THE SOUTH AFRICAN NATIONAL ROADS AGENCY LIMITED SOC (SANRAL)

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1 THE SOUTH AFRICAN NATIONAL ROADS AGENCY LIMITED SOC (SANRAL) APPLICATION No. HO / FS FOR APPLICATION TO BE LISTED ON DATABASE OF NON-AUDIT FINANCIAL ADVISORY SERVICE PANEL OF. THIS DOCUMENT COMPILED BY: The South African National Roads Agency SOC Ltd 48 Tambotie Ave, Val de Grace, Pretoria, 0184 Tel: (012) Fax: (012)

2 APPLICATION NO: HO / FS APPLICATION TO BE LISTED ON DATABASE OF NON-AUDIT FINANCIAL ADVISORY SERVICE PANEL OF APPLICATION NOTICE AND INVITATION The South African National Roads Agency SOC Ltd (SANRAL) invite interested and suitable professional service providers applications to be listed on the database for provision of non-audit financial advisory services which may include VAT, Income tax or IFRS specialist advice and other services, to assist SANRAL to make informed decisions. The South African National Roads Agency SOC Ltd is committed to transformation, employment equity and staff advancement, and to supporting black economic empowerment. A further consideration will naturally be the equity profile of the firms in management, ownership and implementation. Preferences are offered to firms who comply with the requirements stated in the application data. The electronic application documents in Adobe Acrobat PDF format is obtainable from The South African National Roads Agency SOC Ltd website, at >service provider zone> current tenders from the 16 September No clarification meeting will be held. The closing time for receipt of applications is 14h00 on 04 October The application and supporting documents shall be sealed in an envelope or package clearly marked "APPLICATION HO /FS: APPLICATION TO BE LISTED ON DATABASE OF NON-AUDIT FINANCIAL ADVISORY SERVICE PANEL OF and shall be delivered to SANRAL s Northern Region offices in Menlyn, Tshwane 38 Ida Street, Menlo Park, Pretoria S E Telegraphic, telephonic, telex, , facsimile and late application will not be accepted. Requirements for sealing, addressing, delivery, opening and assessment of applications are stated in the application Data. Queries relating to issues arising from these documents may be addressed to Ms Inge Mulder Tel: No (012) Fax No (012)

3 1. BACKGROUND The South African National Roads Agency SOC Limited (SANRAL) is a company established in terms of the South African National Roads Agency Limited and National Roads Act, Act 7 of It has its corporate office located in Pretoria and has four regional offices namely: Northern Region (Menlyn, Pretoria), Eastern Region (Pietermaritzburg), Southern Region (Port Elizabeth) and Western Region (Bellville). The South Africa National Roads Agency SOC Limited (SANRAL) requires the services of suitably qualified finance professionals to provide non-audit financial advisory services, which may include VAT, Income tax or IFRS specialist advice services and other services for a period of 24 months. The objective is to identify eligible Professional Service Providers who will be shortlisted to submit quotations for provision of non-audit services to SANRAL whenever needed. 2. GENERAL CONDITIONS 2.1 This request for applications is issued in terms of the Public Finance Management Act 1 of 1999 (PFMA), the Preferential Procurement Policy Framework Act 5 of 2000 (PPPFA), and Supply Chain Management Regulations issued by the National Treasury. 2.2 The inclusion of any Service Provider on the Panel does not guarantee any work to such Service Provider nor does it constitute any contract between SANRAL and such Service Provider for any work whatsoever. 2.3 SANRAL shall not be responsible for, or pay for, any expenses or losses which may be incurred by the applicant in the preparation and submission of the application or any other presentation or meeting or any anything whatsoever in connection herewith. 2.4 SANRAL does not bind itself to accept all or any application. No correspondence will be entered into with regard to its decision. 2.5 SANRAL will only consider applications from applicants who can prove to the satisfaction of SANRAL that they: have the necessary financial resources to undertake and complete the services; are experienced in the performance of services of a similar scope, complexity, extent and duration. In making an assessment in this regard, SANRAL shall be entitled to have regard to, inter alia, the scope, complexity, extent and duration

