headquarters and Regional

offices

EACC/T12/B6/2013-2014 Provision of asset management and tagging at the headquarters

and the Regional offices.

EACC/T12/B7/2013-2014 Provision of Bulk SMS services and Media Communication

EACC/T12/B8/2013-2014 Supply of Motor Vehicle Tyres, Tubes and Batteries

EACC/T12/B9/2013-2014 Mechanical/Electrical Repairs of Motor vehicles for Nairobi,

Mombasa, Garissa, Nyeri, Eldoret and Kisumu Offices

EACC/T12/B10/2013-

2014

Provision of mobile Phone Airtime.


EACC/T12/B11/2013-

2014

Provision of staff uniforms

EACC/T12/B12/2013-

2014

Provision of conference & Accommodation facilities

EACC/T12/B13/2013-

2014

Provision of catering services for Nairobi Offices

Pre-qualification documents with detailed information may be obtained from Supply Chain

Management Office, Ground Floor, Integrity Centre, Valley Road /Milimani Road Junction

,Nairobi, from Monday to Friday between 8.00 am to 5.00 pm Free of Charge. Prequalification

documents may be downloaded from the EACC website (www.eacc.go.ke).`

Completed prequalification documents are to be enclosed in plain sealed envelopes marked

“Prequalification of Suppliers for FY 2014/2015 & 2015/2016 (Category and Reference

Number) and be deposited in the Tender Box situated at Integrity Centre, Ground Floor,

Reception Area and marked “Tender Box” or be addressed and posted to

The Secretary/Chief Executive Officer

Ethics and Anti-Corruption Commission

P. O. Box 61130-00200

NAIROBI

4

so as to be received on or before 12th

June, 2014, 11 a.m.

Prequalification documents will be opened immediately thereafter in the presence of the

Candidates or their representatives who choose to attend at Integrity Centre, First Floor Board

Room

Ag. Deputy Director, Supply Chain Management Services

for SECRETARY/CHIEF EXECUTIVE OFFICER

ETHICS AND ANTI-CORRUPTION COMMISSION.

5

SECTION II INSTRUCTIONS TO CANDIDATES

2.1 Eligible Candidates

2.1.1. This Invitation to tender is open to all eligible candidates as described in the

prequalification document

2.1.2. The procuring entity’s employees, committee members, board members and their relative

(spouse and children) are not eligible to participate in the exercise.

2.1.3. Candidates involved in corrupt or fraudulent practices or debarred from participating in

public procurement shall not be eligible.

2.2 Cost of Prequalification

2.2.1 The Tenderer shall bear all costs associated with the preparation and submission of its bid,

and the procuring entity, will in no case be responsible or liable for those costs, regardless

of the conduct or outcome of the tendering process.

2.2.2 The prequalification document will be issued Free of charge.

2.3 Clarification of Documents

2.3.1. A prospective candidate making inquiries of the bidding

document may notify the Procuring entity in writing or by post, fax or email at the entity’s

address indicated in the Invitation for prequalification.

2.3.2. The procuring entity shall reply to any clarifications sought by the candidate to enable the

candidate make timely submission of its bid.

2.4 Amendment of Prequalification documents

2.4.1. At any time prior to the deadline for submission of bids, the

Procuring entity, for any reason, whether at its own initiative or in

response to a clarification requested by a prospective candidate, may

modify the documents by issuing an addendum.

2.5 Language of bid document

2.6.1. The document prepared by the candidate, as well as all correspondence and documents

relating to the bid exchanged by the candidate and the Procuring entity shall be written in

English language. Any printed literature furnished by the tenderer may be written in

another language provided they are accompanied by an accurate English translation of the

relevant passages in which case, for purposes of interpretation of the bid, the English

translation shall govern.

6

2.7 Documents Comprising the Prequalification Document

The document prepared by the candidate shall comprise documentary evidence that the

candidate is eligible and is qualified to be prequalified as required in the prequalification

document

2.11 Eligibility and Qualifications.

2.11.1 The candidate shall furnish, as part of its bid, documents establishing the candidate

eligibility to bid and its qualifications to perform future contracts. Detailed Requirements

are as stipulated in the schedule of requirements

2.15 Sealing and Marking of Tenders

2.15.1 The Candidate shall seal the original and one copy of the bid document in separate

envelopes, duly marking the envelopes as “ORIGINAL” and “COPY.” The envelopes shall

then be sealed in an outer envelope. The inner and outer envelopes shall:

(a) Be addressed to the Procuring entity at the address given in the invitation to prequalify.

