PROSPECTIVE PROVIDER APPLICATION - NERSA

1 PROSPECTIVE SUPPLIER LIST APPLICATION APPLICATION DETAILS Reference Number: NERSA /PSL/2015/2016 Description: Invitation to apply for placement on the NERSA list of PROSPECTIVE suppliers RESPONDENT DETAILS This page must be completed and submitted with each APPLICATION Organisation/ individual: Contact person: Email address: Please indicate whether it is the original or copy, tick the applicable block. Original Copy Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Contents DOCUMENTS IN THIS APPLICATION DOCUMENT PACK Please note that bid/bidder in this document includes respondent. Respondents are to ensure that they have received all pages of this document, which consists of the following sections: SECTION 1 Note: Documents in this section are for information to/instruction of respondents and must not be returned with applications .

2 Background APPLICATION submission conditions and instructions Evaluation process/criteria SECTION 2 Note: Documents in this section must be completed and returned or supplied with applications . Special conditions of registration Tax Clearance Certificate Requirements Declaration of interest Declaration of bidder s past SCM practices Preference points claim form in terms of the Preferential Procurement Regulations, 2001 Declaration Certificate for Local Production and Content Designated Sector Certificate of Independent Bid Determination SECTION 3 Note: Documents in this section must be completed and returned or supplied with applications . Invitation to register PROSPECTIVE supplier information form and Commodities list Page 2 Reference no: NERSA /PSL/2014/2015 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: Background BACKGROUND In order to comply with the regulations of the Public Finance Management Act and to ensure a competitive procurement process, the National Energy Regulator of South Africa ( NERSA ) invites PROSPECTIVE suppliers of the services/goods as indicated in the categories list, to apply for a listing on NERSA s PROSPECTIVE Supplier List.

3 NERSA intends to utilise this PROSPECTIVE Supplier List to obtain quotations for possible discrete elements of work and where appropriate the supply of products that may become necessary from time to time. NERSA also intends to use this PROSPECTIVE supplier list for petty cash purchases where feasible. It is important to note that should an applicant be successful in their APPLICATION to be added to the PROSPECTIVE supplier list, NERSA is under no obligation to utilise their services. Successful applicants are not in any way guaranteed future business. Whilst NERSA is issuing this APPLICATION in good faith, it reserves the right to cancel or delay the selection process. For enquiries, please contact: Tebogo Williams or Stanley Radebe on 012 401 4046/4795 Page 3 Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: APPLICATION submission conditions and instructions APPLICATION SUBMISSION CONDITIONS AND INSTRUCTIONS 1 FRAUD AND CORRUPTION All suppliers are to take note of the implications of contravening the Prevention and Combating of Corrupt Activities Act, Act No 12 of 2004 and any other Act applicable.

4 2 NOTES TO ALL SUPPLIERS SEEKING REGISTRATION ON THE LIST OF PROSPECTIVE SUPPLIERS OF NERSA The purpose of this list is to give all PROSPECTIVE suppliers an equal opportunity to submit quotations to NERSA . Preference will be given to registered suppliers but it does not necessarily follow that suppliers who are not yet registered will be totally excluded from quoting for the supplying of goods or services to NERSA . It is envisaged however, that this list will contribute to efficient administration and compliance with the PFMA. Attached please find, inter alia, an official PROSPECTIVE supplier APPLICATION form to assist in compiling the list according to legislation. It is imperative that applicants read the PROSPECTIVE supplier APPLICATION document carefully, complete it in full and sign where appropriate.

5 The list will remain valid until NERSA decides to re-establish, and will be updated regularly. Suppliers will be notified whether their applications were accepted or not. NERSA reserves the right to, at any stage, note that a category will have limited use. Providers will be informed accordingly 3 CLARIFICATIONS/QUERIES Any clarification, required by a supplier regarding the meaning or interpretation of the PROSPECTIVE supplier APPLICATION document, or any other aspect concerning the APPLICATION , is to be requested in writing (letter, facsimile or e-mail) from Stanley Radebe at or Tebogo Williams at The reference number should be mentioned in all correspondence. Telephonic requests for clarification will not be accepted.