4 of previous services undertaken or proposed for by the proposer; have sufficient employees who possess the high level of skill and expertise commensurate with the type of services applied for, which skill and expertise must be detailed in the application. 2.6 Each applicant undertakes to accept the jurisdiction of the relevant lawcourts of the Republic of South Africa. 2.7 In the case of a applicant from an entity not resident in the Republic of South Africa (foreign) the applicant shall state in his application the name of his accredited agent in the Republic of South Africa in whom the necessary legal capacity is vested and who has been duly appointed to sign any contract. 2.8 SANRAL reserves to itself the right, in its sole discretion, to reject any application where it appears to SANRAL that the applicant does not comply with any of the requirements set out in this application. 3 GENERAL REQUIREMENTS: 3.1 In order to qualify to form part of the panel of services providers the following requirements and documentation are specified: Applicant s profile and experience. Applicants BBBEE credentials Applicants verifiable references All the documentation referred to in this document must be submitted. Applicants registration or affiliations with any regulatory body (IRBA, SAIT, SAIPA or SAIBA) 3.2 Fees payable for services rendered will be solicited through a quotation basis. 4 PREPARATION AND SUBMISSION OF APPLICATION 4.1 Applications must reach the offices of the SANRAL s Northern Region offices in Menlyn, Tshwane 38 Ida Street, Menlo Park, (S E ) before 14h00 on 04 October 2013 and must be enclosed in a sealed envelope which must be clearly marked " APPLICATION HO /FS : APPLICATION TO BE LISTED ON DATABASE OF NON-AUDIT FINANCIAL ADVISORY SERVICE PANEL OF. 4.2 Applications are to be submitted in the marked Tender box of SANRAL s Northern Region offices in Menlyn, Tshwane 38 Ida Street, Menlo Park, Pretoria.

5 4.3 Please note that this application closes punctually at 14h00 on 04 October No late submissions will be considered under any circumstances whatsoever. 4.5 Failure to submit all the documentation referred to in this document may result in a submission being disqualified. 4.6 The responses to this application will be opened and recorded in public as soon as practicable after the expiry of the time advertised for receiving them. 4.7 Applications received after the closing of the application will not be opened or evaluated and will be returned to the Applicant. 4.8 Telegraphic, telephonic, telex, , facsimile and late applications will not be accepted.

6 ANNEXURE: FORM A 1. BUSINESS PARTICULARS 1.1. Name Of Business As Registered With The Registrar Of Companies/Close Corporations Business registration number NB: Attach copy of business registration certificate 1.2. Service provider s business type 1.3. VAT registration number NB: Attach copy Tax Clearance Certificate Tax Clearance Certificate Expiry Date Income Tax Reference Number 1.4. Postal Address Physical Address 1.5. Telephone No: Fax No: 1.6. Cell. No.

7 1.7. Address (If Available): 1.8. Contact Person: 1.9 Name of person authorized for signing Capacity under which the application is signed: Date signed; Signature: 2. Please indicate (X) the geographical areas where your business has offices. Please provide addresses, telephone numbers and contact person for different offices (Add separate sheet) Regions Mark ( X ) Northern region Pretoria Eastern region Pietermaritzburg Western region Cape Town Southern region Port Elizabeth 3. Range of services offered in relation to the principal business of the enterprise 4. Are you registered with a professional body for the services that you provide? YES NO

8 If so, please state particulars: Name of Organisation Contact Person Telephone number Membership number Date of membership 5. BEE INFORMATION % Of BEE Ownership Provide BEE verification certificate( (from ABVA accredited verification agencies) NB: Attach BEE certificate 5.1. PREVIOUS EXPERIENCE RECORD Service provider s Relevant Experience including three most recent public sector clients.list the most important contracts/assignments completed by your firm in the last three years. WORK PERFORMED FOR WHOM CONTACT PERSON AND TELEPHONE NUMBERS 6. Service Provider s Area of Expertise. List all your area of expertise

9 7. TEAM STRUCTURE Personnel Complement (Add separate sheet to list all personnel) No First Name Surname Male/ Fema le Position Accreditation Relevant Experience(years) Geographical Location where service is available

