PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES FOR THE

PERIOD 2015 – 2017 FINANCIAL YEARS

CATEGORY……………………………………………………………….

CODE NO………………………………………………………………….

ITEM DESCRIPTION….………………………………………………

SEPTEMBER 2015

KONZA TECHNOPOLIS

DEVELOPMENT AUTHORITY

Capital West Business Centre, Rhapta/Lantana Road P.O. Box 30519-00100 NAIROBI, KENYA

Tel: +254-20-4343013/4 +254-706-356905

INSTRUCTIONS TO TENDERERS TABLE OF CONTENTS PAGE

1. INVITATION FOR PRE-QUALIFICATION 2

2. INSTRUCTIONS TO CANDIDATES/ TENDERERS 5

3. APPENDIX TO INSTRICTIONS TO CANDIDATES 10

4. FORM PQ-1 REGISTRATION DOCUMENTATION 12

5. FORM PQ-2 PREQUALIFICATION DATA 13

6. FORM PQ-3 SUPERVISORY PERSONNEL 15

7. FORM PQ-4 FINANCIAL POSITION & TERMS OF TRADE 16

8. FORM PQ-5 CONFIDENTIAL BUSINESS QUESTIONNAIRE 17

9. FORM OQ-6 PAST EXPERIENCE 18

10. FORM PQ-7 LITIGATION HISTORY 19

11. FORM PQ-8 SWORN STATEMENT 20

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KONZA TECHNOPOLIS DEVELOPMENT AUTHORITY

INVITATION FOR PREQUALIFICATION OF SUPPLIERS Konza Technopolis Development Authority is currently updating its register of suppliers for various goods and

services as shown below. Interested suppliers (BOTH CURRENT & NEW) are invited to apply for pre-qualification

indicating the category of goods and services they wish to supply.

CATEGORIES OF GOODS, WORKS AND SERVICES FOR PRE-QUALIFICATION OF SUPPLIERS FOR 2015-2017 FINANCIAL

YEARS

CODE NO ITEM DESCRIPTION REMARKS

CATEGORY A PRE-QUALIFICATION FOR SUPPLY AND DELIVERY OF GOODS

1 KOTDA/PREQ/01/2015-2017 Supply and delivery of general office stationery and printed materials

Special groups

2 KOTDA/PREQ/02/2015-2017 Supply and delivery of computer consumables and its related accessories

Special groups

3 KOTDA/PREQ/03/2015-2017 Supply and delivery of services, computers, storage & other computer accessories & spare parts

Open

4 KOTDA/PREQ/04/2015-2017 Design, supply and delivery of branded promotional materials: t-shirts, caps, banners, carrier bags etc.

Special groups

5 KOTDA/PREQ/05/2015-2017 Supply and delivery of office furniture and office equipment

Open

6 KOTDA/PREQ/06/2015-2017 Supply of staff uniforms Special groups

7 KOTDA/PREQ/07/2015-2017 Supply and delivery of printer consumables(toners and maintenance kits)

Special groups

8 KOTDA/PREQ/08/2015-2017 Supply and delivery of hardware materials and paints

Special groups

9 KOTDA/PREQ/09/2015-2017 Supply and delivery of bottled water(mineral water) & disposable water glasses

Special groups

10 KOTDA/PREQ/10/2015-2017 Supply and delivery of motor vehicles spare parts, tyres, tubes and batteries

Special groups

11 KOTDA/PREQ/11/2015-2017 Supply of signage Special groups

12 KOTDA/PREQ/12/2015-2017 Supply of branded corporate wear

Special groups

4

13

KOTDA/PREQ/13/2015-2017

Supply and delivery of building materials e.g. sand, ballast, stones, tiles, cement & iron sheets

Open

CATEGORY B PRE-QUALIFICATION FOR PROVISION OF WORKS & SERVICES

14 KOTDA/PREQ/14/2015-2017 Provisions of General cleaning & Garbage collection services

Special groups

15 KOTDA/PREQ/15/2015-2017 Provision of fumigation services

Special groups

16

KOTDA/PREQ/16/2015-2017

Provision of repairs & maintenance of servers, computer, laptops, storage, printers, copiers, projectors and other ICT equipment