(b) Bear, Prequalification Number, Title and Category the candidate wishes to be

prequalified in and the words: “DO NOT OPEN BEFORE 12th

June, 2014, 11 a.m.,”

2.15.2 The inner envelopes shall also indicate the name and address of the candidate to enable the

bid to be returned unopened in case it is declared “late”. —

1.15.3 If the outer envelope is not sealed and marked as required by paragraph 2.15.2, the

Procuring entity will assume no responsibility for the tender’s misplacement or premature

opening.

2.16 Deadline for Submission of Tenders

2.16.1 Tenders must be received by the Procuring entity at the address

specified under paragraph 2.15.2 no later than 12th

June, 2014, 11 a.m.

2.16.2 The procuring entity may, at its discretion, extend this deadline for the submission of

prequalification documents by amending the bidding documents in which case all rights

and obligations of the procuring entity and candidates previously subject to the deadline

will thereafter be subject to the deadline as extended.

2.18 Opening of Prequalification Documents

2.18.1 The Procuring entity will open all bids in the presence of

tenderers’ representatives who choose to attend, at 12th

June, 2014, 11 a.m. and in the location

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specified in the invitation to tender. The tenderers’ representatives who are present shall sign a

register evidencing their attendance.

2.19 Clarification

2.19.1 To assist in the examination, evaluation and comparison of bids the procuring entity may at

its discretion, ask the candidates for a clarification of its document. The request for

clarification and the response shall be in writing.

2.19.2 Any effort by the candidate to influence the procuring entity in the procuring entity’s

evaluation or prequalification approval decisions may result in the rejection of the tenderers

tender.

2.20 Preliminary Examination and Responsiveness

This will be carried out as specified in the schedule of requirements

2.22 Evaluation and comparison of tenders.

2.22.1 The procuring entity will evaluate and compare the bids which have been determined to be

substantially responsive.

2.22.5 To qualify for contract awards, the candidate shall have the following:-

(a) Necessary qualifications, capability experience, services, equipment and

facilities.

(b) Legal capacity to enter into a contract for procurement

(c) Shall not be insolvent, in receivership, bankrupt or in the process of being

wound up and is not the subject of legal proceedings relating to the

foregoing

(d) Shall not be debarred from participating in public procurement.

Evaluation parameters are provided under the schedule of requirements

2.23. Contacting the procuring entity

2.23.1 No candidate shall contact the procuring entity on any matter relating to its bid from the

time of the opening to the time the prequalification list is approved.

2.23.2 Any effort by a candidate to influence the procuring entity in its decisions on evaluation,

comparison or approval may result in the rejection of the candidate’s bid.

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2.24 Approval of Pre-qualified List

a) Post qualification

2.24.1 The Procuring entity may visit or undertake any other activity to determine to its

satisfaction whether a candidate is qualified to be prequalified.

2.24.3 A negative determination will result in rejection of the candidate’s bid.

b) Approval Criteria

2.24.3 A candidate will be considered for registration in the list of supplier for goods, services or

small works where the candidate is deemed to be substantially responsive and has been

determined to have the necessary capacity.

2.25 Notification of approval

2.25.1 The Procuring entity will notify all bidders on the results of the prequalification exercise.

2.28 Corrupt or Fraudulent Practices

2.28.1 The Procuring entity requires that tenderers observe the highest

standard of ethics during the procurement process and execution of

contracts. A tenderer shall sign a declaration that he has not and will not be involved in

corrupt or fraudulent practices.

2.28.2 The procuring entity will reject a candidate’s prequalification document if it determines

that the candidate recommended for award has engaged in corrupt or fraudulent

practices in competing for the contract.

2.28.3 Further, a tenderer who is found to have indulged in corrupt or fraudulent practices risks

being debarred from participating in public procurement in Kenya.