10 FORM B: COMPULSORY ENTERPRISE QUESTIONNAIRE The following particulars must be furnished. In the case of a joint venture, separate enterprise questionnaires in respect of each partner must be completed and submitted. Section 1: Name of enterprise: Section 2: VAT registration number, if any: Section 3: Regulatory body registration number, if any: Section 4: Particulars of sole proprietors and partners in partnerships Name* Identity number* Personal income tax number* * Complete only if sole proprietor or partnership and attach separate page if more than 3 partners Section 5: Particulars of companies and close corporations Company registration number Close corporation number Tax reference number Section 6: Record in the service of the state Indicate by marking the relevant boxes with a cross, if any sole proprietor, partner in a partnership or director, manager, principal shareholder or stakeholder in a company or close corporation is currently or has been within the last 12 months in the service of any of the following: a member of any municipal council a member of any provincial legislature a member of the National Assembly or the National Council of Province a member of the board of directors of any municipal entity an official of any municipality or municipal entity an employee of any provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act 1 of 1999) a member of an accounting authority of any national or provincial public entity an employee of Parliament or a provincial legislature If any of the above boxes are marked, disclose the following: Name of sole proprietor, partner, director, manager, principal shareholder or stakeholder Name of institution, public office, board or organ of state and position held Status of service (tick appropriate column) Current Within last 12 months

11 *insert separate page if necessary Section 7: Record of spouses, children and parents in the service of the state Indicate by marking the relevant boxes with a cross, if any spouse, child or parent of a sole proprietor, partner in a partnership or director, manager, principal shareholder or stakeholder in a company or close corporation is currently or has been within the last 12 months been in the service of any of the following: a member of any municipal council a member of any provincial legislature a member of the National Assembly or the National Council of Province a member of the board of directors of any municipal entity an official of any municipality or municipal entity an employee of any provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act 1 of 1999) a member of an accounting authority of any national or provincial public entity an employee of Parliament or a provincial legislature Name of spouse, child or parent Name of institution, public office, board or organ of state and position held Status of service (tick appropriate column) Current Within last 12 months *insert separate page if necessary The undersigned, who warrants that he / she is duly authorised to do so on behalf of the enterprise: i) authorizes the SANRAL to obtain a tax clearance certificate from the South African Revenue Services that my / our tax matters are in order; ii) confirms that the neither the name of the enterprise or the name of any partner, manager, director or other person, who wholly or partly exercises, or may exercise, control over the enterprise appears on the Register of Tender Defaulters established in terms of the Prevention and Combating of Corrupt Activities Act of 2004; iii) confirms that no partner, member, director or other person, who wholly or partly exercises, or may exercise, control over the enterprise, has within the last five years been convicted of fraud or corruption; iv) confirms that I / we are not associated, linked or involved with any other tendering entities submitting tender offers and have no other relationship with any of the tenderers or those responsible for compiling the scope of work that could cause or be interpreted as a conflict of

12 interest; and iv) confirms that the contents of this questionnaire are within my personal knowledge and are to the best of my belief both true and correct. Signed Date Name Position Enterprise name

13 FORM C: TAX CLEARANCE CERTIFICATE REQUIREMENTS IT IS A CONDITION OF THIS APPLICATION THAT THE TAXES OF THE SUCCESSFUL PROPOSER MUST BE IN ORDER, OR THAT SATISFACTORY ARRANGEMENTS HAVE BEEN MADE WITH SOUTH AFRICAN REVENUE SERVICES (SARS) TO MEET THE PROPOSER S TAX OBLIGATIONS. 1. In order to meet this requirement Applicants are required to complete in full form TCC 001 Application for a Tax Clearance Certificate and submit it to any SARS office nationally. The Tax Clearance Certificate Requirements are also applicable to foreign Proposers / individuals who wish to submit proposals. 2. SARS will then furnish the Applicant with a Tax Clearance certificate that will be valid for a period of 1 (one) year from the date of approval. 3. The ORIGINAL Tax clearance Certificate must be submitted and attached to this form together with this Application. Failure to submit the original and valid Tax Clearance Certificate will result in the invalidation of the Application. Certified copies of the Tax Clearance Certificate will not be accepted. 4. In Applications where Consortia/Joint Ventures/Sub-Contractors are involved, each party must submit a separate ORIGINAL Tax Clearance Certificate. 5. Copies of the TCC 001 Application for a tax Clearance Certificate form are available from any SARS branch or nationally on the website Applications for the Tax Clearance Certificates may also be made via e-filing. In order to use this provision, taxpayers will need to register with SARS as e-filers through the website

