Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698141380739.pdf (South Africa)
REQUEST FOR QUOTATION Requested: SUPPLY AND DELIVERY OF STATIONERY AND OFFICE SUPPLIES TO PARLIAMENT FOR A PERIOD OF ONE (1) YEAR Date of Issue: 2 FEBRUARY 2023 Closing Date and Time: 10 FEBRUARY 2023 at 16:30 Quotation Reference Number: RFQ99/2023 Item Quotation Description Quantity Delivery Period Price in South African Required Currency (inclusive of VAT) No 1 SUPPLY AND DELIVERY OF STATIONERY AND OFFICE SUPPLIES ZMSOLO …………………………….. FOR SECRETARY TO PARLIAMENT 1.
GENERAL CONDITIONS  Quotations will be evaluated on 80 /20 preference point system  80 points allocated for price and 20 points allocated for specific goals as identified in paragraph 8.6 of the Preferential Policy of Parliament  Preference Points will be awarded to tenderers for completing column 3 and supplying the supporting documents listed in column 4 below.

Refer HDI and RDP goals as mentioned in paragraph 3 below for more details.

1.Specific goals 2.

Number of points 3.


Points claimed by the 4.
Tenderers must supply the tenderer following documents when claiming HDI GOALS Black Women People with disabilities RDP GOALS Youth SMME Locally manufactured product Empowerment of Local communities 6 2 2 2 3 2 3 preference points ID Document ID Document Medical Certificate ID Document Annual Turnover Declaration from Manufacturer Proof of address RFQ | Effective 19 January 2023  All suppliers responding to quotation should be registered on Central Supplier Database (CSD)   The quotation must be emailed to zmsolo@parliament.gov.za Further information regarding this quote may be obtained from to zmsolo@parliament.gov.za  All quotations received after the closing date will not be accepted  Acceptance of a quotation will be subject to Parliament’s own Supply Chain Management policy  All suppliers are required to fill in and submit the declaration of interest certificate below  A current list of references where similar work was undertaken shoul d be supplied  All suppliers must submit valid tax pin and all supporting documents as per the specific goals table 2.
SPECIFIC CONDITIONS  The appointment of the supplier will not necessarily be on the basis of the lowest quote.

 Quotes should be detailed and specify the services and cost, market related prices will be negotiated with the preferred supplier.

 Parliament reserves the right not to award the contract.

 Quotes should be on the company letterhead, indicating the VAT registration number.

 Companies are prohibited from using Parliament’s logo on their proposal.
 The RFQ document must be completed in full and the declaration of interest form must be filled in, signed, stamped by the   commissioner of oath and returned with the quotation.

Failure to submit all documents as required will result in disqualification.
Parliament cannot award contracts to provide goods and services to a Member of Parliament, or Cabinet, A Member of a Provincial Legislature or Member of the Provincial Executive Council, a Munici pal Councillor, a person in the employ of state whose participation in procurement process for the contract may result in a conflict of interest, or any entity in which any of the mentioned persons is a director or has controlling or other substantial interest.
 Parliament may request suppliers to provide additional pricing information to be utilised for comparative purposes during evaluations.

 Parliament reserves the right, for purposes of promoting the values of competitiveness and fairness, not to award the RFQ/tender to the highest scoring tenderer if such a tenderer has been awarded a tender by Parliament or has performed services for Parliament, during the last 12 months prior to the closing date of the RFQ/tender.
 Parliament reserves the right to re-appoint or extend the service of the supplier where there is a natural continuation of assignments.

 Tenderers will only qualify for the preference points claimed by them if they provide valid supporting documents to substantiate such claim.

3.