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EACC/T12/2013-2014 – PREQUALIFICATION FOR SUPPLY OF GOODS, SERVICES

AND SMALL WORKS FOR FINANCIAL YEAR 2015/2015 AND 2015/2016

CATEGORIES

CATEGORY NO. CATEGORY DESCRIPTION INDICATE

SELECTED

CATEGORY

A. GOODS

EACC/T12/A1/2013-2014 Supply of general office stationery, Reserved

for Youth, Women and Persons with

Disability.

EACC/T12/A2/2013-2014 Supply of toners for printers

EACC/T12/A3/2013-2014 Supply of office furniture and fittings

EACC/T12/A4/2013-2014 Supply and maintenance of ICT equipment &

Accessories (including but not limited to

computers, laptops, scanners, photocopiers and

printers)

EACC/T12/A5/2013-2014 Supply and maintenance of office equipment

EACC/T12/A6/2013-2014 Supply, Installation and Maintenance of air

conditioners, neon/directional signs and related

equipments including those in Regional

offices.

EACC/T12/A7/2013-2014 Supply of Electric Appliances, Fittings,

Accessories and Assorted Hardware materials

EACC/T12/A8/2013-2014 Supply of Library Books

EACC/T12/A9/2013-2014 Supply & Printing of Branded Polo Shirts, T-

Shirts, Caps, Gift Bags and Promotional Items.

Reserved for Youth, Women and Persons with

Disability

EACC/T12/A10/2013-

2014

Supply of Audio & Visual Equipment

(including but not limited to Digital cameras,

projectors and related equipment, Accessories

and consumables.

B. SERVICES

10

EACC/T12/B1/2013-

2014

Provision of Air Travel, Reservations and

Ticketing.

IATA Registered Firms

EACC/T12/B2/2013-

2014

Provision of Event Management Services.


Disability

EACC/T12/B3/2013-

2014

Provision of editing, design and printing

Services.

EACC/T12/B4/2013-

2014

Provision of small works including partitioning,

painting, plumbing and electrical related

services to Headquarters and Regional Offices.

EACC/T12/B5/2013-

2014

Provisions of taxi and general transport hire

services, truck caravan for Roadshow Services

for Headquarters and Regional offices

EACC/T12/B6/2013-

2014

Provision of asset management and tagging at

the headquarters and the Regional offices.

EACC/T12/B7/2013-

2014

Provision of Bulk SMS services and Media

Communication

EACC/T12/B8/2013-

2014

Supply of Motor Vehicle Tyres, Tubes and

Batteries

EACC/T12/B9/2013-

2014

Mechanical/Electrical Repairs of Motor vehicles

for Nairobi, Mombasa, Garissa, Nyeri, Eldoret

and Kisumu Offices

EACC/T12/B10/2013-

2014

Provision of mobile Phone Airtime.


Disability

EACC/T12/B11/2013-

2014

Provision of staff uniforms

EACC/T12/B12/2013-

2014

Provision of conference & Accommodation

facilities

EACC/T12/B13/2013-

2014

Provision of catering services for Nairobi

Offices

11

For Motor Vehicles

S/No. Indicate EACC office(s) where your firm can provide the services (Nairobi,

Eldoret, Garissa, Kisumu, Nyeri and Mombasa)

1

Sealing and Marking of Tenders

The Candidate shall seal the original and one copy of the bid document in separate envelopes, duly

marking the envelopes as “ORIGINAL” and “COPY.” The envelopes shall then be sealed in an

outer envelope. The inner and outer envelopes shall:

(a) be addressed to the Procuring entity at the address given in the invitation to tender and bear

1) Prequalification Number i.e. EACC/T12/2013-2014 – PREQUALIFICATION FOR

SUPPLY OF GOODS, SERVICES AND SMALL WORKS

2) Category the candidate wishes to be prequalified in and

3) the words: “DO NOT OPEN BEFORE 12th

June, 2014, 11 a.m.

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BIDDERS ELIGIBILITY, MINIMUM CAPABILITY REQUIREMENTS AND

EVALUATION CRITERIA

MANDATORY REQUIREMENTS

1) Submission of one original and one copy of tender document clearly marked original and

copy respectively. Both envelopes to be placed in one outer enveloped clearly marked with

Tender No. and Title.