14 Form D: SBD 4 DECLARATION OF INTEREST 1. Any legal person, including persons employed by the state¹, or persons having a kinship with persons employed by the state, including a blood relationship, may make an offer or offers in terms of this invitation to bid (includes a price quotation, advertised competitive bid, limited bid or proposal). In view of possible allegations of favouritism, should the resulting bid, or part thereof, be awarded to persons employed by the state, or to persons connected with or related to them, it is required that the bidder or his/her authorised representative declare his/her position in relation to the evaluating/adjudicating authority where- - the bidder is employed by the state; and/or - the legal person on whose behalf the bidding document is signed, has a relationship with persons/a person who are/is involved in the evaluation and or adjudication of the bid(s), or where it is known that such a relationship exists between the person or persons for or on whose behalf the declarant acts and persons who are involved with the evaluation and or adjudication of the bid. 2. In order to give effect to the above, the following questionnaire must be completed and submitted with the bid. 2.1 Full Name of bidder or his or her representative: 2.2 Identity Number: Position occupied in the Company (director, trustee, shareholder²): Company Registration Number: Tax Reference Number: VAT Registration Number: The names of all directors / trustees / shareholders / members, their individual identity numbers, tax reference numbers and, if applicable, employee / persal numbers must be indicated in paragraph 3 below. ¹ State means (a) any national or provincial department, national or provincial public entity or constitutional institution within the meaning of the Public Finance Management Act, 1999 (Act No. 1 of 1999); (b) any municipality or municipal entity; (c) provincial legislature; (d) national Assembly or the national Council of provinces; or (e) Parliament. ² Shareholder means a person who owns shares in the company and is actively involved in the management of the enterprise or business and exercises control over the enterprise. sumnaidoo@deloitte.co.za2.7 Are you or any person connected with the bidder YES / NO

15 presently employed by the state? If so, furnish the following particulars: Name of person / director / trustee / shareholder/ member: Name of state institution at which you or the person connected to the bidder is employed : Position occupied in the state institution:... Any other particulars: If you are presently employed by the state, did you obtain YES / NO the appropriate authority to undertake remunerative work outside employment in the public sector? If yes, did you attached proof of such authority to the bid YES / NO document? (Note: Failure to submit proof of such authority, where applicable, may result in the disqualification of the bid If no, furnish reasons for non-submission of such proof: Did you or your spouse, or any of the company s directors / YES / NO trustees / shareholders / members or their spouses conduct business with the state in the previous twelve months? If so, furnish particulars: Do you, or any person connected with the bidder, have YES / NO any relationship (family, friend, other) with a person employed by the state and who may be involved with the evaluation and or adjudication of this bid? 2.9.1If so, furnish particulars Are you, or any person connected with the bidder, YES/NO aware of any relationship (family, friend, other) between any other bidder and any person employed by the state who may be involved with the evaluation and or adjudication

16 of this bid? If so, furnish particulars Do you or any of the directors / trustees / shareholders / members YES/NO of the company have any interest in any other related companies whether or not they are bidding for this contract? If so, furnish particulars:... 3 Full details of directors / trustees / members / shareholders. Full Name Identity Number Personal Tax Reference Number State Employee Number / Persal Number 4 DECLARATION I, THE UNDERSIGNED (NAME) CERTIFY THAT THE INFORMATION FURNISHED IN PARAGRAPHS 2 and 3 ABOVE IS CORRECT. I ACCEPT THAT THE STATE MAY REJECT THE BID OR ACT AGAINST ME IN TERMS OF PARAGRAPH 23 OF THE GENERAL CONDITIONS OF CONTRACT SHOULD THIS DECLARATION PROVE TO BE FALSE... Signature. Position.. Date Name of bidder May 2011

