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District Municipality Community Development Services c/o Hill & Le Roux Street UPINGTON Private Bag X6039 UPINGTON 8800 8800 Quotation No -1 2011/2012 Request for quotation of materials to do the connections for 19 sites and Yard Stands Riemvasmaak-Mission 19 New sites with houses Closing date: 19 July 2011 Name of Company Address :.. :.. Tel No Cellphone Contact person Total Price :.. :.. : : (VAT incl) MUNICIPAL MANAGER MR D NGXANGA SIYANDA DISTRICT MUNICIPALITY PRIVATE BAG X6039 UPINGTON 8800

Siyanda District Municipality Quotation No 1 2011/2012 Procurement of construction of water networks and yard stands in Riemvasmaak-Mission Kwotasies word hiermee aangevra vir die water aansluiting vir 19 nuwe erwe in Vredesvallei, Riemvasmaak. Kwotasie dokumente en inligting sal beskikbaar wees by die kantore van die Siyanda Distrik Munisipaliteit vanaf Woensdag, 13 Julie 2011. Verseëlde Kwotasie gemerk Kwotasie no 1-2011/2012, Voorsiening van materiale vir die water aansluiting vir 19 nuwe erven in Mission moet in die tenderbus van die Siyanda Distrik Munisipaliteit geplaas word Dinsdag, 19 Julie 2011. Die raad is nie gebind om die laagste, die enigste of enige tender te aanvaar nie. Die raad behou die reg voor om nie enige aanstelling te maak nie en geen fakstenderaanbiedinge sal aanvaar word nie. Kwotasie sal evalueer word na aanleiding van die Wet op voorkeurverkryging van 2000 in terme van die 80/20 puntestelsel(ingebind by die tenderdokument).punte sal as volg toegeken word: Punte vir Prys : 80 Voorkeurpunte : 20 Pryswaarde : 80 PDI status : 16 Vroue aandeelhouding : 2 Jeug aandeelhouding : 2 Tenderaars moet n oorspronklike belastingsertifikaat saam met hul voltooide dokumente in te dien. Tenderaars moet ook BEE status sertifikaat aangheg by hul voltooide dokumente. Mnr D Ngxanga Mnr J Nakoo(083 390 0871) Munisipale Bestuurder Hoof:Gemeenskap Ontwikkelingsdienste c/o Hill & Le Roux Straat Privaatsak X6039 UPINGTON 8800

Siyanda District Municipality Quotation No -1 2011/2012 Procurement of construction of water networks and yard stands in Riemvasmaak-Vredesvallei The documents consist of the following; A. General Conditions of contracts A.1. Introduction of the quotation The Siyanda District Municipality is hereby invite service providers to connect the water network and yard connections in Riemvasmaak-Vredesvallei. There are 19planned houses to be serviced by the Municipality with yard stand pipes. Contractors are requested to provide Siyanda with quotation to complete the network connection and standpipe (yard stands) as described in drawings. The project is estimated to take less than 8 weeks. A.2. Conditions of quotations The council also reserve the right not to appoint any service provider. Quotations that are submitted late will not be evaluated. How ever the materials will be supplied by Siyanda District Municipality. The appointed contractor will be responsible for the work and the Municipality will check the quality of work. B. Project Description B.1. Location of Project The project will be done in Mission. There are new houses that have no water connections and we are targeting to finish all the new houses with water connection. Since these house are placed between houses that are existing it not easy to trace if the drawings are indicating the right information therefore we expect that at some place we will need to check for connections. This town is within a radius of 4km and the houses are placed on different positions. B.2. Existing Works In Mission we are currently using underground water to supply the community with water. There are two boreholes that feed two elevated reservoirs. These reservoirs feed the town of Mission. The contractor to do the connection will be responsible for the connection of the new line to the existing system.

B.3 Proposed Work The appointed contractor will be responsible for the connection of the water networks for the new site in Vredesvallei. The earthworks should be done on natural ground not on deposited ground. We expect the contractor to connect all 19 houses on the main line of 75mm diameter pipe and we are expecting the contractor to also lay the 75mm diameter pipe as shown on drawings. The work is as listed below but not limited to this. 1. Identify position of connection for the houses already having connections. 2. Water Connection of the Yard stands from main to the standpipe inside the yard others will have house connection that need meters and standpipes, 3. Construction of Concrete base (600mm X 600mm X 100mm) for standpipes, 4. Connection of 19 Meters which should inside the yard but 3metres away from the stand 5. Main line Pipe laying for main 6. Testing of yard connections. Note The project will be coordinated by Siyanda District, meaning we will supply materials and check the quality of work. We also request that the contractor should not work on the deposited materials all trenches should be made in the natural ground. Drawings will be provided as the project start. The contractor is also requested to complete attendance registers for the labour employed on the project as it forms part of Job creation Proof of address should be provided and Tax clearance certificate.

