Office of the Chief Procurement Officer Page 1 BID NUMBER RT

Transcription

1 Office of the Chief Procurement Officer Page 1 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Bowl Medical Stainless steel To comply to the latest issue of SANS 417, subsection 4 and 5.3, type A, size 4 Rim to conform to fig.1(a) of SANS 417 Stainless steel to comply with subsection of SANS 417 Proof of compliance must be submitted. Internal depth 45 mm Internal diameter at top 65 mm Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

2 Office of the Chief Procurement Officer Page 2 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

3 Office of the Chief Procurement Officer Page 3 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Bowl Medical Stainless steel To comply to the latest issue of SANS 417, subsection 4 and 5.4, type B, size 2 Rim to conform to fig.1(a) of SANS 417 Stainless steel to comply with subsection of SANS 417 Proof of compliance must be submitted. Internal depth 60 mm Internal diameter at top 100 mm Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

4 Office of the Chief Procurement Officer Page 4 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

5 Office of the Chief Procurement Officer Page 5 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Bowl Medical Stainless steel To comply to the latest issue of SANS 417, subsection 4 and 5.4, type B, size 3 Rim to conform to fig.1(a) of SANS 417 Stainless steel to comply with subsection of SANS 417 Proof of compliance must be submitted. Internal depth 70 mm Internal diameter at top 150 mm Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

6 Office of the Chief Procurement Officer Page 6 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

7 Office of the Chief Procurement Officer Page 7 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Bowl Medical Stainless steel To comply to the latest issue of SANS 417, subsection 4 and 5.4, type B, size 4 Rim to conform to fig.1(a) of SANS 417 Stainless steel to comply with subsection of SANS 417 Proof of compliance must be submitted. Internal depth 90 mm Internal diameter at top 200 mm Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

8 Office of the Chief Procurement Officer Page 8 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

9 Office of the Chief Procurement Officer Page 9 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Bowl stand To comply with the latest of CKS 157, type A Single Stainless steel, to comply with SANS 417, subsection Proof of compliance must be submitted. Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

10 Office of the Chief Procurement Officer Page 10 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

11 Office of the Chief Procurement Officer Page 11 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Dish Kidney Stainless steel To comply with the latest issue of SANS 417, subsection 4 and 5.2, type A, size 1 Rim to confirm to fig.1(d) of SANS 417 Stainless steel to comply with SANS 417, subsection Proof of compliance must be submitted. Overall length: 150 mm (±3 mm) Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

12 Office of the Chief Procurement Officer Page 12 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

13 Office of the Chief Procurement Officer Page 13 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Dish Kidney Stainless steel To comply with the latest issue of SANS 417, subsection 4 and 5.2, type A, size 2 Rim to confirm to fig.1(d) of SANS 417 Stainless steel to comply with SANS 417:2014, subsection Proof of compliance must be submitted. Overall length: 195 mm (±3 mm) Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

14 Office of the Chief Procurement Officer Page 14 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

15 Office of the Chief Procurement Officer Page 15 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Dish Kidney Stainless steel To comply with the latest issue of SANS 417, subsection 4 and 5.2, type A, size 3 Rim to confirm to fig.1(d) of SANS 417 Stainless steel to comply with SANS 417:2014, subsection Proof of compliance must be submitted. Overall length: 260 mm (±3 mm) Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

16 Office of the Chief Procurement Officer Page 16 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

17 Office of the Chief Procurement Officer Page 17 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Plastic Graduated Dimensions and graduation markings must be equivalent to the latest issue of SANS 417, subsection 5.17 Material: Autoclavable durable plastic Capacity: 500 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

18 Office of the Chief Procurement Officer Page 18 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

19 Office of the Chief Procurement Officer Page 19 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Plastic Graduated Dimensions and graduation markings must be equivalent to the latest issue of SANS 417, subsection 5.17 Material: Autoclavable durable plastic Capacity: 1000 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

20 Office of the Chief Procurement Officer Page 20 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

21 Office of the Chief Procurement Officer Page 21 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Plastic Graduated Dimensions and graduation markings must be equivalent to the latest issue of SANS 417, subsection 5.17 Material: Autoclavable durable plastic Capacity: 2000 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

