Only bidders who satisfy the following criteria are eligible to submit an offer: (This is a requirement on submission).

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2 2. Bidders Obligations: 2.1 Eligibility Criteria Only bidders who satisfy the following criteria are eligible to submit an offer: (This is a requirement on submission) Technical Specification Sheet In order to be considered for a contract in terms of this quotation, bidders must fully complete the technical specification sheet and indicate whether the company complies or not Registered Environmental Consultant In order to be considered for a contract in terms of this quotation, bidders must be registered as an Environmental Consultant at the South African Council for Natural Scientific Professions (SACNASP). Proof thereof must be attached. 3. The Employer s Undertakings 3.1 Tests for Administrative Compliance Bidders may be found non-compliant if, inter alia: (these documents may be requested) The bidder has failed to complete and sign and attach requested information to all schedules not excluded in responsiveness criteria; The bidder has failed to submit the MBD 2, MBD 4, MBD 8 and MBD 9 forms; The bidder has failed to submit a municipal account of where the head office of the company is registered or in case where the premise is leased, the bidder has failed to provide a copy of the lease of the premise; The bidder has failed to submit a valid Tax Clearance Certificate or Pin, a valid Certificate or Pin may be requested; and The bidder has failed to submit a certified B-BBEE certificate, EME or QSE affidavit, whereas points were claimed and a copy of certificate or affidavit was supplied, a certified copy of the B-BBEE certificate, EME or QSE affidavit may be requested. NB: No quotations will be considered from persons in the service of the state i Failure to comply with these conditions may invalidate your offer. Yours faithfully SIGNATURE DATE: 01 February 2018 SUPPLY CHAIN MANAGEMENT UNIT

3 SCHEDULE OF SERVICES TWK 2 NO DESCRIPTION QUANTITY UNIT PRICE Complete Necessary License Application (and relevant studies) for Theewaterskloof Municipality at the Applicable Authorities on e-wulaas System for the following Waste Water Treatment Works: 1 Botrivier Waste Water Treatment Works Sum 2 Greyton Waste Water Treatment Works Sum 3 Genadendal Waste Water Treatment Works Sum 4 Riviersonderend Waste Water Treatment Works Sum 5 Bio-Monitoring: Palmietriver Sum PRICE R c R c Sub Total 14% TOTAL DELIVERY ADDRESS: Theewaterskloof Municipality 26 Church Street Caledon 7230 I/We, the undersigned, do hereby declare that these are the properly priced Bill / Schedules of Quantities forming part of this Contract Document containing Pages in consecutive order upon which my/our Tender for Quotation No: HM 01/2017/18: PROVISION OF PROFESSIONAL SERVICES: APPOINTMENT OF AN ENVIRONMENTAL CONSULTANT FOR WASTE WATER TREATMENT WORKS LICENSES APLICATIONS (WULA) AND RELEVANT STUDIES AS SUPPORTING TECHNICAL INFORMATION FOR THEEWATERSKLOOF MUNICIPALITY has been based. My/our total Contract Price for this work and above items (Total I) is (in words)... SIGNED BY THE BIDDER:...

4 SPECIFICATIONS: Please indicate YES / NO in the right column to ensure your company complies with the technical specifications or not. If the bidder fails to clearly indicted YES / NO, it will be interpreted that the bidder does not comply with the technical specifications. SPECIFICATIONS Yes / No Application should be done on e-wulaas system. All Relevant Studies to accompany Application as Supporting Technical Information. Provide the Municipality with a Bio-Monitoring Programme that will include the Compilation of an Initial Database from which the Scope and Frequency of future Bio-Monitoring can be Developed. This Assessment must lead to the Establishment of a Reliable Site- Specific long-term Bio-Monitoring Programme. This program must qualify and quantify the impact on the Biological System in the Water Environment in the area directly affected by WWTW's activities as well as Downstream from these Activities. A Competent and Capable Aquatic Scientist must submit a Monitoring Programme to the ph for Aquatic Macro-Invertebrates and Habitat Integrity. Aquatic Macro-Invertebrates must be sampled using the latest SASS Method. Habit integrity must be Assessed using the Rapid Bio Assessment Analysis (C.J.Kleynhans 1999) method described by SASS of 2002.