C. Labour Item Description Units Quantity Rate Amount 1 Overheads (telephone, office equipment, etc) 2 2.1 Earth works Excavate for 75mm diameter pipe 500m X 0.8 deep X 0.35m width M3 140 2.2 2.3 Excavate for house connection from the main line to standpipe (minimum cover 0f 300mm over every house connection) no 19 3 3.1a Yard connections Connection to existing main of 75mm No 19 3.1b Connection to existing main without 75mm (must include connection of a 75mm diameter pipe per meter) as in 2.1 No 19 Connection of the tap and fittings No 19 4 Meter Connections Connection of meters no 19 5 Standpipes Construction of a base of concrete (600 x 600 x 100mm ) for the pipe to stand firm no 19 6 6.1 Pipe laying Connections Connection of the 75mm to the existing 75mm Connection of the 7 Checking of water connections that were no done previously. 8 Connection of identified connections no 9 Additional Items M 500 Sub Total Vat Total

SIYANDA DISTRIK MUNISIPALITEIT KWOTASIE VORM KWOTASIE NR 1-201/2012 19 WATER AANSLUITING VIR DIE NUWE ERWE IN MISSION, RIEMVASMAAK DIE MUNISIPALE BESTUURDER MR D NGXANGA Ek/Ons die ondergetekendes, bied hiermee aan om soos versoek in hierdie dokument materiale aan u te lewer vir die oprigting van 19 in Mission, Riemvasmaak, ooreenkomstig die tekeninge en spesifikasies soos ingebind by hierdie dokument, tot volle bevrediging van die Siyanda Distrik Munisipaliteit vir die bedrag van. (woorde) (R..) (BTW INGESLUIT) Ek/Ons onderneem om nie hierdie tender terug te trek of te herroep binne 30 (dertig) dae na die sluitingsdatum van kwotasies nie. Ons aanvaar dat die laagste of enigste tender nie noodwendig aanvaar sal word nie. Address: Handtekening:.. Datum:... Naam van Maatskappy:.. Tel No:.....

PREFERENCE POINTS CLAIM FORM IN TERMS OF THE PREFERENTIAL PROCUREMENT REGULATIONS 2001 PURCHASES This preference form must form part of all bids invited. It contains general information and serves as a claim form for Historically Disadvantaged Individual (HDI) preference points as well as a summary for preference points claimed for attainment of other specified goals NB: BEFORE COMPLETING THIS FORM, BIDDERS MUST STUDY THE GENERAL CONDITIONS, DEFINITIONS AND DIRECTIVES APPLICABLE IN RESPECT OF EQUITY OWNERSHIP BY HISTORICALLY DISADVANTAGED INDIVIDUALS (HDIs), AS PRESCRIBED IN THE PREFERENTIAL PROCUREMENT REGULATIONS, 2001. 1. GENERAL CONDITIONS 1.1 The following preference point systems are applicable to all bids: - the 80/20 system for requirements with a Rand value of up to R500 000; and - the 90/10 system for requirements with a Rand value above R500 000. 1.2 The value of this bid is estimated to exceed/not exceed R500 000 and therefore the 90/10 system shall be applicable. 1.3 Preference points for this bid shall be awarded for: (a) (b) Price; and Specific contract participation goals, as specified in the attached forms.

1.3.1 The points for this bid are allocated as follows: POINTS 1.3.1.1 PRICE 80 1.3.1.2 SPECIFIC CONTRACT PARTICIPATION GOALS (a) Historically Disadvantaged Individuals: (i) (ii) (iii) who had no franchise in national elections before the 1983 and 1993 Constitutions who is a female youth 16 2 2 Total points for Price, HDI s and other RDP-goals must not exceed 100 Separate Preference Points Claim Forms will be used for the promotion of the specific goals for which points have been allocated in paragraph 1.3.1.2 (b) above. 1.4 Failure on the part of a bidder to fill in and/or to sign this form may be interpreted to mean that preference points are not claimed. 1.5. The purchaser reserves the right to require of a bidder, either before a bid is adjudicated or at any time subsequently, to substantiate any claim in regard to preferences, in any manner required by the purchaser. 1.6 The Siyanda District Municipality requires Tax Clearance Certificates for every payment beyond R 30 000.00. Service Provides should include an original certificate in their documentation.