22 Office of the Chief Procurement Officer Page 22 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

23 Office of the Chief Procurement Officer Page 23 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Graduated Dimensions and graduations markings must be equivalent to SANS 417, subsection 5.17 Stainless steel, to comply with the latest issue of SANS 417, subsection 4 and 5.17 Capacity: 500 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

24 Office of the Chief Procurement Officer Page 24 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

25 Office of the Chief Procurement Officer Page 25 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Graduated Dimensions and graduations markings must be equivalent to SANS 417, subsection 5.17 Stainless steel, to comply with the latest issue of SANS 417, subsection 4 and 5.17 Capacity: 1000 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

26 Office of the Chief Procurement Officer Page 26 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

27 Office of the Chief Procurement Officer Page 27 ITEM RT DESCRIPTION Bowl, kidney dish and measuring jug Jug Measure Graduated Dimensions and graduations markings must be equivalent to SANS 417, subsection 5.17 Stainless steel, to comply with the latest issue of SANS 417, subsection 4 and 5.17 Capacity: 2000 ml Each ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

28 Office of the Chief Procurement Officer Page 28 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

29 Office of the Chief Procurement Officer Page 29 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Bed, hospital, two section To comply with the latest issue of SANS 521, in subsections 3.1 (a) and 5.1 (Type) of the latest issue of SANS 521 Note: where the item offered differs from the specification in SANS 521, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Bed must support a patient mass of 180 kg Adjustable backrest with gas spring assist, suitable for 100 kg patient To be fitted with castors, two swivel, two locking Castors must comply with the latest issue of SANS 621, proof of compliance must be submitted. Where castors are fitted into steel tubular legs, the tube shall be of wall thickness not less than 2,0mm and castors shall be fixed to the tube by one of the following methods: a. Solid plug (long) complying with SANS 621 subsection or b. Screwed into 35mm long sleeves welded into the tubular members and locked in an acceptable manner c. Rubber or plastic expanding sleeves for fitting castors are not acceptable Removable head and foot ends (ABS material is acceptable) With collapsible safety sides, to comply with IEC Mattress support: mattress support other than weldmesh is required, provide details The following accessories must be accommodated to fit on the bed. The price for these accessories must not be included on this item bid price. a. Driprod b. Patient lifting pole with chain or strap and handle, must support a mass of 75 kg c. Traction pole with pulleys and weights Item to be evaluated as series with item RT , RT and RT ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1

30 Office of the Chief Procurement Officer Page 30 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

31 Office of the Chief Procurement Officer Page 31 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

32 Office of the Chief Procurement Officer Page 32 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Bed, hospital, two section with Trendelenberg To comply with the specifications in Appendix A, SEE ATTACHED. Note: where the item offered differs from the specification in Appendix A, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Bed must support a patient mass of 180 kg Adjustable backrest with gas spring assist, suitable for 100 kg patient To be fitted with castors, two swivel, two locking Castors must comply with the latest issue of SANS 621, proof of compliance must be submitted. Where castors are fitted into steel tubular legs, the tube shall be of wall thickness not less than 2,0mm and castors shall be fixed to the tube by one of the following methods: a. Solid plug (long) complying with SANS 621 subsection or b. Screwed into 35mm long sleeves welded into the tubular members and locked in an acceptable manner c. Rubber or plastic expanding sleeves for fitting castors are not acceptable Removable head and foot ends (ABS material may be offered) With collapsible safety sides, to comply with IEC Mattress support: mattress support other than weldmesh is required, provide details The following accessories must be accommodated to fit on the bed. The price for these accessories must not be included on this item bid price. a. Driprod b. Patient lifting pole with chain or strap and handle, must support a mass of 75 kg c. Traction pole with pulleys and weights d. Bedding support according to specification in Appendix A, subsection 3.14 Item to be evaluated as series with item RT , RT and RT ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1

