PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES FOR THE YEAR

Transcription

1 PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES FOR THE YEAR INVITATION FOR PREQUALIFICATION TO TENDER FOR THE SUPPLY OF GOODS & SERVICES (One application form can only be used to apply for ONE category of goods / services) CATEGORY NO: ITEM DESCRIPTION: RECEIPT NO. (Attach pink copy) Ecobank Kenya Limited is in the process of updating its register of suppliers for various Goods & Services for the Year 2014/2015. Interested and existing suppliers are invited to apply for prequalification, indicating the goods and/or services they wish to supply. The prequalification documents can be downloaded from the bank s website: i.e. URL: under Forms and Documents Section A non-refundable fee of Kshs. 3, per category should be deposited at any Ecobank branches to the account below. The original (red copy) deposit slip should be attached to each application form submitted. Account Name: Commission Misc Account, Account Number: Duly completed Pre-qualification documents in plain sealed envelopes MUST indicate the Category No. and Item Description and clearly marked Pre-qualification of Suppliers- 2014/2015 and should be deposited in the Prequalification Tender Box provided at the Security Desk on Ground Floor, Ecobank Towers, Muindi Mbingu Street, Nairobi, or be addressed and posted to: The Tender Committee ECOBANK KENYA LIMITED P. O. Box NAIROBI. The closing date for the submission of application will be 4 th December 2013, at 4.00 p.m. EKE- Prequalification Application Document 2014/2015 1

2 1.1 APPLICATION SUBMISSION SHEET We, the undersigned, apply to be pre-qualified for the provision of goods and services to the Ecobank Kenya Limited for the 2014/2015 financial years and declare that: a) we have examined and have no reservations to the Pre-qualification Document and Instructions. b) we, including any subcontractors or suppliers for any part of the contract subject to this prequalification process, have the technical and financial capabilities to undertake the provision of the required goods and services. c) we, including any subcontractors or suppliers for any part of the contract subject to this prequalification do not have any conflict of interest, in accordance with the Ecobank Kenya Policy for Procurement and Disposal and the Public Procurement & Disposal Act, d) we, including any subcontractors or suppliers for any part of the contract subject to this prequalification, have not been declared ineligible to supply goods and services under the Kenyan laws or official regulations. e) we understand that you may cancel the prequalification process at any time and that you are neither bound to accept any application that you may receive nor to invite the prequalified applicants to bid for the contract subject of this prequalification, without incurring any liability to the Applicants. Signed Name In the Capacity of Duly authorized to sign the application for and on behalf of: Applicant s Legal Name (Organization) Address Date Official Stamp EKE- Prequalification Application Document 2014/2015 2

3 1.2 CONFIDENTIAL BUSINESS QUESTIONNAIRE PART A - BACKGROUND INFORMATION 1 Name of Organization 2 Address for all Correspondence 3 Principal Contact Person/s 4 Position 5 Telephone Numbers Landline/s: 6 Fax Numbers Mobile/s: 7 Address 8 Physical Location of Business Premises (Note that a visit to your office may be made to confirm information provided as part of tender evaluation) Town: LR. No:. Street:... Building:.. Floor: 9 Nature of Organization (Ltd, Plc, Partnership, Sole proprietorship, etc) 10 Names of Proprietor/ Partners/Directors NAME NATIONALITY 11 Geographical Areas of Operations Business Operations 13 Registration No. (Attach copy of relevant Certificate) 14 VAT Registration No. (Attach copy) Year established:.. Duration of business operation:.. EKE- Prequalification Application Document 2014/2015 3

4 15 Valid Tax Compliance Certificate (Attach copy) 16 Current Trade License No. (Attach copy) 17 Brief description of goods / services that you offer. Please attach copy of organizational structure and profile of key personnel of the organization PART B - FINANCIAL STATUS 18 Name of Bank & Branch (from which a financial reference may be sought) 19 Bank address Ecobank?. Other?... (Indicate Bank name & Branch) 20 Bank Telephone Number 21 Bank Contact Name & Position 22 State Annual Turnover (Attach certified copies of bank statements for the past one year) Annual Turn Over in KSh. 23 State Profit for the past 3 years (Attach copies of audited accounts) Year.. Year.. Year.. Profit in KSh.... EKE- Prequalification Application Document 2014/2015 4

5 PART C REFERENCES 24 Provide contact details for 3 referees for previous / current work that is similar or the same A B C to the one now applied for. The referees may be contacted at any given time. 0 1 How many references are you indicating? (Tick one) 2 3. Is Ecobank one of your references? Yes No.. Other Organization.. Contact Name... Position. D E Telephone No.... address... Organization.. Contact Name... Position. Telephone Nos address... Organization.. Contact Name... Position. Telephone No.... address... Signature of referee & Official Stamp Signature of referee & Official Stamp Signature of referee & Official Stamp Please attach copies of LPOs, award letters or any other approved document from each of the above showing works done and their values. EKE- Prequalification Application Document 2014/2015 5

6 PART D PROJECT / SUPPLIES HISTORY List information on public or private major projects / supplies completed over the last 5 years and most recent / ongoing. (Attach copies of LPOs, award letters or any other approved document from each of the above showing works done and their values). (i) Completed Client Project title / Supplies Duration/Period Value (ii) Current / On-going Client Project title / Supplies Duration/Period Value (iii) Maximum value of business handled at any one time KSh. NB: For those participants who fall under the margin of preference or reservations please attach the relevant certificates as appropriate and indicate the category and item description you are applying for. EKE- Prequalification Application Document 2014/2015 6