HDI and RDP Goals The below mentioned HDI and or RDP goals will be applicable to this RFQ, as identified in paragraph 8,6 of the preferential procurement policy of Parliament.
Specific goals Means of Verification: Comments: Black Women South African ID copy African, Indian and coloured are also classified as black South African ID copy The 7th digit of a female’s RSA ID is 0 – 4, and 5 – 9 for males People living with disabilities Medical Certificate Only a qualified medical practitioner can certify a disability Youth SMME South African ID copy Ages between 18 – 35 Staff complement and According to National Small Business Act annual turnover Locally manufactured products Declaration from the Only for goods designated for local content manufacturer Empowerment of local communities Proof of address Municipal accounts/Ward Councillor letter RFQ | Effective 19 January 2023 SUPPLIER INFORMATION FORM REGISTERED NAME TRADING NAME (IF APPLICABLE) COMPANY REGISTRATION NUMBER (or ID) VAT REGISTRATION NUMBER CENTRAL SUPPLIER DATABASE NUMBER TAX COMPLIANCE STATUS PIN TAX COMPLIANCE STATUS PIN EXPIRY DATE INCOME TAX NUMBER ADDRESS PHYSICAL ADDRESS CITY/TOWN POSTAL CODE ADDRESS POSTAL ADDRESS CITY/TOWN CONTACT DETAILS POSTAL CODE OFFICE CELLPHONE FAX EMAIL BANK DETAILS CONTACT PERSON BANK NAME BRANCH CODE ACCOUNT NUMBER ACCOUNT NAME  I …………………………………………hereby certify that the above information is correct and that I and other members, directors, managers, or shareholders with a controlling or other substantial interest of the entity, are not Members of Parliament or Cabinet, Members of a Provincial Legislature or a Provincial Executive Council, Municipal Counci llors, persons employed by the State as their participation in Parliament’s procurement process may result in a conflict of interest.
 I am also declaring that none of the entities in the company who is a director or has a controlling or substantial interes t fall under the category of the person mentioned above.
(Additional details to be provided should this declaration not be correct)  I also agree that, in the event of false, incorrect or misleading information being provided in this declaration, the Secretary to Parliament of the Republic of South Africa shall have the right to recover any losses or damages sustained by Parliament under such agreement and/or restrict the supplier from further business depending on the materiality of the misrepresentat ion and the degree of prejudice.
_____________________________ _________________________ Signature Date (Attach a bank confirmation letter or cancelled cheque to confirm bank account number) RFQ | Effective 19 January 2023 PRODUCT OR SERVICE DESCRIPTION SUPPLY AND DELIVERY OF STATIONERY AND OFFICE SUPPLIES Supply and Delivery of Stationery and Office Supplies The successful supplier/s will be expected to supply and deliver the following:  Stationery and office supplies as listed below: NB: Service provider/s may choose which category they wish to quote on.
Service provider/s MUST quote on all items listed under the category they are bidding for.
Category A – Staplers, punch & accessories: No: Description: Unit of measure: Stapler, handheld, 26/6 (30 to 40 sheet capacity) Each Staples, 26/6, 5000 staples per box Staples, 23/8, 1000 staples per box Staples, 23/10, 1000 staples per box Staples, 23/13, 1000 staples per box Staples, 23/15, 1000 staples per box Staples, 23/17, 1000 staples per box Staples, 23/20, 1000 staples per box Staples, 23/24, 1000 staples per box Staple remover, up to 26/6 staples Heavy duty staple remover, up to 23/24 staples Heavy duty punch (up to 150 pages capacity) Heavy duty stapler (up to 240 pages capacity) 2-hole punch, handheld (up to 25 sheets) Heavy duty punch (up to 150 pages capacity) Box Box Box Box Box Box Box Box Each Each Each Each Each Each Category B – Instruction notes/tags: No: Description: Flags, 25.4mm x 43.2mm, assorted colours, 50 per pack, similar or equivalent to Post-it Flags, 25.4mm x 43.2mm, "Sign here", 50 per pack, similar or equivalent to Post-it Flags, 11.9mm x 43.2mm, 96 per pack, similar or equivalent to Post-it Instruction labels, “Urgent” Instruction labels, “Confidential” Unit of measure: Pack Pack Pack Box Box RFQ | Effective 19 January 2023 6 7 8 9 Final notice labels Adhesive note pads, 76mm x 76mm, assorted colours, similar or equivalent to Post-it Adhesive note pads, 40mm x 50mm, assorted colours, similar or equivalent to Kores Adhesive labels, 70mm x 37mm, 100 sheets per pack, similar or equivalent to Redfern 10 PVC ring reinforcements, clear Box Pack Pack Pack Pack Category C – Note books: No: Description: Unit of measure: Hardcover book, A4, 192 pages Hardcover book, A4, 288 pages Hardcover book, A5, 192 pages Spiral note book, A4, 100 pages Spiral note book, A5, 100 pages Spiral note book, A5, 100 pages, punched & perforated Spiral note book, A4, 100 pages, punched & perforated A4 Exam pad Each Each Each Each Each Each Each Each Category D – Clips: No: Description: Standard paper clips, 25mm
