SIBANYE STILLWATER TENDERS ADVERTISED...Contact person details (Name, contact number & email) Tender...

SIBANYE STILLWATER – TENDERS ADVERTISED

SUPPLIER SHOW OF INTEREST

Company details

Company name

Contact person details

(Name, contact number

& email)

Tender Event interested in:

Reference number Event Description

#6886 Professional Services for the Construction of the Marikana

Community Health Centre

IMPORTANT INFORMATION:

➢ Complete this document together with the pre-qualification questionnaire and submit

together with all certification and documentation via email to the relevant person (as

advertised) before the closing date and time.

➢ If show of interest document/email is not received on time, the supplier will be disqualified.

➢ The Service Provider can only be part of the tender if registered and approved in the

Sibanye Coupa system.

➢ The Service Provider must have at Least 5 Years’ experience working in the Bapong,

Marikana area North West.

➢ Preference will be given to Local Engineering Firms and the Company must be listed as

registered Engineers.

➢ The Service Provider must have at least 10 Years’ experience in Health Construction.

SUPPLIER

Pre-Qualification Questionnaire

FOR THE

PROFFESIONAL SERVICES

FOR THE CONSTRUCTION OF THE MARIKANA

COMMUNITY HEALTH CENTRE

AT MARIKANA, NORTH WEST PROVINCE FOR

SIBANYE STILLWATER MARIKANA OPERATIONS

(“CLIENT”)

APPLICANT (COMPANY) NAME:

________________________________________________

INDICATE FROM WHICH COMMUNITY:

________________________________________________

DATE: ______________

SIBANYE-STILLWATER SUPPLIER QUESTIONNAIRE

___________________________________________________________________________

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REFERENCE NUMBER: #6886

PROFFESIONAL SERVICES FOR THE MARIKANA COMMUNITY HEALTH CENTRE

• Interested in Tender YES / NO

NEW VENDOR

EXISTING VENDOR VENDOR NUMBER ______________

COMPANY E-MAIL ADDRESS: __________________________________________________

COMPANY E-MAIL ADDRESS: __________________________________________________

CONTACT NR: ___________________________________________________


___________________________________________________________________________

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Scope of Work Preamble

Marikana Community Health Centre

A Community Health Centre is to be constructed at Marikana as indicated in Figure 1

This is a public building and carries significant risk for Sibanye Stillwater Marikina Operations in the

event of failure of the structure in future. It also forms part of the SLP commitments of Sibanye Stillwater

Marikana Operations, thus it will be open to the scrutiny of the DMR and the North West Province

Department of Health.

NB: Earthworks for the building was completed in December 2019.

Current requirements:

1. All Engineering services / Mechanical / Electrical/ Civil / Geotechnical / Land survey

2. All Architectural Services

3. Quantity Surveying

4. Construction Management

a. Including

i. Site Safety Management

ii. Competent Health and Safety Officer for the client as per the OHS

regulation

5. Assist with the Generation of the Tender Documentation

a. Sibanye Stillwater Marikana Operations Standard Conditions of Procurement will apply


___________________________________________________________________________

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Conditions:

1. Preference will be given to Local Engineering firms 2. Must be registered Engineers 3. Must have at least 10 years’ experience in Health construction

4. Must have at least 5 years’ experience working in the Bapong, Marikana Area.

Scope of will include the following but the client holds the right to reduce any of the scope before or during

the tender process.

3.1 STAGE 1 – Inception 3.2 STAGE 2 - Concept and Viability (also termed Preliminary Design) 3.3 STAGE 3 - Design Development (also termed Detail Design) 3.4 STAGE 4 - Design Development (also termed Detail Design) 3.5 STAGE 5 – Construction Management and Inspection 3.6 STAGE 6 - Close- Out

ALL QUESTIONS TO BE ANSWERED IN DETAIL (PLEASE PRINT OR TYPE)

ENSURE THAT THE EACH PAGE OF QUESTIONNAIRE IS SIGNED

SECTION 1: GENERAL

1. COMPANY / CC DETAILS 1.1 Full name(s) of Company or Closed Corporation:

_____________________________________________________

1.2 Trading as:

_____________________________________________________

1.3 Previous Name(s) (if applicable):

_____________________________________________________

1.4 Date registered at Registrar of Companies:

_____________________________________________________

1.5 Company/CC:

Company Closed Corporation

1.6 Physical Address:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________


___________________________________________________________________________

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1.7 Where do you operate from?

Registered Business Premises

Industrial Premises

Private Residence

Farm or small/holding (Plot)

1.8 Postal Address:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Code:___________________

1.9 Telephone Number:

_____________________________________________________

1.10 Fax Number:

_____________________________________________________

1.11 E-mail Address:

_____________________________________________________

2. COMPANY / CC PROFILE

Attach Details of the following:

2.1 Brief Summary of Company/CC History/ Experience

2.2 Do you currently work as an employee for Sibanye-Stillwater?

2.3 Were you previously employed by Sibanye-Stillwater or

Anglo American Platinum or Lonmin Platinum? If yes, provide more information.

(Dates, Position, Location and Reason for leaving)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

2.4 Have you ever provided a service or product to Sibanye-Stillwater?

2.5 Attach a valid B-BBEE certificate.

Attached Not Attached N/A

Yes No

Yes

Yes

Yes

Yes No

No

No

No

Yes No

Yes No

Yes No


___________________________________________________________________________

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2.6 How does your company connect to the Internet?