2. GENERAL DEFINITIONS 2.1 Acceptable bid means any bid which, in all respects, complies with the specifications and conditions of bid as set out in the bid document. 2.2 Bid means a written offer in a prescribed or stipulated form in response to an invitation by an organ of state for the provision of goods, works or services. 2.3 Comparative price means the price after the factors of a non-firm price and all unconditional discounts that can be utilised have been taken into consideration. 2.4. Consortium or joint venture means an association of persons for the purpose of combining their expertise, property, capital, efforts, skills and knowledge in an activity for the execution of a contract. 2.5.1 Contract means the agreement that results from the acceptance of a bid by an organ of state. 2.6 Specific contract participation goals means the goals as stipulated in the Preferential Procurement Regulations 2001. 2.6.1 In addition to above-mentioned goals, the Regulations [12.(1)] also make provision for organs of state to give particular consideration to procuring locally manufactured products. 2.7 Control means the possession and exercise of legal authority and power to manage the assets, goodwill and daily operations of a business and the active and continuous exercise of appropriate managerial authority and power in determining the policies and directing the operations of the business. 2.8 Disability means, in respect of a person, a permanent impairment of a physical, intellectual, or sensory function, which results in restricted, or lack of, ability to perform an activity in the manner, or within the range, considered normal for a human being. 2.9 Equity Ownership means the percentage ownership and control, exercised by individuals within an enterprise. 2.10 Historically Disadvantaged Individual (HDI) means a South African citizen (1) who, due to the apartheid policy that had been in place, had no franchise in national elections prior to the introduction of the Constitution of the Republic of South Africa, 1983 (Act No 110 of 1983) or the Constitution of the Republic of South Africa, 1993, (Act No 200 of 1993) ( the interim Constitution); and/or (2) who is a female; and/or (3) who has a disability: provided that a person who obtained South African citizenship on or after the coming to effect of the Interim Constitution, is deemed not to be a HDI;

2.11 Management means an activity inclusive of control and performed on a daily basis, by any person who is a principal executive officer of the company, by whatever name that person may be designated, and whether or not that person is a director. 2.12 Owned means having all the customary elements of ownership, including the right of decisionmaking and sharing all the risks and profits commensurate with the degree of ownership interests as demonstrated by an examination of the substance, rather than the form of ownership arrangements. 2.13 Person includes reference to a juristic person. 2.14 Rand value means the total estimated value of a contract in Rand denomination that is calculated at the time of bid invitations and includes all applicable taxes and excise duties. 2.15 Small, Medium and Micro Enterprises (SMMEs) bears the same meaning assigned to this expression in the National Small Business Act, 1996 (No 102 of 1996). 2.16 Sub-contracting means the primary contractor s assigning or leasing or making out work to, or employing another person to support such primary contractor in the execution of part of a project in terms of the contract. 2.17 Trust means the arrangement through which the property of one person is made over or bequeathed to a trustee to administer such property for the benefit of another person. 2.18 Trustee means any person, including the founder of a trust, to whom property is bequeathed in order for such property to be administered for the benefit of another person. 3. ESTABLISHMENT OF HDI EQUITY OWNERSHIP IN AN ENTERPRISE 3.1 Equity ownership shall be equated to the percentage of an enterprise which is owned by individuals classified as HDIs, or in the case of a company, the percentage shares that are owned by individuals classified as HDIs, who are actively involved in the management and daily business operations of the enterprise and exercise control over the enterprise, commensurate with their degree of ownership. 3.2 Where individuals are not actively involved in the management and daily business operations and do not exercise control over the enterprise commensurate with their degree of ownership, equity ownership may not be claimed.