33 Office of the Chief Procurement Officer Page 33 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

34 Office of the Chief Procurement Officer Page 34 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

35 Office of the Chief Procurement Officer Page 35 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Bed, hospital high-low To comply with the latest issue of CKS 447 Note: where the item offered differs from the specification in CKS 447, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Bed must support a patient mass of 180 kg Hydraulically operated variable height operated by dual sided foot pedals Adjustable backrest with gas spring assist, suitable for 100 kg patient To be fitted with castors with a central castor locking system Castors must comply with the latest issue of SANS 621, proof of compliance must be submitted. Where castors are fitted into steel tubular legs, the tube shall be of wall thickness not less than 2,0mm Removable head and foot ends (ABS material may be offered) With collapsible safety sides, to comply with IEC Mattress support: mattress support other than weldmesh is required, provide details The following accessories must be accommodated to fit on the bed. The price for these accessories must not be included on this item bid price. a. Driprod b. Patient lifting pole with chain or strap and handle, must support a mass of 75 kg c. Traction pole with pulleys and weights d. Bedding support according to specification in Appendix A, subsection 3.14 Item to be evaluated as series with item RT , RT and RT ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as %

36 Office of the Chief Procurement Officer Page 36 Minimum Order Quantity

37 Office of the Chief Procurement Officer Page 37 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

38 Office of the Chief Procurement Officer Page 38 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Bed, hospital intensive care, 4 section To comply with the latest issue of CKS 447 Note: where the item offered differs from the specification in CKS 447, except for the items specified below, the supplier must indicate the deviation and supply relevant details The mattress platform shall be in four sections allowing for a profiling action Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey The bed shall have a four section platform. The knee-break section adjustable via a manual mechanism Bed must support a patient mass of 180 kg Hydraulically operated variable height operated by dual sided foot pedals Adjustable backrest with gas spring assist, suitable for 100 kg patient To be fitted with castors with a central castor locking system Castors must comply with the latest issue of SANS 621, proof of compliance must be submitted. Where castors are fitted into steel tubular legs, the tube shall be of wall thickness not less than 2,0mm Removable head and foot ends (ABS material may be offered) With collapsible safety sides, to comply with IEC Mattress support: mattress support other than weldmesh is required, provide details Oxygen cylinder holder Extension of bed must comply to CKS 447, subsection 3.5 The following accessories MUST be offered to fit on the bed. The price for these accessories must not be included on this item bid price. a. Driprod b. Patient lifting pole with chain or strap and handle, must support a mass of 75 kg c. Traction pole with pulleys and weights Item to be evaluated as series with item RT , RT and RT ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1

39 Office of the Chief Procurement Officer Page 39 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

40 Office of the Chief Procurement Officer Page 40 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

41 Office of the Chief Procurement Officer Page 41 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Bed, hospital, obstetric, high-low, tilting, 2 section, complete with mattress Bed and fittings must accommodate various labour and delivery positions Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Mattress platform material Bed must support a patient mass of 180 kg Removable leg section Adjustable backrest with gas spring assist (0 to 60 degrees) with quick release. Controls at both sides of bed Hydraulically operated variable height operated by dual sided foot pedals Height range (mattress platform): 500 to 750 mm (approximately) Trendelenberg tilt, 12 degrees To be fitted with 125 mm castors with a central castor locking system Castors must comply with the latest issue of SANS 621, proof of compliance must be submitted. Where castors are fitted into steel tubular legs, the tube shall be of wall thickness not less than 2,0mm With collapsible safety sides, to comply with IEC Rubber buffer wheels at the corners of bed head end Mattress, two section, for body and foot sections, with cover. Body section must be suitable for all profile angles Mattress to comply with the latest issue of SANS 640 AND (type 2), except for thickness, as below, proof of compliance must be submitted. Mattress must support a patient of at least 180 kg and return to original shape when not in use To be constructed of flexible polyurethane foam complying with class 30, grade no.12 of SANS 640 Thickness: 150 mm (-0 and +5mm) Manufacturer must supply a 5 year warranty on the mattress Two lithotomy poles, height adjustable, swivel action, with leg support (not straps) Douche fitting Douche tray, stainless steel Drip rod Length, overall: 2200 mm (approximately) Width: 1000 mm (approximately) The following accessories MUST be offered to fit on the bed. The price for these accessories must not be included on this item bid price. a. Leg rests, pair b. Straps for leg rests, pair c. High foot supports, pair d. Low foot supports, pair d. Hand rail, pair, removable e. Trolley for accessories Item to be evaluated as series with item RT , RT and RT ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1