Open

17 KOTDA/PREQ/17/2015-2017 Provision and maintenance of IP based public address system and VOIP system, equipment and spare parts

Open

18 KOTDA/PREQ/18/2015-2017 Provision of office refurbishment, partitioning and furnishings e.g. Window blinds and carpets

Special groups

19 KOTDA/PREQ/19/2015-2017 Provision of general insurance services. Provision of in and outpatient medical cover.

Open

20 KOTDA/PREQ/20/2015-2017 Provision of creative design and printing services for publications, books and periodicals

Special groups

21 KOTDA/PREQ/21/2015-2017 Provision of public relation , marketing and advertising agency services

Open

22 KOTDA/PREQ/22/2015-2017 Provision of printing services for promotional materials i.e. brochures, flyers, banners, flexes

Special groups

23 KOTDA/PREQ/23/2015-2017 Provision of tents, chairs, tables, mobile toilets and public address systems, interior décor, lighting, event management for hire

Special groups

24 KOTDA/PREQ/24/2015-2017 Provision of firefighting and fire protection equipment & training services

Open

25 KOTDA/PREQ/25/2015-2017 Prequalification for IDO, petrol, diesel and LPG gas suppliers

Open

26 KOTDA/PREQ/26/2015-2017 Provision of indoor and outdoor displays, billboards and exterior branding services

Special groups

27 KOTDA/PREQ/27/2015-2017 Provision of documentary, photography and videography and animation services

Special groups

28 KOTDA/PREQ/28/2015-2017 Provision of transport services for hire (lorries & pickups, 4x4 wheel drives) Provision of Taxi services

Special groups

29

KOTDA/PREQ/29/2015-2017

Provisions of building & construction services (all classes)

Open

5

30 KOTDA/PREQ/30/2015-2017 Provision of occupation health & safety training and audit services

Open

31 KOTDA/PREQ/31/2015-2017 Provision of motor vehicle repairs & maintenance services

Open

32 KOTDA/PREQ/32/2015-2017 Provision of legal services Open

33 KOTDA/PREQ/33/2015-2017 Provision of built environment consultants

Open

34 KOTDA/PREQ/34/2015-2017 Servicing and Maintenance of air conditioners

Open

35 KOTDA/PREQ/35/2015-2017 Provision of Security services Open

36 KOTDA/PREQ/36/2015-2017 Provision of Auctioneering services Open

37 KOTDA/PREQ/37/2015-2017 Provision of Audit and investigation services, Preparation of Final accounts and reports

Open

38 KOTDA/PREQ/38/2015-2017 Provision of courier services/parcel delivery

Special Groups

39 KOTDA/PREQ/39/2015-2017 Supply and maintenance of office flowers Special Groups

40

KOTDA/PREQ/40/2015-2017

Prequalification of consultants/consortium (Engineers, architects, Quantity surveyors) with EPS panel knowledge and experience

Open

41 KOTDA/PREQ/41/2015-2017 Provision of building maintenance services and renovations

Special groups

42 KOTDA/PREQ/42/2015-2017 Landscaping Services and Greening of the Konza Techno city through provision of tree seedlings ,planting and maintenance

Special groups

43 KOTDA/PREQ/43/2015-2017 Provision of valuation services

Open

44 KOTDA/PREQ/44/2015-2017 Provision of consultancy services for review of KOTDA quality management systems and policy documents, Preparation of Financial & Procurement manuals.