 Large paper clips, 50mm Extra-large paper clips, 78mm Fold-back clips, 19mm Fold-back clips, 25mm Fold-back clips, 32mm Fold-back clips, 41mm Fold-back clips, 50mm Bulldog clips, 19mm Bulldog clips, 32mm Bulldog clips, 38mm Bulldog clips, 50mm Bulldog clips, 64mm Bulldog clips, 75mm Unit of measure: Box Box Box Box Box Box Box Box Each Each Each Each Each Each RFQ | Effective 19 January 2023 Bulldog clips, 100mm Bulldog clips, 150mm Paper clips, plastic coated, Small Paper clips, plastic coated, Medium Paper clips, plastic coated, Large Each Each Box Box Box Category E – Writing Instruments: No: Description: Pencil eraser, white Pencil sharpener, two-hole, steel Pens, retractable/click, ball point, (Red, Green, Black & Blue ink) Pens, retractable/click, 0.8mm gel point, (Red, Green, Black, Royal Blue & Pink ink) Pens, rollerball, 0.7mm, assorted colours, similar or equivalent to Pentel EnerGel Pens, non-retractable, 0.8mm gel point, (Red, Green, Black & Blue ink) Ballpoint Pen with Laser Pointer (Red, Green, Black & Blue ink) Original superior executive ballpoint pen (Red, Green, Black & Blue ink) Pencils, e.g.
HB (12 per box) Refillable Pencil with leads & eraser Permanent Marker, 700 EK, fine point, assorted colours Permanent Marker, 70 EK, Bullet tip, assorted colours Highlighters, assorted colours Correction fluid, pen Correction fluid, bottle 16 Whiteboard markers, assorted colours 17 Whiteboard cleaning fluid 18 Whiteboard cleaning cloths/erasers 19 Ink refills for fountain pens, red; blue & black ink Unit of measure Each Each Each Each Each Each Each Each Box Each Each Each Pack Each Each Each Each Each Each Category F – Envelopes: No: Description: Unit of measure: 1 2 C3 self-seal envelopes, no window, White C3 self-seal envelopes, no window, Brown Box Box RFQ | Effective 19 January 2023 C4 self-seal envelopes, no window, White C4 self-seal envelopes, no window, Brown C4 self-seal envelopes, internal office mail, Brown C5 self-seal envelopes, no window, White C5 self-seal envelopes, no window, Brown Box Box Box Box Box Self-seal DLB, no window 110mm x 220mm, White Box Self-seal DLB, no window 110mm x 220mm, Brown Box Category G – Files: No: Description: Lever-arch files, A4, 80mm, glossy with provision to insert sheet in front, assorted colours (10 per box) Lever-arch files, A4, PVC, 80mm, No index, assorted colours,10 per box Lever-arch files, A4, PVC, 58mm, assorted colours, 10 per box Lever-arch files, A4, PVC, 58mm create a cover Ring Binder Files, A4, PVC, 30mm, assorted colours, 10 per box A4 clear plastic punched pocket filling sleeves,100 per pack File Dividers Jan-Dec, A4 File Dividers 1-31 , A4 File dividers 1 -10, A4 board – white File dividers 1-5, A4 - board White File dividers 1- 20, A4 – board White A4 laminating pouch film, 150 micron, 100 per pack A3 laminating pouch film, 150 micron, 100 per pack Unit of measure: Box Box Box Box Box Pack Pack Pack Pack Pack Pack Pack Pack Polypropylene file dividers, A4, Jan-Dec division, assorted colours Pack Polypropylene file dividers, A4, 1-31 division, assorted colours
 Polypropylene file dividers, A4, A-Z division, assorted colours A4 Accessible files, plastic or metal mechanism, assorted colours,10 per pack Rotary files with PVC pockets (W/240, W/300, W/200) File fasteners, up to 30 sheets capacity, 100 per box Pack Pack Pack Each Box A4 3-flaps document files with Elastic cord fastener, assorted colours Each Concertina file with 16 compartments & reinforced gusset and index tabs Concertina file with 20 compartments & reinforced gusset and index tabs Each Each Presentation/Quotation folders, A4, assorted colours, 12 per pack Pack Presentation/ Quotation, A4 folders create - a cover Pack RFQ | Effective 19 January 2023 25 26 27 A4 extra heavy duty flapless files with clip, similar or equivalent to OptiPlan 445 File tabs, A4 24up, 