42 Office of the Chief Procurement Officer Page 42 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

43 Office of the Chief Procurement Officer Page 43 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

44 Office of the Chief Procurement Officer Page 44 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Cot, adult, complete with mattress To comply with the latest issue SANS 521, subsection 5.4, fig. 5 Note: where the item offered differs from the specification in SANS 521, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Length: mm (± 12 mm) Width: 915 mm (± 6 mm) Mattress support: mattress support other than weldmesh is required, provide details Mattress must comply with specifications in item RT Item to be evaluated as series with item RT , RT and RT in terms of paragraph 16.4 in the Special Conditions of Contract. ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

45 Office of the Chief Procurement Officer Page 45 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

46 Office of the Chief Procurement Officer Page 46 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Cot, adult, with rising backrest and Trendelenberg, with mattress To comply with the latest issue SANS 521, subsection 5.4, fig. 5 Note: where the item offered differs from the specification in SANS 521, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Rising backrest support. Trendelenberg and anti-trendelenberg positions Length: mm (± 12 mm) Width: 915 mm (± 6 mm) Mattress support: mattress support other than weldmesh is required, provide details Mattress must comply with specifications in item RT Item to be evaluated as series with item RT , RT i and RT in terms of paragraph 16.4 in the Special Conditions of Contract. ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

47 Office of the Chief Procurement Officer Page 47 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

48 Office of the Chief Procurement Officer Page 48 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Cot, child, complete with mattress To comply with the latest issue SANS 521, subsection 5.4, fig. 5 Note: where the item offered differs from the specification in SANS 521, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Mattress support: mattress support other than weldmesh is required, provide details Length: mm (± 5 mm) Width: 760 mm (± 5 mm) Mattress must comply with specifications in item RT Item to be evaluated as series with item RT , RT and RT in terms of paragraph 16.4 in the Special Conditions of Contract. ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity

49 Office of the Chief Procurement Officer Page 49 QUESTIONNAIRE PER ITEM Indicate the cost breakdown of the bid price as required in terms of paragraph of the Special Conditions of Contract If not, indicate who will be supplying the product? Complete the following Are you the actual manufacturer of the item/product? YES Have yousubmitted the bid authorisation declaration TCBD1? YES Does the product bear a SANAS recognised quality standard? YES If yes, State SANS Number. Did you attach the relevant SANS Certification? Indicate the percentage local production content for this item as per form SBD 6.2 Did you attach the product information documents as per paragraph 18. YES

50 Office of the Chief Procurement Officer Page 50 ITEM RT DESCRIPTION Bed, cot, mattress and examination couch Cot, child, with rising backrest and Trendelenberg, complete with mattress To comply with the latest issue SANS 521, subsection 5.4, fig. 5 Note: where the item offered differs from the specification in SANS 521, except for the items specified below, the supplier must indicate the deviation and supply relevant details Must comply with IEC (Particular requirements for basic safety and essential performance of medical beds) paragraphs: 201.1, 201.3, 201.7, 201.9, , , annex BB and annex CC Mild steel frame with epoxy/nylon powder-coated finish to comply with SANS 778 paragraph 5.2, proof of compliance must be submitted. Epoxy/nylon powder coating colours: white, cream or grey Rising backrest support Trendelenberg and anti-trendelenberg positions Mattress support: mattress support other than weldmesh is required, provide details Length: mm (± 5 mm) Width: 760 mm (± 5 mm) Mattress must comply with specifications in item RT Item to be evaluated as series with item RT , RT and RT in terms of paragraph 16.4 in the Special Conditions of Contract. ESTIMATED QUANTITY UNIT OF MEASURE DELIVER TO BID PRICE IN ZAR CURRENCY INCLUDING VAT, ALL DELIVERY AND/OR RAILAGE COSTS - PER UNIT OF MEASURE COMMENTS 1 each As listed in Special Requirements and Conditions... R Per each... RESPONSE FIELDS Complete where applicable FIELD NAME MANDATORY DEFAULT Brand Name/Catalogue Number Conforms with Specification Contract Quantity Available Conversion Factor 1 Conversion Factor Operator Country of Origin South Africa Current Exchange Rate Delivered Price Delivery Period (Days) 1 Delivery Point As required Foreign Currency South African Rand Foreign Exchange Rate 1 Foreign Exchange Rate Operator Import Component of Price as % Minimum Order Quantity