Open

45 KOTDA/PREQ/45/2015-2017 Prequalification of environment impact assessment (EIA) experts

Open

46 KOTDA/PREQ/46/2015-2017 Provision of strategic human resource management consultancy services in training and development, manpower planning & capacity building

Open

47 KOTDA/PREQ/47/2015-2017 Provision of executive selection and recruitment services

Open

48 KOTDA/PREQ/48/2015-2017 Provision of Air travel agency services(IATA Registration required)

Special Groups

6

49 KOTDA/PREQ/49/2015-2017 Prequalification of Civil Engineering contactors

Open

50. KOTDA/PREQ/50/2015-2017 Provision of ICT related consultancy assignment-Development of ICT strategy, Structured cabling, WAN & LAN

Open

51 KOTDA/PREQ/51/2015-2017 Provision of CCTV Surveillance equipment’s including installations.

Open

52 KOTDA/PREQ/52/2015-2017 Supply, Installation and Commissioning of an enterprise resource planning solutions and system

Open

53 KOTDA/PREQ/53/2015-2017 Provision of internet connectivity services Open

54 KOTDA/PREQ/54/2015-2017 Provision of Consultancy Services for conducting customer satisfaction surveys employee satisfaction& work environment surveys

Open

55 KOTDA/PREQ/55/2015-2017 Provision of Electrical and electromechanical engineering services

Open

56 KOTDA/PREQ/56/2015-2017 Provision of asset verification, coding and tagging services

Open

Note: Special groups comprising of Youth, Women and persons with Disabilities who are duly registered by the

Directorate of Public Procurement at the National Treasury are encouraged to apply, proof of registration is a must

and will be given preference.

‘’Pre-Qualification documents containing detailed specifications and other conditions can be obtained from our

website www.konzacity.go.ke and https//supplier.treasury.go.ke free of charge starting on 4th September 2015’’

IN ADDITION BIDDERS MUST ATTACH THE FOLLOWING MANDATORY DOCUMENTS:

a) A copy of Certificate of Incorporation / registration

b) A copy of certificate of Valid Tax Compliance Certificate

c) A copy of certificate of VAT and PIN certificate

d) Contact Address and Email addresses.

e) Day time office Telephone/mobile number. (Working numbers only)

F) AGPO certificate where applicable

Clarifications regarding the prequalification process can be sent by email address as indicated below not later than

15th September, 2015.

Completed prequalification documents in PDF format clearly marked ‘PREQUALIFICATION OF SUPPLIERS FOR

GOODS, SERVICES AND CONSULTANCY SERVICES indicating PRE-QUALIFICATION NAME: CODE NUMBER & ITEM

DESCRIPTION and be submitted electronically to the following email address to be received on or before 23rd

September 2015. The email “SUBJECT HEADER” should read as follows: KOTDA/PREQ/xx/2015-2017 where xx

represents the prequalification number, and sent to:

procurement@konzacity.go.ke and copied to the ceo@konzacity.go.ke

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Contact details are as follows:

Chief Executive Officer

Konza Technopolis Development Authority

5th Floor Capital West Business Centre Rhapta/Lantana Road, Westlands

P.O.Box 30519-00100 NAIROBI

Tel +254 20 434 3013/4

Konza Technopolis Development Authority reserves the right to accept or reject any prequalification document

in whole or part without giving reasons what so ever.

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SECTION B INSTRUCTIONS TO CANDIDATES 1.1 INTRODUCTION

Konza Technopolis Development Authority invites eligible candidates who demonstrate they have the technical skills and financial capability for the supply and delivery of goods and services as per the criteria provided in the data sheet.

1.2 PRE-QUALIFICATION OBJECTIVE

The main objective of this process is to short list suppliers/candidates, who will be invited to provide services under relevant tenders/Quotations as and when required during the period ending 30th June, 2017.

1.3 INVITATION OF TENDER

Eligible candidates who are registered with Registrar of Companies under the Law of Kenya are invited to submit pre-qualification documents to be short listed who will be invited to submit tenders/Quotations. Prospective eligible candidates must supply mandatory information as a pre requisite to be prequalified.

1.4 EXPERIENCE

Eligible candidates/contractors MUST have carried out similar assignments size and complexity relevant to the category for which pre-qualification is being sought. Eligible candidates must demonstrate they have the necessary skills, personnel and equipment relevant to service the resultant contract for each category under consideration. Detailed CV for the proposed staff for consultancy services must be provided and registration with the relevant professional body is mandatory for professional services.