144 per pack, similar or equivalent to OptiPlan Opti Tabs Secretary folders, clear, 115 micron, A4, 10 per pack Pack Pack Pack Category H – Batteries: No: Description: Unit of measure: AAA batteries, 2 per pack AAA batteries, 4 per pack AAA batteries, rechargeable, 4 per pack AAA batteries, 6 per pack AAA batteries, 8 per pack Pack Pack Pack Pack Pack AAA batteries, rechargeable, 8 per pack Pack AAA batteries, 24 per pack AAA batteries, 100 per pack AA batteries, 2 per pack AA batteries, 4 per pack AA batteries, rechargeable, 4 per pack AA batteries, 6 per pack AA batteries, 8 per pack AA batteries, rechargeable, 8 per pack AA batteries, 24 per pack AA batteries, 100 per pack Battery charger, AA & AAA capacity Pack Pack Pack Pack Pack Pack Pack Pack Pack Pack Each Category I – Boards/slates: No: Description: Whiteboard, magnetic, wall mountable 600 x 450 mm Whiteboard, magnetic, wall mountable 900 x 600 mm Whiteboard, magnetic, wall mountable 600 x 900 mm Whiteboard, magnetic, wall mountable 1200 x 900 mm Whiteboard, magnetic, wall mountable 1000 x 1000 mm Whiteboard, magnetic, wall mountable 1200 x 1000 mm Whiteboard, magnetic, wall mountable
 1200 x 1200 mm Whiteboard, magnetic, wall mountable 1500 x 1200 mm Whiteboard, magnetic, wall mountable 1500 x 900 mm Unit of measure Each Each Each Each Each Each Each Each Each RFQ | Effective 19 January 2023 10 Whiteboard, magnetic, wall mountable 1800 x 1200 mm 11 Whiteboard, magnetic, wall mountable 1800 x 900 mm 12 Whiteboard, magnetic, wall mountable 2000 x 1200 mm 13 Whiteboard, magnetic, wall mountable 2400 x 1200 mm 14 Whiteboard, magnetic, wall mountable 3000 x 1200 mm 15 16 17 18 A4 Clipboard, wooden Flip chart stand with 3 adjustable legs Flipchart paper Bond with slotted holes, 50 sheets per pad Poster frame, plastic, A4, slide in, metal corner, wall mountable 19 Writing Slate A4 Marker board, 297 x 210mm A4 Backing board panel, 2.5mm MDF Each Each Each Each Each Each Each Pad Each Each Each Perpetual year planner, magnetic, wall mountable, 1200 x 900 mm Each Perpetual year planner, magnetic, wall mountable, 1500 x 1200 mm Each Perpetual year planner, magnetic, wall mountable, 2400 x 1200 mm Each Bulletin boards with aluminium frame, wall mountable (all sizes) Each Category J – Paper: No: Description: Unit of measure: A4 paper, 80 gsm, White (500 sheets x 5 reams per box) Box A3 paper, 80 gsm, White (500 sheets x 5 reams per box) Box A3 paper, 80 gsm, assorted colours A4 paper, 80 gsm, assorted colours A4 paper, 120 gsm, assorted colours A4 carbon paper, 100 sheets per pack Box Box Box Pack Category K – Electronic storage: No: Description: Unit of measure: Memory stick, retractable, USB 3.0 and USB 2.0 compatibility, 8GB Each Memory stick, retractable, USB 3.0 and USB 2.0 compatibility, 16GB Each Memory stick, retractable, USB 3.0 and USB 2.0 compatibility, 32GB Each Memory stick, retractable, USB 3.0 and USB 2.0 compatibility, 64GB Each Portable external hard drive, USB 3.0 and USB 2.0 compatibility, 500GB Portable external hard drive, USB 3.0 and USB 2.0 compatibility, 1TB Each Each Portable external hard
 drive, USB 3.0 and USB 2.0 compatibility, 2TB Each Portable external hard drive, USB 3.0 and USB 2.0 compatibility, 3TB Each RFQ | Effective 19 January 2023 9 10 Portable external hard drive, USB 3.0 and USB 2.0 compatibility, 4TB Each Power bank, universal, 40 000mAh capacity, 2.1A/1A, output 2-Port, assorted colours.
Each Category L – Tapes: No: Description: Unit of measure: Clear/transparent tape, 18mm x 20m Clear/transparent tape, 25mm x 50m Clear/transparent tape, 12mm x 66m Each Each Each Packaging tape, Clear/transparent, 48mm x 50m Each Packaging tape, Brown, 48mm x 50m Desktop tape dispenser Packaging tape dispenser Masking tape, 12mm x 40m Masking tape, 18mm x 40m Masking tape, 24mm x 40m Masking tape, 36mm x 40m Masking tape, 48mm x 40m Magic tape, 12mm x 25m Magic tape, 12mm x 50m Magic tape, 18mm x 25m Magic tape, 18mm x 50m Magic tape, 24mm x 50m P-touch laminated tape, 12mm x 8mm Each Each Each Each Each Each Each Each Each Each Each Each Each Each Tape, double coated, double sided tape acrylic adhesive, 12.70mm x 4.6m, assorted colours.
Each Category M – Diaries: No: Description: 1 2 3 A4 diaries, week to view format, Padded cover A5 diaries, assorted colours with smooth leather effect on cover with a stitched border, gilt metal on corners and daily day to a page format featuring timed appointments.