5 THEEWATERSKLOOF MUNICIPALITY QUOTATION NO: HM 01/2017/18 PROVISION OF PROFESSIONAL SERVICES: APPOINTMENT OF AN ENVIRONMENTAL CONSULTANT FOR WASTE WATER TREATMENT WORKS LICENSES APLICATIONS (WULA) AND RELEVANT STUDIES AS SUPPORTING TECHNICAL INFORMATION FOR THEEWATERSKLOOF MUNICIPALITY FLYSHEET NAME OF BIDDER :. STREET ADDRESS :... P O BOX NUMBER :. TELEPHONE NUMBER :. TELEFAX NUMBER :. CONTACT PERSON :. CELL PHONE NUMBER :. . THIS FLYSHEET IS INCLUDED FOR REFERENCE PURPOSES ONLY AND DOES NOT FORM PART OF THE CONDITIONS.

6 MBD 2 TAX CLEARANCE CERTFICATE REQUIREMENTS It is a condition of bid that the taxes of the successful bidder must be in order, or that satisfactory arrangements have been made with South African Revenue Service (SARS) to meet the bidder s tax obligations. 1 In order to meet this requirement bidders are required to complete in full the attached form TCC 001 Application for a Tax Clearance Certificate and submit it to any SARS branch office nationally. The Tax Clearance Certificate Requirements are also applicable to foreign bidders / individuals who wish to submit bids. 2 SARS will then furnish the bidder 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 together with the bid. Failure to submit the original and valid Tax Clearance Certificate will result in the invalidation of the bid. Certified copies of the Tax Clearance Certificate will not be acceptable. 4 In bids where Consortia / Joint Ventures / Sub-contractors are involved, each party must submit a separate Tax Clearance Certificate. 5 Copies of the TCC 001 Application for a Tax Clearance Certificate form are available from any SARS branch office nationally or on the website 6 Applications for the Tax Clearance Certificates may also be made via efiling. In order to use this provision, taxpayers will need to register with SARS as efilers through the website

7 TAX CLEARANCE Application for a Tax Clearance Certificate TCC 001 Purpose Select the applicable option Tenders Good standing If Good standing, please state the purpose of this application Particulars of applicant Name/Legal name (Initials & Surname or registered name) Trading name (if applicable) ID/Passport no Income Tax ref no Company/Close Corp. registered no PAYE ref no 7 VAT registration no 4 SDL ref no L Customs code UIF ref no U Telephone no C O D E N U M B E R Fax no C O D E N U M B E R address Physical address Postal address Particulars of representative (Public Officer/Trustee/Partner) Surname First names ID/Passport no Income Tax ref no Telephone no address C O D E N U M B E R Fax no C O D E N U M B E R Physical address Page 1 of 2

8 Particulars of tender (If applicable) Tender number Estimated Tender amount Expected duration of the tender R, year(s) Particulars of the 3 largest contracts previously awarded Date started Date finalised Principal Contact person Telephone number Amount Audit Are you currently aware of any Audit investigation against you/the company? If YES provide details YES NO Appointment of representative/agent (Power of Attorney) I the undersigned confirm that I require a Tax Clearance Certificate in respect of Tenders or Goodstanding. I hereby authorise and instruct SARS the applicable Tax Clearance Certificate on my/our behalf. to apply to and receive from C C Y Y M M D D Name of representative/ agent Signature of representative/agent Date Declaration I declare that the information furnished in this application as well as any supporting documents is true and correct in every respect. C C Y Y M M D D Signature of applicant/public Officer Name of applicant/ Public Officer Date Notes: 1. It is a serious offence to make a false declaration. 2. Section 75 of the Income Tax Act, 1962, states: Any person who (a) (b) fails or neglects to furnish, file or submit any return or document as and when required by or under this Act; or without just cause shown by him, refuses or neglects to- (i) furnish, produce or make available any information, documents or things; (ii) reply to or answer truly and fully, any questions put to him... As and when required in terms of this Act... shall be guilty of an offence SARS will, under no circumstances, issue a Tax Clearance Certificate unless this form is completed in full. 4. Your Tax Clearance Certificate will only be issued on presentation of your South African Identity Document or Passport (Foreigners only) as applicable. Page 2 of 2

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