17 Form E: DECLARATION OF PROPOSER S PAST SUPPLY CHAIN MANAGE- MENT PRACTICES In order to give effect to the above, the following questionnaire must be completed and submitted with the proposal. Item Question Yes No 1. Is the Proposer or any of its directors listed on the National Treasury s database as companies or persons prohibited from doing business with the public sector? 1.1 If so, furnish particulars: 2. Is the Proposer or any of its directors listed on the Register for Proposal Defaulters in terms of section 29 of the Prevention and Combating of Corrupt Activities Act (No 12 of 2004)? 2.1 If so, furnish particulars: 3. Was the Proposer or any of its directors convicted by a court of law (including a court outside the Republic of South Africa) for fraud or corruption during the past five years? 3.1 If so, furnish particulars: 4. Was any contract between the Proposer and any organ of state terminated during the past five years on account of failure to perform on or comply with the contract? 4.1 If so, furnish particulars: CERTIFICATION I, THE UNDERSIGNED (FULL NAME) CERTIFY THAT THE INFORMATION FURNISHED ON THIS DECLARATION FORM IS TRUE AND CORRECT. I ACCEPT THAT, IN ADDITION TO CANCELLATION OF A CONTRACT, ACTION MAY BE TAKEN AGAINST ME SHOULD THIS DECLARATION PROVE TO BE FALSE. Signature Position Date Name of Applicant

18 Form F: BEE VERIFICATION CERTIFICATE Please attach hereto a BEE Verification Certificate issued by a SANAS accredited BEE Verification Agency for allocating preference points. In the event that no certificate is attached or the BEE Verification Agency does not comply with the above, preference points of zero (0) will be allocated.

19 FORM G: LITIGATION HISTORY FOR Name of Applicant or Partner of a Joint Venture / Consortium Applicants, including each of the partners of a joint venture / consortium, shall provide information on any history of litigation or arbitration resulting from contracts executed in the last five years or currently under execution. A separate sheet should be used for each partner of a joint venture / consortium. (For RSA Rand Equivalent use exchange rate US$1 = R7 or 1 = R9 or 1 = R12) Year Award for or Against Applicant Name of Client, Cause of Litigation, and Matter in Dispute Disputed Amount (current value, RSA Rand Equivalent Applicants must indicate any litigation other than above where Applicant is involved as either witness, expert witness or supporting any action. Year Name of Client, Cause of Litigation, and Matter in Dispute

20 Signature : Designation : Company :

21 FORM H: COMPANY PROFILE AND EXPERIENCE Please attach company profile and experience illustrating point 3 of this application to this form.

22 APPLICATION FOR VENDOR REGISTRATION Vendor Name as per Company Registration: ADDRESS DETAIL: BUSINESS PHYSICAL ADDRESS: BUSINESS POSTAL ADDRESS: TOWN / CITY: COUNTRY: POSTAL CODE: TOWN / CITY: COUNTRY: POSTAL CODE: TEL NO FAX NO COMPANY REGISTRATION NUMBER: BBBEE SCORE: *INCOME TAX NUMBER: *VAT REGISTRATION NUMBER:

23 THIS SECTION MUST BE COMPLETED FOR ALL PAYMENTS ARE ELECTRONICALLY NAME OF BANK: ACCOUNT NUMBER: TYPE OF ACCOUNT: BRANCH NAME: BRANCH CODE: APPLICANT S AUTHORISING OFFICER: *PRINT NAME APPLICANT S AUTHORISING OFFICER S SIGNATURE: The following documentation must be submitted with this form - An indemnity letter on your letterhead stating your bank details. - *VAT Certificate or Income Tax Clearance Certificate if not supplied via tender/quotation submission. - BBBEE Certificate if not supplied via tender/quotation submission. (copy accepted) And one of the following: - An original cancelled cheque - A letter from the bank confirming your bank detail as supplied (not older than 3 months and an original or PDF format is acceptable) - Tax invoice which reflects the bank detail

24 Official Use Only REGION: HO NR ER SR WR TYPE OF VENDOR: CONTRACT SUNDRY PERSONNEL STATUS OF VENDOR: NEW CHANGE BLOCK UN-BLOCK REASON: AUTHORISING OFFICER REGION: AUTHORISING OFFICER HO: VENDOR NUMBER ALLOCATED:

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