1.5 PRE-QUALIFICATION DOCUMENT

This document includes questionnaire forms and documents required of prospective service providers.

1.6 CONSIDERATION

In order f o r a candidate to be considered qualified, all the relevant pre- qualification documents MUST be attached.

1.7 SUBMISSION OF PRE-QUALIFICATION DOCUMENTS

Scanned Pre- qualification documents duly filled and signed must be submitted

electronically indicating the Prequalification category No. Item Description and

send to the following email address:

procument@Konzacity.go.ke

Note: Pre-qualification documents not submitted electronically will be treated as non-

responsive.

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1.8 CLARIFICATION OF THE PRE-QUALIFICATION DOCUMENTS Clarification to the pre-qualification documents should be addressed to the Chief Executive Officer through email address: ceo@konzacity.go.ke and copied to procurement@konzacity.go.ke

1.9.1 ADDITIONAL INFORMATION Konza Technopolis Development Authority reserves the right to request submission of additional information and document from eligible candidates. Konza Technopolis Development Authority reserves the right to ACCEPT or REJECT any tender in whole or part without giving reasons what so ever.

1.10 INVITATION TO TENDERS/QUOTATIONS

Bidding documents (Tender/Quotations) will be made available only to those candidates whose qualifications and experience have been considered relevant to the various categories of services. The minimum technical score to qualify in the pre-qualification process is 70%.

1.11 BRIEF CONTRACT REGULATIONS/GUIDELINES

1.11.1 Taxes on Imported Materials

The suppliers will meet all the cost associated with the delivery, transport and pay all the necessary taxes as provided for in the Laws of Kenya as applicable for all imported and local materials to be supplied unless the item(s) is/are donor funded.

1.11.2 Customs clearance

The contractors shall be responsible for custom clearance and storage charges of their imported goods and materials.

1.11.3 Contract Price

The contract shall be of unit price type or cumulative of computed unit price and quantities required. Quantities may increase or decrease as determined by demand and on the authority of the procuring entity.

1.11.4 Payments

All local purchases shall be on credit terms for a minimum of thirty (30) days or as it may be stipulated in the contract Agreement for each category of goods and services

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SECTION C INSTRUCTIONS TO CANDIDATES

2.1 INTRODUCTION Konza Technopolis Development Authority invites interested eligible candidates who must demonstrate they have the technical skills and equipment to perform contracts under each category of goods and services.

2.2 FORMAT AND SIGNING OF APPLICATIONS

2.2.1 The applicant shall prepare one original document comprising the prequalification document, as

described in Instructions to Candidates scan the document and send electronically to procurement@konzacity.go.ke

2.2.2 The pre-qualification document shall be typed or written in indelible ink and shall be signed by a person

or persons duly authorized to sign on behalf of the applicant pursuant to sub clause 2.4.2. .

2.2.3 The pre-qualification document shall be without alterations, omissions or conditions except as necessary to correct errors made by the applicant in each case such corrections shall be initialed by the person or persons signing the prequalification documents before scanning and sending electronically to procurement@konzacity.go.ke

2.3 SUBMISSION OF APPLICANTS

2.3.1 Applications for prequalification shall be submitted in electronically marked,

procurement@konzacity.go.ke

So as to be received on or before Wednesday 23rd September 2015 at 4.00pm applications received after the closing date shall be rejected and considered non responsive.

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2.3.2 All attachments requested for in the pre-qualification documents must be scanned and send as one document electronically to the email address provided.

2.3.4 All the information requested for prequalification shall be provided in the English language.

2.3.5 Failure to provide information that is essential for effective evaluation of the applicant’s qualifications or to

provide timely clarification or substantiations of the information supplied may result in the applicant’s disqualification.