2) Copy of certificate of Registration/Incorporation

3) Copy of certificate of registration as a disadvantaged group by the National Treasury,where

eligibility is for Youth, women and persons with disability

4) A Copy of Current/Valid Tax Compliance Certificate issued by the Kenya Revenue

Authority

5) PIN certificate

6) VAT certificate

7) A dully filled up Confidential Business Questionnaire in format provided

8) Declaration that the bidder:

• Has not and will not be involved in corruption

• Is not debarred from participating in public procurement

• Is not insolvent

Use form provided for declaration

9. Other requirements

1. Air Travel, Reservations and Ticketing

IATA Registered Firms – attach supporting evidence

2. Mechanical/Electrical Repairs of Motor vehicles

3. Tonners – Candidates for tonners to provide manufacturer’s authorization letter.

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Minimum Capability Requirements and Applicable Evaluation Criteria

1. Items

1) EACC/T12/A1/2013-2014 - Supply and delivery of general office stationery

2) EACC/T12/A2/2013-2014 - Supply of toners for printers

3) EACC/T12/A3/2013-2014 - Supply of office furniture and fittings

4) EACC/T12/B2/2013-2014 – Provision of Event Management Services

5) EACC/T12/B14/2013-2014 - Provision of staff uniforms

6) EACC/T12/A8/2013-2014 - Supply of Library Books

7) EACC/T12/A7/2013-2014 - Supply of Electric Appliances, Fittings, Accessories and

Assorted Hardware materials

8) EACC/T12/B10/2013-2014 – Supply and delivery of Mobile Phone airtime

Applicable evaluation criteria

S/No. Parameter Maximum

Marks Awarded

1 Firm’s

Experience

Provide proof of Previous experience,

Attach evidence ( Copies of previous

contracts, contract values, letters of

recommendation among others)

10

2 Personnel

Capability

Provide Organization Profile. Indicate

key staff, professional qualification,

experience and their functions.

10

3 Financial

Capability

Provide latest audited financial

statements and any other support

document.

10

Total 30

14

2. Items

EACC/T12/A4/2013-2014 - Supply and maintenance of ICT equipment & Accessories

(computers, laptops, printers) including to our Regional offices.

EACC/T12/A5/2013-2014 -. Supply and maintenance of office equipment

EACC/T12/A6/2013-2014 - Supply, Installation and Maintenance of air conditioners,

neon/directional signs and related equipment including those in our Regional offices.


S/No. EACC Requirements Parameter Maximum

Marks

Awarded

1 Firm’s

Experience

Adequate experience in

the relevant field

Provide proof of Previous

experience, Attach evidence

(Copies of previous contracts,

contract values, letters of

recommendation among

others).

10

2 Personnel

Capability

competent personnel

capable of ensuring

supply and delivery in

a timely manner and

undertaking

maintenance of

equipment

Provide Organization Profile.

Indicate key staff,

professional qualification,

experience and their

functions.

10

3 Facilities and

Tools

Adequate facilities/

Tools

Evidence of facilities and

tools to be used in

maintenance of the items

10

4 Financial

Capability

Financial capability to

perform the contract

Provide evidence that if

awarded contract, the bidder

will be able to supply and

deliver.

Provide latest audited

financial statements and/or

any other support document.

10

Total 40

15

3. Items

EACC/T12/A10/2013-2014 - Supply of Audio & Visual Equipment (Digital cameras,

projectors and related equipment, Accessories and consumables.


S/No. Parameter Maximum

Marks Awarded

1 Firm’s

Experience

Provide proof of Previous experience,

Attach evidence ( Copies of previous

contracts, contract values, letters of

recommendation among others)

10

2 Personnel

Capability

Provide Organization Profile. Indicate

key staff, professional qualification,

experience and their functions.

10

3 Financial

Capability

Provide latest audited financial

statements and any other support

document.

10

Total 30

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4. Items

EACC/T12/A9/2013-2014 - Supply & Printing of Branded Polo Shirts, T-Shirts, Caps, Gift Bags

and Promotional Items

EACC/T12/B3/2013-2014 - Provision of editing, design and printing Services.