A4 diaries, assorted colours with smooth leather effect on cover with a stitched border, gilt metal on corners and daily day to a page format featuring timed appointments.
Unit of measure: Each Each Each RFQ | Effective 19 January 2023 Category N – Calendars: No: Description: Unit of measure: 1 2 Desk calendar pad Tent calendar Each Each Category O – Stamps: No: Description: Unit of measure: 1 2 Self-inking stamps Stamp pad ink, 30ml Each Each Category P – Cutters: No Description Unit of measure: 1 2 Cutter heavy-duty utility knife with screw lock, 18mm Each Cutter blades, 18mm, 10 per pack Pack Category Q – Toners: No: Description: Unit of measure: Black - TN-348 BK Cyan - TN-348 C Magenta - 951 XL Cyan - 951 XL Yellow - 951 XL Black - 950 XL Yellow - 78C5 XYO Magenta - 785C XMO Cyan - 785C XCO Cyan for HP OfficeJet Pro Yellow for HP OfficeJet Pro Magenta for HP OfficeJet Pro Black for HP OfficeJet Pro 785C XKO (Black extra high) CE 411 A Cyan CE 412 A Yellow CE 413 A Magenta CE 410 A Yellow Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each Each RFQ | Effective 19 January 2023 26 27 28 CF 380 A Black CF 381 A Cyan CF 382 A Yellow CF 383 A Magenta HP Officejet Pro 8620 – print head cartridges GT 52 CYAN for HP smart tank 615 GT 52 Yellow for HP smart tank 615 GT 52 Magenta for HP smart tank 615 Q7553 A - Black Waste toner bottle Each Each Each Each Each Each Each Each Each Each Category R – Solid adhesive items: No: Description: Unit of measure: 1 2 Glue stick, 40g Prestik, 100g Each Each Category S – Calculators: No: Description: Unit of measure: 1 2 3 Calculator (adding machine), battery and solar operated Each Calculator, Scientific, battery and solar operated Calculator, Financial, battery and solar operated Each Each Category T – Desk accessories: No: Description: Unit of measure: Cubic note holder refills, assorted colours Cubic note holders, assorted colours plastic Scissors, stainless steel blade, 21cm Finger Cones, all sizes, assorted colours Plastic ruler, 30cm, assorted colours General Purpose Wipes, assorted colours Air duster, can, 375ml
 Presentation Remote with laser pointer, up to 60 feet Wireless Mouse pad, wrist support, dimensions H32 x W202 x D 230, Memory foam Keyboard wrist support, dimensions H 15 x W 480 x D57, Memory foam Letter tray, 2-tier, PVC, assorted colours Each Each Each Each Each Each Each Each Each Each Each RFQ | Effective 19 January 2023 12 13 14 15 Desk cube holder, PVC Desk cube refills with rainbow sheets (800 x 80gsm sheets) Cleaning kit for computers Thumb pins, assorted colours Each Each Pack Pack Category U – Rubber bands: No: Description: Unit of measure: Rubber bands, No.8, 1.5mm (W) x 22mm (L) Rubber bands, No.10, 1.5mm (W) x 30mm (L) Rubber bands, No.12, 1.5mm (W) x 42mm (L) Rubber Bands, No.18, 1.5mm (W) x 50mm (L) Rubber bands, No.19, 1.5mm (W) x 60mm (L) Rubber bands, No.14, 1.5mm (W) x 75mm (L) Rubber bands, No.16, 1.5mm (W) x 90mm (L) Rubber bands, No.32, 3.0mm (W) x 75mm (L) Rubber bands, No.34, 3.0mm (W) x 100mm (L) Rubber bands, No.38, 3.0mm (W) x 150mm (L) Rubber bands, No.64, 5.0mm (W) x 90mm (L) Rubber bands, No.69, 5.0mm (W) x 150mm (L) Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Bag Category V – Slide binders, binding combs and covers: No: Description: Unit of measure: 1 2 3 Slide binders, all sizes, assorted colours (100 elements per pack) Plastic binding combs, all sizes, assorted colours, (100 elements per pack) Clear/transparent binding covers, A4, PVC 150 Micron (100 per pack) Pack Pack Pack Category W – Electrical accessories: No: Description: Unit of measure: 1 2 3 4 Multi-function plug (5 plugs with 2 two-point plugs) Extension Reel 2.5mm Cable, 30m Extension cord with a two-way multi-plug extension lead, 5m Extension cord with a two-way multi-plug extension lead, 10m Each Each Each Each RFQ | Effective 19 January 2023 USB headphones, lightweight, plug-and-play USB-A connection & a noise-cancelling mic, compatible with Windows and Mac OS.
Each Wireless headphones, wireless Bluetooth version 5.0, wireless range: up to 30m, built-in microphone, speed charge, at least 15 hours’ playback time, compact folding design, Aux input, adjustable arms to fit different head sizes, assorted colours.