2.4 ELIGIBLE CANDIDATES

2.4.1 Suppliers/Consultants must be registered with registrar of Companies under the Laws of Kenya and must be

the criteria as set in the prequalification documents in order to be considered for request for quotations/ tenders. The prospective suppliers are required to supply mandatory information for pre-qualification – FORM PQ-1

2.4.2 Candidates must provide documentary evidence that they are qualified to provide goods and services as

specified for the category an applicant has applied for. TENDER DATA INSTRUCTIONS

3.1 Tender data Forms

The attached questionnaire forms PQ-1, PQ-2, PQ-3, PQ-4, PQ-5, PQ-6, and PQ-7 & PQ-8 are to be completed by prospective supplier/contractors who wish to be pre-qualified for the specified category.

The Pre-Qualification application forms which are not dully filled, signed Scanned and sent electronically in the prescribed format may not be considered. All the documents that form part of the proposal must be written in the English language.

3.2 QUALIFICATION CRITERIA

3.2.1 Pre-qualification will be based on meeting the minimum requirements to pass in the criteria set as shown

below. The attached questionnaire FORMS PQ-1, PQ-2, PQ-3, PQ-4, PQ-5, PQ-6, PQ-7 & PQ-8 are to be completed by prospective suppliers who wish to be pre-qualified.

3.2.2 The pre-qualified application forms – FORM PQ 2 must be duly filled and submitted in the prescribed format

to be considered.

3.2.3 It is understood and agreed that the pre-qualification document is to be used by procuring entity in determining, according to its sole judgment and discretion, the qualifications of prospective service provider to perform in tenders to be invited after the pre-qualification process.

3.2.4 Prospective bidders will not be considered qualified unless in the Judgment of procuring entity they

possess the necessary skills and capability, experience, availability of qualified personnel and suitable equipment and financial capabilities to perform the contract under consideration.

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3.3 ESSENTIAL CRITERIA FOR EVALUATION OF THE PRE-QUALIFICATION DOCUMENTS

3.3.1. Experience:

(a) Eligible candidates must demonstrate that they have the necessary skills and experience relevant to

the assignments at reasonable notice.

3.3.2 Personnel The names and pertinent information and the CV of the key personnel for individual or group to execute the contract must be indicated in FORM PQ.3.

3.3.4 Special consideration will be given to the financial resources available as working capital, taking into account the assignment not yet finalized. Data to be filled should be provided on FORM PQ-4. However, potential bidders should provide evidence of financial capability to execute the contract once awarded.

3.3.5 Confidential Business Questionnaire

The general information and details of the nature of business and location should be included in - FORM PQ-5.

3.3.5 Past Performance

For Past performance the following shall be determined by:- (a) Past performance will be given due consideration in pre-qualifying candidate from the date

of registration. Below 5years……. 6-10years………above10years…………….. (b) Letters of reference from past customers should be included in FORM PQ-6 where applicable. (c) Copies of local purchase and service orders of similar supplies should be included.

3.3.6 Litigation History and Sworn Statement

Application must include information on any history of litigation or arbitration resulting from contract executed in the last one year or currently under execution FORM PQ-7 and a sworn statement by the candidates ensuring the accuracy of the information given- FORM PQ-8

3.4 COST OF APPLICATION

The applicant shall bear all costs associated with the preparation and submission of the pre-qualification electronically and the employer will in no case be responsible or liable for those costs, regardless of the conduct or outcome of the prequalification process.

3.5 CLARIFICATION OF PREQUALIFICATION DOCUMENTS

3.5.1 The prospective applicant requiring any clarification of the prequalification documents may notify the

procuring entity through email to ceo@konzacity.go.ke and copied to procurement@konzacity.go.ke

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3.5.2 KoTDA will respond in writing via email to any request for clarification that it receives not later than 7

days prior to the deadline for the submission of applications. Copies of the Client’s response to the clarifications raised by applicants without identifying the sources of the inquiry will be sent to all prospective applicants who will have registered with the procurement entity for the prequalification documents.

3.6 AMENDMENT OF PREQUALICATION DOCUMENTS

3.6.1 At any time prior to the deadline for submission of applications, the KoTDA may, for any reason, whether at his own initiative or in response to a clarification requested by a prospective applicant, modify the prequalification documents by issuing subsequent Addendum.

