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City of Johannesburg
SUPPLIER NAME: _______________________________________________ REQUEST FOR QUOTATION FOR GOODS AND SERVICES FOR THE CITY OF JOHANNESBURG
Procurement Less than R 200 000 (Including Vat)
(For publication on the City of Johannesburg Notice Board/s & Website)
The City of Johannesburg requests your quotation on the goods and/or services listed hereunder
and/or on the available RFQ forms. Please furnish all information as requested and return your
quotation on the date stipulated. Late and incomplete submissions will invalidate the quotation
submitted.
ADVERTISEMENT DATE
04 September 2013
DEPARTMENT
Corporate shared services
RFQ NUMBER:
R0040/13
DESCRIPTION OF GOODS/SERVICES
Supply And Deliver Medical Items
The COJ Website –

RFQ SPECIFICATION FORMS/
DOCUMENTS ARE OBTAINABLE FROM:
FROM INFORMATION DESK
15TH FLOOR
METRO CENTRE
158 Civic Boulevard street
BRAAMFONTEIN
See conditions page.
QUOTATION BOX, GROUND FLOOR, METRO
SUBMISSION OF QUOTES:
158 Civic Boulevard street, Braamfontein
CLOSING DATE
11 September 2013
ENQUIRIES:
Vusi Mabena:011 407-7575

Quotations above R30 000 will be evaluated on the basis of the 80:20 point system as stipulated in the
Preferential Procurement Policy Framework Act (Act number 5 of 2000) & the City’s Supply Chain
Management Policies and Procedures.

City of Johannesburg
COMPULSORY REQUIREMENTS
1. Original tax clearance

Please note that copies of tax clearance certificates are not valid as per SARS and they will not
be accepted by the City of Johannesburg. Failure to provide the original tax clearance
certificate will result in the quotation being disqualified.

Latest copy of rate and taxes together with a completed “Declaration on State of Municipal
Accounts” form. (Attached)
Please note the following:
There must be a Rates & Taxes invoice for each of the Directors of the Company as
well as for the Company. The Rates & Taxes Invoice cannot be older than 3 months.
If Rates & Taxes are in arrears for more than 3 months, the quotation will be
disqualified.

If the business is operated from the residence of one of the directors, an affidavit,
certified, must be submitted stating the address of the business premises.
If the premises from where business is conducted or where a director is residing, is
leased a copy of the lease agreement or an affidavit must be submitted.
The quotation page must be signed. If you are using your own format on your Company’s
letterhead to quote please ensure that the quotation is signed.
4. The attached MBD 9 form (Certificate of Independent Bid Determination) must be completed
and submitted with the quotation. If the MBD 9 is incomplete or not attached the quotation
will be disqualified.

5. The attached MBD 4 form (Declaration of Interest) must be completed and submitted with the
quotation. If the MBD 4 is incomplete or not attached the quotation will be disqualified.

6. Both the MBD 4 & 9 forms must be original for each quotation. No copies will be accepted.
Both the MBD 4 & 9 forms must be dated within the quotation period.

7. A certified copy of the B-BBEE Status Level Verification Certificate must be attached. If not
attached no points for B-BBEE will be awarded.

8. All price alterations must be signed for by the Bidder confirming that such changes were
made by the Bidder. PLEASE NOTE THAT PRICE CHANGES WITHOUT A SIGNATURE WILL
LEAD TO THE DISQUALIFICATION OF THE QUOTATION SUBMITTED.

I HEREWITH CONFIRM THAT HAVE READ AND UNDERSTOOD THE ABOVEMENTIONED
REQUIREMENTS
SIGNATURE__________________________________ NAME________________________________________
City of Johannesburg

CONDITIONS

All goods or services purchased will be subject to CoJ SCM Policy and Procedures. A copy of said conditions is available from the SCMU office. All purchases will be made through an official order form. Therefore no goods must be delivered or services rendered before an official order has been forwarded to and accepted by the successful bidder. To participate in the City’s Quotation process for the procurement of goods and/or services, vendors are advised to get accredited and registered on the City’s Supplier Database. Supplier registration forms are available from the Supply Chain Management Unit. The City is dealing only with the registered and accredited suppliers on its Database. All prices quoted must be exclusive of Value Added Tax (VAT). Suppliers who are not registered for VAT will be treated as Non VAT Vendors. Prices quoted must include delivery charges and goods must be delivered to the address indicated on the quotation page. All prices submitted must be firm. "Firm" prices are deemed to be fixed prices, which are only subject to the following statutory changes, namely VAT and any levy related to customs and excise. Quantities are given in good faith and without commitment to the City of Johannesburg. The City reserves the right to increase or reduce the quantity to be in line with the set threshold for quotations prescribed in the SCM Policy. 8.
THE CITY OF JOHANNESBURG DOES NOT TAKE RESPONSABILITY FOR ANY
QUOTATIONS DEPOSITED IN THE WRONG BOX.

I HEREWITH CONFIRM THAT HAVE READ AND UNDERSTOOD THE ABOVEMENTIONED
REQUIREMENTS
SIGNATURE__________________________________ NAME________________________________________
City of Johannesburg
ADDITIONAL REQUIREMENTS
DECLARATION

I certify that the information supplied is correct and I have read and understood the COJ General Conditions and Policies and Procedures and accept same I further certify that all the required information has been furnished and the relevant forms completed and are herewith submitted as part of the quotation.
SIGNATURE: __________________________________________
NAME: _______________________________________________
CAPACITY: ___________________________________________
DATE: ______________________
City of Johannesburg

SUPPLY CHAIN MANAGEMENT UNIT
P.O. BOX 7776
JOHANNESBURG
2000
VAT. NO: 4760117194
REQUEST FOR QUOTATION
RFQ NUMBER
R0040/13
04 September 2013
CONTACT PERSON
Vusi Mabena
Your Vendor Number With Us:
011 407-7575

Submission Deadline:
Submission Time:

VALIDITY OF RFQ: 30 DAYS

OFFICE USE ONLY:
PRICE/S TO BE VAT EXCLUSIVE
Please submit all Quotations to the fax number stated above
RFQ’S above R30 000-00 to a maximum of R200 000will be evaluated on the basis of the 80:20 point
system as stipulated in the Preferential Procurement Policy Framework Act (Act number 5 of 2000).
Points will be allocated as follows:
Points for price:
Points for B-BBEE (Max of 20):
Number of Points
B-BBEE status Level of Contributor
(80/20 system)
City of Johannesburg
REQUEST FOR QUOTATION (RFQ) NUMBER: R0040/13
Delivery Address:

Delivery
Price per Unit
Quantity
DESCRIPTION
of Measure
Required
required
(Excluding Vat)
Lead time
(Excluding Vat)
NB ANY AND ALL ALTERATIONS MUST BE SIGNED FOR BY THE BIDDER CONFIRMING THAT SUCH ALTERATION
WAS MADE BY THE BIDDER. PLEASE NOTE THAT PRICE CHANGES WITHOUT A SIGNATURE WILL BE
Grand Total
DISQUALIFIED

Conditions
All prices quoted must be exclusive of Value Added Tax (VAT). Prices quoted must include delivery charges and goods must be delivered to the address indicated. All prices submitted must be firm. "Firm" prices are deemed to be fixed prices, which are only subject to the following statutory changes, namely VAT and any levy related to customs and excise. Quantities are given in good faith and without commitment to the City of JHB. Vendors not registered for Value Added Tax with SARS will be treated as Non VAT vendors.

Source: http://jborg.ubik.net/images/stories/2013/August/rfq%20-%20r0040%20%2013%20-%20medical%20supplies.pdf