Does not connect

Modem

ISDN

ADSL

Other

If other, please specify

____________________________________________________________________

___________________________________________________________________

SECTION 2: TECHNICAL QUESTIONNAIRE

2.1 Technical Questions

2.1.1 Provide your proposed org structure per crew together with the qualifications of your proposed consultants for the Professional Services on the Marikana Community Health Centre?

___________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2.1.2 Provide your Safety Statistics for the past twelve (12) months. ______________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________ 2.1.3 What Percentage does the Professional services constitute of your total business? ___________________________________________________________________________ ___________________________________________________________________________ 2.2 Are your premises available for inspection? If no, please supply reason ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Yes No

ATTACH ALL INFORMATION / ATTACHMENTS APPLICABLE TO SECTION 1 HERE


___________________________________________________________________________

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2.3 Risk Assessment Policy (Mandatory on Safety Critical/Hazardous Items)

2.3.1 Do you have a risk assessment policy?

Attach an example of the proposed risk assessment document

2.4 Tools and Equipment

2.4.1 What tools/ equipment do you propose to utilise for this contract?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

2.5 How will you transport your teams between sites and where will your base office be?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

2.6 Has your Company ever been investigated or your contract cancelled by any other

company due to technical reasons?

If yes, please state the following

2.6.1 Name of Company who investigated or rejected you: ___________________________________________________________________________ 2.6.2 Service that was investigated? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2.6.3 What was done to rectify the problem? ______________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________

Yes No N/A

Attached Not attached N/A

Yes No


___________________________________________________________________________

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2.7 Experience: Supply references relevant to Professional Services rendered in Health

Construction:

Description

Date Completed

Total Value of work

Name of Client

Contact nr

1

2

3

4

5

2.8 Dealings with the Mining Industry

2.8.1 Do you have dealings with other Mining Houses or Mines?

If yes, please specify the type of services, duration and with which Mining Houses

Off Contract

___________________________________________________________________________

__________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

On Contract

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

2.9 How many people are currently employed by your company?

__________________________________________________________________________


___________________________________________________________________________

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2.10 Experience

2.10.1 Supply references relevant to Engineering Services rendered:

Description

Date Completed

Total Value of work

Name of Client

Contact nr

1

2

3

4

5

2.10.2 Supply references and proof of services rendered in the Bapong/Marikana area near

Brits North West:

Description

Date Completed

Total Value of work

Name of Client

Contact nr

1

2

3

4

5



___________________________________________________________________________

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3.1 Tax number of Company and Subsidiaries

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

3.2 Bank and Bank Number of Companies

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

(Attach a list if space is not adequate)

3.3 If any auditing company is used, supply company’s name, address and telephone

number

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

3.4 Important: Mandatory Attachments

3.4.1 Attach a RECENTLY CERTIFIED copy (please ensure

ALL PAGES are certified) of your CC or Company

Registration Certificate, CC or Company and/or

Owner name-change.

3.4.2 Attach a copy of your company letterhead

3.4.3 Attach an ORIGINAL CANCELLED

Company Cheque or bank statement (bank date stamp required)

SECTION 3: FINANCIAL QUESTIONNAIRE

Attached Not Attached




___________________________________________________________________________

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3.5 Has your company ever investigated or rejected by any other company due to financial

reasons?

If Yes, Please State the Following:

3.5.1 Name of Company who investigated or rejected to:

___________________________________________________________________

3.5.2 Details of irregularities concerned:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

3.5.3 What was done to rectify the problem?

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

4.1 Full names, Telephone Numbers, ID Numbers and Cell Phone Numbers of all Directors,

Partners, Members or Owners of the Company or Closed Corporation

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Yes No


SECTION 4: SECURITY QUESTIONNAIRE


___________________________________________________________________________

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4.2 Attach a Legible Copy of the ID Documents of All

Directors, Partners, Members or Owners of the Company

or Closed Corporation

4.3 List the Names of all Businesses in which the above Directors, Partners, Owners or

Members have been involved in.

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4.4 Full Names, ID Numbers, Home Addresses and Telephone Numbers of all Manager(s)

And Sales Representatives employed by the Company/CC and Subsidiaries

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4.5 Name all Relatives Employed by Sibanye-Stillwater

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

4.6 Name all Persons Employed at Sibanye-Stillwater who may benefit from your dealings

with the Mine

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________



___________________________________________________________________________

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4.7 State if any of your Employees, including Hired Labour, have ever been convicted of

any Criminal Offence. If so, when, where and what was the offence?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

4.8 Has the Company / Closed Corporation or Any Subsidiaries

or Agent been investigated by any of the Mining Houses

or Mines?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

4.9 Was your Company investigated or rejected by any other

Company because of Security Reasons?

If yes, please supply full details?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Yes No

Yes No



___________________________________________________________________________

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Ensure that all information provided on this form is true and correct.

Any inaccurate, false or misleading information provided in this questionnaire, could lead

to disqualification and possible investigations.

We the undersigned, duly authorised by our company, the necessary action may be taken

against the Company concerned and we may choose not to do business and/or cease to do

business with such a Company.

TO BE COMPLETED AND SIGNED BY AN AUTHORISED COMPANY REPRESENTATIVE

_______________________________

NAME (PRINT)

_______________________________ _________________________ _______________

Signed Designation Date

PLEASE NOTE: UNSIGNED OR INCOMPLETE QUESTIONNAIRES WILL BE REJECTED

For Queries contact: Hannelie van der Walt

E-mail: [email protected]

SECTION 5: IMPORTANT NOTIFICATIONS

SIBANYE STILLWATER TENDERS ADVERTISED...Contact person details (Name, contact number & email) Tender...

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