4. ADJUDICATION USING A POINT SYSTEM 4.1 The bidder obtaining the highest number of points will be awarded the contract. 4.2 Preference points shall be calculated after prices have been brought to a comparative basis. 4.3 Points scored will be rounded off to 2 decimal places. 4.4 In the event of equal points scored, the bid will be awarded to the bidder scoring the highest number of points for specified goals. 5. POINTS AWARDED FOR PRICE 5.1 THE 80/20 OR 90/10 PREFERENCE POINT SYSTEMS A maximum of 80 or 90 points is allocated for price on the following basis: 80/20 or 90/10 Pt P min Pt P min Ps = 80 1 or Ps = 90 1 P min P min Where Ps = Points scored for price of bid under consideration Pt = Rand value of bid under consideration Pmin = Rand value of lowest acceptable bid

6. Points awarded for historically disadvantaged individuals 6.1 In terms of Regulation 13 (2) preference points for HDI s are calculated on their percentage shareholding in a business, provided that they are actively involved in and exercise control over the enterprise. The following formula is prescribed in Regulation 13 (5) (c): Where NEP = NOP EP 100 NEP = Points awarded for equity ownership by an HDI NOP = The maximum number of points awarded for equity ownership by an HDI in that specific category EP = The percentage of equity ownership by an HDI within the enterprise or business, determined in accordance with the definition of HDI s. 6.2 Equity claims for a trust will only be allowed in respect of those persons who are both trustees and beneficiaries and who are actively involved in the management of the trust. 6.3 Documentation to substantiate the validity of the credentials of the trustees contemplated above must be submitted. 6.4 Listed companies and tertiary institutions do not qualify for HDI preference points. 6.5 A consortium or joint venture may, based on the percentage of the contract value managed or executed by their HDI-members, be entitled to preference points in respect of an HDI. 6.6 A person awarded a contract as a result of preference for contracting with, or providing equity ownership to an HDI, may not subcontract more than 25% of the value of the contract to a person who is not an HDI or does not qualify for the same number or more preference for equity ownership.

7. BID DECLARATION 7.1 Bidders who claim points in respect of equity ownership must complete the Bid Declaration at the end of this form. 8. EQUITY OWNERSHIP CLAIMED IN TERMS OF PARAGRAPH 2.10 ABOVE. POINTS TO BE CALCULATED FROM INFORMATION FURNISHED IN PARAGRAPH 9.8. Ownership Percentage owned Points claimed 8.1 Equity ownership by persons who had no franchise in the national elections % 8.2 Equity ownership by women. %.. 8.3 Equity ownership by disabled persons*. % *If points are claimed for disabled persons, indicate nature of impairment (see paragraph 2.8 above). 9 DECLARATION WITH REGARD TO EQUITY 9.1 Name of firm :... 9.2 VAT registration number :... 9.3 Company registration number :. 9.4 TYPE OF FIRM Partnership One person business/sole trader Close corporation Company (Pty) Limited [TICK APPLICABLE BOX]

9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES.................. 9.6 COMPANY CLASSIFICATION Manufacturer Supplier Professional service provider Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] 9.7 MUNICIPAL INFORMATION Municipality where business is situated:.. Registered Account No: Stand No:.. [Include account of municipality] 9.8 TOTAL NUMBER OF YEARS THE FIRM HAS BEEN IN BUSINESS?

9.9 List all Shareholders by Name, Position, Identity Number, Citizenship, HDI status and ownership, as relevant. Information to be used to calculate the points claimed in paragraph 8. * HDI Status Name Date/Position occupied in Enterprise ID Number Date RSA Citizenship obtained No franchise prior to elections Women Disabled % of business / enterprise owned *Indicate YES or NO 9.10 Consortium / Joint Venture Name of HDI member (to be consistent with paragraph 9.8) Percentage (%) of the contract value managed or executed by the HDI member

9.11 Declaration of Outh I/we, the undersigned, who warrants that he/she is duly authorised to do so on behalf of the firm certify that points claimed, based on the equity ownership, indicated in paragraph 8 of the foregoing certificate, qualifies the firm for the preference(s) shown and I / we acknowledge that: (i) (ii) (iii) (iv) The information furnished is true and correct. The Equity ownership claimed is in accordance with the General Conditions as indicated in paragraph 1 of this form. In the event of a contract being awarded as a result of points claimed as shown in paragraph 8, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct. If the claims are found to be incorrect, the purchaser may, in addition to any other remedy it may have - (a) (b) recover costs, losses or damages it has incurred or suffered as a result of that person s conduct; and cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; BIDDER : 1. Name & Surname : Signature :. WITNESSES: 2. Name & Surname : Signature :.. Adres: