Is a CERTIFIED COPY of the resolution attached? YES NO SIGNED ON BEHALF OF COMPANY / CC: DATE: PRINT NAME: WITNESS 1: WITNESS 2: PARTNERSHIP We, the undersigned partners in the business trading as hereby authorize Mr/Ms to sign this bid as well as any contract resulting from the bid and any other documents and correspondence in connection with this bid and /or contract for and on behalf of the abovementioned partnership. The following particulars in respect of every partner must be furnished and signed by every partner: Full name of partner Signature SIGNED ON BEHALF OF PARTNERSHIP: DATE: NAME: WITNESS 1: WITNESS 2: CONSORTIUM We, the undersigned consortium partners, hereby authorize (Name of entity) to act as lead consortium partner and further authorize Mr./Ms. To sign this offer as well as any contract resulting from this tender and any other documents and correspondence in connection with this tender and / or contract for and on behalf of the consortium. The following particulars in respect of each consortium member must be provided and signed by each member: Full Name of Consortium Member Role of Consortium Member % Participation Signature
ANNEXURE D SATS 1286.2011 Imported Content Declaration – Supporting Schedule to Annexure C (D1) Tender No. NOTE: VAT to be excluded from all calculations (D2) Tender Description (D3) Designated product(s) (D4) Tender Authority (D5) Tendering Entity’s Name (D6) Tender Exchange Rate Currency Rate A. Exempted imported content Calculation of imported content Summary Tender item no’s Description of imported content Local supplier Overseas supplier Foreign currency value as per Commercial Invoice Tender Exchange Rate value of imports Freight costs to port of entry All locally incurred landing costs & duties Total landed cost Tender Quantity Exempted imported value (D7) (D8) (D9) (D10) (D11) (D12) (D13) (D14) (D15) (D16) (D17) (D18) (D19) exempt imported value This total must correspond with Annex C – C21 B. Imported directly by the Tenderer Calculation of imported content Summary Tender item no’s Description of imported content Unit of measure Overseas supplier Foreign currency value as per Commercial Invoice Tender Exchange Rate Local value of imports Freight to port of entry All locally incurred landing costs & duties Total landed cost Tender Quantity Total imported value (D20) (D21) (D22) (D23) (D24) (D25) (D26) (D27) (D28) (D29) (D30) (D31) (D32) Total imported value by tenderer
ANNEXURE D - Continued SATS 1286.2011 Imported Content Declaration – Supporting Schedule to Annexure C NOTE: VAT to be excluded from all calculations C. Imported by a 3rd and supplied to the Tenderer Calculation of imported content Summary Description of imported content Unit of measure Local supplier Overseas supplier Foreign currency value as per Commercial Invoice Tender Exchange Rate Local value of imports Freight costs to port of entry All locally incurred landing costs & duties Total landed cost Quantity imported Total imported value (D33) (D34) (D35) (D36) (D37) (D38) (D39) (D40) (D41) (D42) (D43) (D44) (D45) Total imported value by 3rd party D. Other foreign currency payments Calculation of foreign currency payments Summary of Payments Type of payment Local supplier making the payment Overseas beneficiary Foreign currency value paid Tender rate of exchange Local value of payments (D46) (D47) (D48) (D49) (D50) (D51) (D52) Total of foreign currency payments declared by tenderer and/or 3rd party (D53) Total o imported content and foreign currency payments – (D32), (D45) and (D52) above SIGNATURE OF TENDERER AS PER LOCAL CONTENT DECLARATION This total must correspond with Annex C – (C23) DATE