Marks

Awarded

1 Firm’s

Experience


the relevant field




contract values, letters of


others).

20

2 Personnel

Capability

competent personnel

capable of ensuring


a timely manner and

undertaking

maintenance of

equipment


Indicate key staff,


experience and their

functions.

10

3 Facilities and

Tools


Tools


tools to be used in

maintenance of the items

20

4 Financial

Capability






deliver.




10

Total 60

17

5. Items

EACC/T12/B9/2013-2014 - Mechanical/Electrical Repairs of Motor vehicles for Nairobi,

Mombasa, Garissa, Nyeri, Eldoret and Kisumu Offices



Marks

Awarded

1 Firm’s

Experience


the relevant field




contract values, and letters of


others).

20

2 Personnel

Capability

competent personnel

capable of delivery of

services.


Indicate key staff,


experience and functions.

20

3 Facilities and

Tools


Tools. Secure area for

security of

Commission’s Motor

Vehicles


tools to be used in

maintenance of the items.

Include strategies to be

employed to ensure security

for motor vehicles.

20

4 Financial

Capability





will be able provide the

services.




10

Total 70

18

6. Items

EACC/T12/B1/2013-2014 - EACC/T12/B1/2013-2014 - Provision of Air Travel, Reservations and

Ticketing (IATA Registered Firms only).



Marks

Awarded

1 Firm’s

Experience


the relevant field






others).

20

2 Personnel

Capability

Adequate and

competent personnel


Indicate key staff,


experience

10

4 Financial

Capability






deliver.




10

Total 40

19

7. Items

EACC/T12/B4/2013-2014- Provision of small works including partitioning, painting, plumbing

and electrical related services to Headquarters and Regional Offices.



Marks

Awarded

1 Firm’s

Experience


the relevant field






others).

20

2 Personnel

Capability

competent personnel

capable of ensuring


a timely manner and

undertaking

maintenance of

vehicles


Indicate key staff,



20

3 Facilities and

Tools


Tools. for undertaking

the works


tools to be used

10

4 Financial

Capability






deliver.




10

Total 60

20

8. Items

EACC/T12/B5/2013-2014 - Provisions of taxi and general transport hire services, truck caravan

for Roadshow Services for Headquarters and Various Regions within the Country



Marks

Awarded

1 Firm’s

Experience


the relevant field






others).

20

2 Personnel

Capability

competent personnel

capable of delivery in

of services


Indicate key staff,



20

3 Facilities and

Tools


equipment/Tools. for

undertaking the work

Provide a list of available

equipment, facilities and tools

for use.

20

4 Financial

Capability






deliver.




10

Total 70

21

9. Items

EACC/T12/B12/2013-2014 - Provision of conference & Accommodation facilities



Marks

Awarded

1 Firm’s

Experience


the relevant field



(For example copies of

previous contracts, contract

values, and letters of


others).

20

2 Personnel

Capability

competent personnel

capable of ensuring


a timely manner and

undertaking the work if

awarded contract


Indicate key staff,



20

3 Equipment,

Facilities and

Tools


equipment/Tools for

undertaking the work.

This includes but not

limited to

Accommodation

facilities and

Conference facilities

Provide list of equipment,

facilities and tools available

20

4 Financial

Capability






deliver.




10

Total 70

22

10.Items

EACC/T12/B13/2013-2014 - Provision of Outside catering services for Nairobi Offices



Marks

Awarded

1 Firm’s

Experience


the relevant field






others).

20

2 Personnel

Capability

competent personnel

capable of ensuring


a timely manner and

undertaking the work if

awarded contract


Indicate key staff,



20

3 Facilities and

Tools


equipment/Tools for

undertaking the work.

Evidence of equipment,

facilities and tools available

20

4 Financial

Capability






deliver.




10

Total 70

Post Qualification

The Commission may visit the firm or undertake any other activity that may be deemed necessary

to ascertain the capability of the bidders.

The passmark for each category is 70%

23

Bidders who are deemed to be eligible to supply/provide goods, services and works will be placed

in the Commission list of prequalified list and may be invited to bid for supply or provision of

items in the category they are deemed prequalified.