6 If appropriate, the clarifying information will be made available to all suppliers by e-mail only. 4 SUBMITTING PROSPECTIVE SUPPLIER LIST APPLICATION DOCUMENTS An original plus (1) hard copy of the APPLICATION document pack, should be handed in/delivered to: The Procurement Manager National Energy Regulator of South Africa Kulawula House 526 Madiba (Vermeulen) Street Arcadia, 0083 Page 4 Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: APPLICATION submission conditions and instructions Or Posted to: The Procurement Manager NERSA PO Box 40343 Arcadia South Africa 0007 All documentation will be forwarded to suppliers electronically, if not downloaded from the web and responses will be exchanged electronically utilising standard Microsoft Office (Word, Excel, PowerPoint and Project) products.

7 PROSPECTIVE supplier APPLICATION documents should be submitted in a sealed envelope, marked with: Reference Number NERSA /PSL/2015/2016 The name and address of the applicant. Documents submitted on time by suppliers shall not be returned. 5 DIRECTIONS TO NERSA OFFICES FOR DELIVERY OF applications Physical Address: Kulawula House 526 Madiba Street Arcadia 0083 6 CLOSING OF applications Please note that there is no closing date for bid documents, applications will be accepted throughout the financial year however, applications will only be evaluated and added to the database on a quarterly basis. Page 5 Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: APPLICATION submission conditions and instructions DIRECTIONS TO NERSA From OR Tambo International Airport Take the R21 (North) to Pretoria Continue on the R21 for approximately 45 kilometres At the roundabout (Fountains Circle) follow the Sunnyside signs (M5) Continue driving on Mears Street (becomes Steve Biko Street) Turn right onto Madiba St Kulawula House ( NERSA ) will be on your left NB.

8 Parking available opposite NERSA at Sancardia Centre (Karabo) From Johannesburg Follow N1/M1 north Continue on the N1/M1north This road then becomes M1 Continue on the M1 and take the Eeufees off ramp At the bottom of the Eeufees T-junction turn right Turn left under the bridge Follow the Sunnyside signs (M5) Continue driving on Mears Street (becomes Steve Biko Street) Turn right onto Madiba St Kulawula House ( NERSA ) will be on your left NB: Parking available opposite NERSA at Sancardia Centre (Karabo) Page 6 Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: APPLICATION submission conditions and instructions REASONS FOR REJECTION NERSA shall reject an APPLICATION to be registered if the supplier has committed a proven corrupt or fraudulent act in applying to register.

9 Any attempt to gain information in a manner deemed to be unfair or disadvantageous to other respondents or any attempt to influence the outcome of the response evaluation will result in immediate disqualification from the APPLICATION process. NERSA may disregard the APPLICATION of any supplier if that supplier, or any of its directors: Have abused the SCM system of NERSA . Have committed proven fraud or any other improper conduct in relation to such system. Have failed to perform on any previous contract and the proof exists. Such actions shall be communicated to the National Treasury. No faxed or e-mailed applications will be accepted. 7 GENERAL CONDITIONS OF CONTRACT The General Conditions of Contract, which are available on request, will only guide the quotations to be invited from the list of PROSPECTIVE suppliers.

10 Page 7 Reference no: NERSA /PSL/2015/2016 NERSA PROSPECTIVE Supplier List APPLICATION Section 1: Evaluation process/criteria EVALUATION PROCESS/CRITERIA ALL SUPPLIERS MUST TAKE NOTE OF THE EVALUATION PROCESS THAT WILL BE FOLLOWED 1. EVALUATION PROCESS Evaluation of the responses will be done in the phases noted hereunder. RESPONSIVENESS CHECK (COMPULSORY) Please note: applications without the completed documents mentioned below will be regarded as non-responsive. An original plus one (1) hard copy of the APPLICATION document pack submitted. An original valid tax clearance certificate submitted. Business (company) registration certificate submitted, if applicable. IRP 30A submitted in case of a Labour Broker, if applicable.