Wireless charger, universal, charging distance: 4~8mm, diameter 7~10cm, thickness 4~6.5mm, Micro USB cable, assorted colours.
Multi-function plug with USB ports, 8 way Multi-function plug with USB ports, 5 way Each Each Each Each Category X – Storage boxes & accessories: No: Description: Unit of measure 1 2 3 Archive box, A4, 245mm (L) x 330mm (W) x 110mm (D) Each Jumbo document storage box, double walled cardboard for extra durability, 10 per pack Bubble wrap, 400mm x 30m Pack Roll RFQ | Effective 19 January 2023 MANDATORY SUBMISSION REQUIREMENTS NB: All suppliers that fail to attach the required documents will be disqualified.
SPECIFIC REQUIREMENTS YES/NO The service provider must submit proof of ownership of closed vehicle/s, certified copies of valid registration certificate/s and roadworthy registration certificate/s of all vehicles suitable for the successful execution of the contract.

In the event where the bidder is not the owner of the closed vehicle/s to be used for delivery, a valid agreement between the affected parties must be attached as well as certified copies of valid registration certificate/s of all vehicles.
The service providers must submit details of helpdesk specifying logging & tracking of orders and escalation procedures The service provider must submit a CV of a dedicated account manager.

The service provider must indicate their penalty clauses.