STANDARD FORMS

CONFIDENTIAL BUSINESS QUESTIONER

GENERAL INFORMATION

CATEGORY NO. CATEGORY DESCRIPTION Indicate supply to (Nairobi,

Kisumu, Mombasa, Nyeri,

Eldoret, Nakuru, Meru and

Garissa)

PART 1 GENERAL

BUSINESS

NAME:………………………………………………………………………………………………

POSTAL ADDRESS…………………….CODE…………………….TOWN……………………

TELEPHONE NO (S):…………………………………………………………………………….

FAX NO(S)…………………………………………………………………………………………

E-MAIL ADDRESS ……………………………………………………………………………..

NAME OF CONTACT PERSON(S)……………………………………………………………..

LOCATION OF BUSINESS

a) Premises/building:…………………………………………………………………

b) Plot No:………………………………………………………………………………

c) Road/Street:……………………………………………………….............................

Nature of Business:…………………………………………………………………………………..

Single Business Permit/License No. (attach copy)…………………………………………………..

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Registration Certificate No. (attach copy)………………………………………………………

Certificate of Incorporation No. (attach copy) ……………………………………………………….

Personal Identification Number (P.I.N) (attach copy)……………………………………………..

VAT registration certificate (attach copy) ………………………………………………………

Current KRA tax compliance certificate (attach copy)……………………………………………..

Maximum Value of Business which you can handle at any time in Kshs………………………

Name of your bankers……………………………………………………………………………….

Branch:………………………………………………………………………………………………

PART 2: SOLE PROPRIETOR

YOUR FULL NAMES:

Surname……………………………….…First………………………….others……………….……

AGE…………………………..

NATIONALITY…………………………………….…….BY……………………….……………

(Birth/Naturalization/Registration)

COUNTRY OF ORIGIN (if applicable)………………………………………………………

PART 3: PARTNERSHIP

NUMBER OF PARTNERS…………………………………………………………

GIVE PARTNERS DETAILS AS FOLLOWS:

NAME/NATIONALITY/CITIZENSHIP DETAILS/SHARES

1. --------------------------------------------------------------------------------

2. --------------------------------------------------------------------------------

3. ---------------------------------------------------------------------------------

4. ---------------------------------------------------------------------------------

5. ---------------------------------------------------------------------------------

6. ---------------------------------------------------------------------------------

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7. ---------------------------------------------------------------------------------

PART 4: REGISTERED COMPANY

a) Private Limited Company

b) Public Limited Company

Nominal Capital of the Company (Kshs.)------------------------------------------------------

Issued Capital of the Company (Ksh)-----------------------------------------------------------

Number of Directors--------------------------------------------------------------------------------

Give partners Details as Follows:

NAME/NATIONALITY/CITIZENSHIP DETAILS/SHARES

1. -----------------------------------------------------------------------------------------

2. -----------------------------------------------------------------------------------------

3. -----------------------------------------------------------------------------------------

4. -----------------------------------------------------------------------------------------

5. -----------------------------------------------------------------------------------------

6. -----------------------------------------------------------------------------------------

PART 5. DIRECTORSHIP TO OTHER COMPANIES

a) Are you or any of the above Directors also directors in others companies that are seeking

pre-qualification? …………. (yes/no)

b) If yes complete the table below.

S/no Name of the Director Name & address of

Company

Certificate of

incorporatio

n

No. of share

holding

1

2

3

4

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5

6

DECLARATION FORM

Date

To

The tenderer i.e. (name and address)

declare the following:

a) Has not been debarred from participating in public procurement.

b) Has not been involved in and will not be involved in corrupt and fraudulent practices

regarding public procurement.

c) The tenderer (including all members, of a joint venture and subcontractors) is not

associated, or have been associated in the past, directly or indirectly, with a firm or any of

its affiliates which have been engaged by the Procuring entity to provide consulting

services for the preparation of the design, specifications, and other documents to be used

for the procurement of the services under this Invitation for tenders.

d) Shall not be insolvent, in receivership, bankrupt or in the process of being wound up and is

not the subject of legal proceedings relating to the foregoing

Title Signature Date

(To be signed by authorized representative and officially stamped)

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