3.6.2 The Addendum thus issued shall be part of the prequalification documents pursuant to Sub-

Clause 2.7.2 and shall be communicated through email to all eligible candidates who shall have registered with Konza Technopolis Development Authority for the pre-qualification documents. Prospective applicants shall promptly acknowledge receipt of each Addendum through email back to the KoTDA.

3.6.3. In order to afford prospective applicants reasonable time in which to take an Addendum into

account in preparing their applications, the Client may, at his discretion, extend the deadline for the submission of applications in accordance with Clause 2.8.1.

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3.7 DEADLINE FOR SUBMISSION OF PREQUALIFICATION DOCUMENTS

3.7.1 Applications must be received by the KoTDA at the email address specified in Sub-Clause 2.10.1, no later than the time and date stipulated in the notice for pre-qualification.

3.7.2 The Employer may, at his discretion, extend the deadline for the submission of applications

through the issue of an Addendum in accordance with Clause 2.8 in which case all rights and obligations of the Employer and the applicants previously subject to the original deadline shall thereafter be subject to the new deadline as extended.

3.8 PRE-QUALIFICATION DOCUMENTS

3.8.1 The Client will sort the pre-qualification documents based on each category of pre-qualification and

item description and will list all the applications received and mail to each registered service provider.

3.9 PROCESS TO BE CONFIDENTIAL

3.9.1 Information relating to the examination, evaluation of applications, and recommendations for the

successful candidate shall not be disclosed to applicants or any other persons not officially concerned with such process until approval to the tender committee has been obtained. Any effort by an applicant to influence the Employer’s processing of applications or approval decisions may result in the rejection of the applications

3.10 CLARIFICATION OF APPLICATIONS AND CONTACTING OF THE EMPLOYER

3.10.1 To assist in the examination, evaluation, and comparison of applications, the Employer may, at his

discretion, ask any applicant for clarification of his/her application.

3.10.2 Subject to Sub-Clause 2.11.1, no applicant shall contact the Employer on any matter relating to its application from the time of the opening to the time the prequalification list is approved. If the applicant wishes to bring additional information to the notice of the Employer, it should do so in writing.

3.10.3 Any effort by any applicant to influence the Employer in the Employer’s prequalification evaluation,

prequalification comparison or prequalification approval decisions may result in the rejection of the candidate’s application.

3.11 EXAMINATION OF PREQUALIFICATION DOCUMENTS AND DETERMINATION OF RESPONSIVENESS

3.11.1 Prior to the detailed evaluation of applications, the Employer will determine whether each application (a) has been properly signed and delivered pursuant to clause 2.3; (b) is substantially responsive to the requirements of the prequalification documents; and (c) provides any clarification and/or substantiation that the Employer may require to determine responsiveness pursuant to Sub-Clause 2.15.

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3.11.2 A substantially responsive application is one that conforms to all the terms, conditions, and specifications of the prequalification documents without material deviation or reservation. A material deviation or reservation is one (a) which limits in any substantial way, inconsistent with the prequalification documents, the Employer’s rights or the applicant’s obligations under the contract; or (b) whose rectification would affect unfairly the competitive position of other applicants presenting substantially responsive applications.

3.11.3 If an application is not substantially responsive, it will be rejected by the Employer and may not

subsequently be made responsive by correction or withdrawal of the nonconforming deviation or reservation.

3.11.4 The employer will, prior to the approval of the prequalification may confirm the qualification of

each applicant who shall have passed the technical stage the prequalification process in order to determine whether the applicant possesses all the requirements in the application for the prequalification document submitted.

3.12 NOTIFICATION OF QUALIFIED APPLICANTS

3.12.1 Applicants whose applications are determined to be successful in accordance with sub-clause

2.15 will be notified by the Authority within Sixty (60) days from the closing date of the prequalification documents.

3.12.2 At the same time the client will notify qualified Applicants that their applications are responsive, the

Client shall notify the other Applicants whose applications are not responsive.