The service provider must be able to collect and replace defective items, or part thereof, within two (2) working days without any cost to Parliament.

The service provider must offer Parliament a minimum of three (3) months warranty on all supplied products.
The service provider must have the capacity to deliver within a minimum of three (3) working days after receipt of an official Purchase Order.

The service provider must have the capacity to deliver to Cape Town CBD.
RFQ | Effective 19 January 2023 BACKGROUND AND EXPERIENCE IN THE INDUSTRY LIST THE TWO LARGEST CONTRACTS / ASSIGNMENTS BY YOUR FIRM IN THE LAST TWO YEARS IF ANY OR LIST CONTRACTS WHICH YOUR ORGANISATION IS CURRENTLY ENGAGED IN IF ANY WORK DESCRIPTION YOUR CLIENT CONTACT PERSON CONTACT NUMBER CONTRACT VALUE PROPOSED PRICING SCHEDULE Pricing in SA Currency (Incl.
VAT) TOTAL PRICE Supply and Delivery of Stationery and Office Supplies PLEASE SEE THE PRICING SCHEDULE ATTACHED RFQ | Effective 19 January 2023 DECLARATION OF INTEREST 1.
No contracts to provide goods or services to Parliament may be provided to the following categories of entities: - Member of Parliament, Member of the Cabinet, Member of a Provincial Legislature, Member of a Prov incial Executive Council, a Municipal Councilor or a person in the employ of the State whose participation in tendering for the contract may result in a conflict of interest; or any entity in which a person mentioned above is a Director or has a controlli ng or other substantial interest.

2.
2.

The tenderer is therefore requested to complete Sections a – d of the declaration below in substantiation.

(a) Are you or any person connected with the tenderer, a Member of Parliament or a Cabinet Member?

Y N If yes, state whether you are a Director or have a Controlling or other substantial interest in the tendering company.
……………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………........ (b) Are you or any person connected with the tenderer, a Member of the Y N Provincial Legislature or a Member of a Provincial Executive Council or a Municipal Councilor If yes, state whether you are a Director or have a Controlling or other substantial interest in the tendering company.
………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………….

(c) Are you or any person connected with the tenderer, Employed by the State?
Y N If yes, state whether you are a director or have a controlling or other substantial interest in the tendering company …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………….. (d) Do you, or any person connected with the tenderer, have any relationship (family, friend, other) Y N with a person employed by Parliament and who may be involved with the evaluation and or adjudication of this tender?
If yes, state whether you are a director or have a controlling or other substantial interest in the tendering company.

…………………………………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………………………….
RFQ | Effective 19 January 2023 DECLARATION I hereby agree that, in the event of false, incorrect or misleading information being provided in this declaration, the Secre tary to Parliament of the Republic of South Africa shall have the right to:   recover any losses or damages sustained by Parliament under such agreement restrict the supplier from further business with Parliament depending on the materiality of the misrepresentation and the deg ree of prejudice suffered.
Name of Representative: ___________________________________________________________ Identity number: ___________________________________________________________ Signature: _____________________ ______________________________________ (DULY AUTHORISED TO SIGN FOR AND ON BEHALF OF THE ABOVE ENTITY) No Contract to provide goods or services to Parliament may be awarded to - • • • • • a Member of Parliament or a member of the Cabinet A Member of a provincial legislature or a member of a provincial Executive Council; A Municipal Councillor; A person in the employ of the State whose participation in tendering for the contract may result in a conflict of interest; or Any entity in which a person mentioned above is a Director or has a controlling or other substantial interest COMMISSIONER OF OATHS STAMP RFQ | Effective 19 January 2023