3.13 EVALUATION AND COMPARISON OF APPLICATIONS

3.13.1 The employer reserves the right to accept or reject any application, and to annul the prequalification process and reject all applications, at any time prior to approval of contact, without thereby incurring any liability to the affected applicant or applicants or any obligation to inform the affected applicant or applicants of the grounds for the Employer’s action.

3.14 NOTIFICATION OF APPROVAL

3.14.1 Prior to expiration of the period of prequalification validity period prescribed by the client, the

Client will notify successful applicants.

3.15 ACCEPTANCE OF THE APPROVAL

3.15.1 The successful candidates shall be required to acknowledge in writing the acceptance of their prequalification to the Client.

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3.7 Evaluation Criteria

Required Information Form type Points Score 1. Registration Documentation PO-1 20 2. Prequalification Data Sheet PQ-2 20 3. Qualification of Personnel PQ-3 20 4. Financial Position PQ-4 10 5. Past Experience PQ-5 10 6. Sworn Statement PQ-6 5 7. Confidential Questionnaire PQ-7 10 8. Litigation History PQ-8 5

TOTAL 100 3.8 Minimum Technical Score to qualify is 70%

FORM PQ 1

MANDATORY DOCUMENTATION REQUIRED

All firms must provide:

(a) Copies of Certificate of Registration

(b) Copy of V.A.T Registration Certificate

(c) Tax Compliance Certificate from Kenya Revenue Authority (Failure to produce this certificate to prove compliance will lead to automatic disqualification thus, no further evaluation of your application)

(d) Copies of Personal Identification Numbers Certificates of Firm/Company/Individuals

(e) List of ongoing Contracts/Projects (goods, services

(f) Bank references

(g) AGPO certificate for special group categories

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FORM PQ-2

DATA SHEET

1. Contractor Identification……………………………………………………………

Legal name of firm…………………………………………………………………..

Post office address…………………………………………………………………..

Street and Address…………………………………………………………………..

City………………………………………………………………………………………..

Country…………………………………………………………………………………..

Telephone No………………………………………………………………………….

Person to contact……………………………………………………………………..

Title………………………………………………………………………………….......

2. Organization & Business Information………………………………………….

Management Personnel…………………………………………………………….

President…………………………………………………………………………………

Secretary…………………………………………………………………………………

General Manager……………………………………………………………………..

Treasurer………………………………………………………………………………..

Other………………………………………………………………………………………

Partnership (if applicable)…………………………………………………………

Names of Partners……………………………………………………………………

3. Business founded or incorporated……………………….......................

4. Under present management since…………………………………………….

5. Net worth equivalent Kshs………………………………………………………..

6. Bank reference and address………………………………………………………

7. Bonding company reference and address……………………………………

8. Enclose copy of the organization chart of the firm indicating the main fields of activities

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FORM PQ-3

SUPERVISORY PERSONNEL

Name………………………………………………………………………………………

Age…………………………………………………………………………………………

Academic Qualification………………………………………………………………

Professional Qualification………………………………………………………….

Length of service with contractor or supplier position held

………………………………………………………………………………………………

Supply or service experience

a) Name of Client/Customer………………………………………………………………

b) Character and nature of Contract…………………………………………

c) Contract value………………………………………………………………...

d) Location of Contract…………………………………………………………..

e) Period of Contract………………………………………………………………

f) Title and responsibility in Contract……………………………………….

……………………………………………………………………………………..

g) Other……………………………………………………………………………..

Proposed Technical Personnel

a) ………………………………………………………………………………………

b) ………………………………………………………………………………………

c) ………………………………………………………………………………………

d) ………………………………………………………………………………………

e) ………………………………………………………………………………………

f) ………………………………………………………………………………………

g) ………………………………………………………………………………………

Proposed position in this project if contract is awarded………………..

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Brief statement / Description of services and work plans in executing the contract.

FORM PQ-4

FINANCIAL POSITION

Attach a copy of firm’s two recent certified financial statements giving Summary of assets and current liabilities/or any other financial support.

FORM PQ-5

PAST EXPERIENCE

References of Client the service provider has dealt with in the past two years

Names and address the contractor/service provider/Consultant the client has dealt with

1. i) ii)

Name of client (Organization)…………………………………………… Address of Client (Organization)………………………………………..

iii) Name of contact person at the client (Organization)…………… iv) Telephone No. of Client……………………………………………………. v)

vi) Value of contract……………………………………………………………… Duration of contract (date)………………………………………………..

2. Name of 2nd client (Organization)

(i) Name of client (Organization)…………………………………………….. (ii) Address of client (Organization…………………………………………… (iii) Name of contact person at the client (Organization……………… (iv) Telephone No. of Client……………………………………………………… (v) Value of contract………………………………………………………………. (vi) Duration of contract (Date)…………………………………………………

3. Name of 3rd Client (Organization

i) Name of client (Organization)…………………………………………… ii) Address of Client (Organization)………………………………………… iii) Telephone No. of Client…………………………………………………….. iv) Name of contact person at the client (Organization)…………….. v) Value of contract………………………………………………………………. vi) Duration of contract (Date)…………………………………………………

4. Others………………………………………………………………………

FORM PQ-6

SWORN STATEMENT

Having studied the Pre-qualification documents and information provided we hereby state:

a. The information furnished in our application is accurate to the best of our knowledge.

b. That in case of being qualified we acknowledge that this grants us the right to participate in due time in the submission of a tender or quotation on the basis of provisions in the tender or quotation documents to follow.

c. If the legal, technical or financial conditions or the contractual capacity of the firm changes we take it upon

ourselves to inform you within a period of fourteen (14) days.

d. We enclose all the required documents and information required for the pre-qualification exercise.

Date………………………………………………………………………………………………….

Applicant’s Name………………………………………………………………………………..

Represented by………………………………………………………………………………….

Signature…………………………………………………………………………………………..

(Full name and designation of the person signing and stamp or seal)

FORM PQ-7

CONFIDENTIAL BUSINESS QUESTIONNAIRE

You are requested to give the particulars indicated in part 1 and either part 2 (a) 2 (b) or 2 (c) whichever applies in your type of business.

You are advised that it is a serious offence to give false information on this Form

PART 1 GENERAL

Business Name………………………………………………………………………………. Location of Business premises…………………………………………………………. Plot No…………………………………….Street/Road………………………………….. Postal Address…………………………Tel No…………………………………………… Nature of business…………………………………………………………………………. Current Trade License No……………………………..Expiring date…………….. Maximum value of business which you can handle at any one time Ksh......... Name of your bankers…………………………………Branch………………………..

PART 2(A) – Sole Proprietor

Your name in full……………………………………..Age……………………………….. Nationality……………………………………….Country of origin…………………….. Citizenship details…………………………………………………………………………...

Part 2 (b) – Partnership:

Name Nationality citizenship Details Shares

1. ………………………………………………………………………………………… 2. ………………………………………………………………………………………… 3. ……………………………………………………………………………………….. 3. ……………………………………………………………………………………….. 4. ……………………………………………………………………………………….. 5. …………………………………………………………………………………………

Part 2 (c) - Registered Company

Private or Public

State the nominal and issue capital of the company Nominal Kshs……………………………………………....... Issued Kshs.………………………………………………….

Give details of all directors as follows:

Name Nationality Citizenship Details Shares

1. …………………………………………………………………………………………………………………

2. ………………………………………………………………………………………………………………..

3. …………………………………………………………………………………………………………………

4. ………………………………………………………………………………………………………………..

5. ………………………………………………………………………………………………………………..

Date………………………………………………..Signature & Stamp of Tenderer……………………

If Kenyan Citizen indicate under Citizenship Details whether by Birth, naturalization or Registration

GPK (L)

PQ-8 LITIGATION HISTORY

Name of Contractor/Supplier

Contractors/Supplier should provide information on any history litigation or arbitration resulting from contracts executed in the last five years or currently under execution.

Year

Award for or against

Name of client cause of Litigation and matter in dispute

Disputed Amount (current value, Kshs. Equivalent