LAKE VICTORIA SOUTH WATER SERVICES

BOARD
(LVSWSB)
P.O.BOX 3325-40100
KISUMU KENYA
Tel: +254 57 2025128
Fax: +254 57 2025127
E-mail: info@lvswaterboard.go.ke
Website: www.lvswaterboard.go.ke
Category Number:
Category Name:
DOCUMENT FOR THE PREQUALIFICATION &
REGISTRATION OF SUPPLIERS FOR
2014-2015/2015-16 FISCAL YEAR
(YOUTH, WOMEN & PERSONS WITH
DISABILITIES)
FIRMS NAME.........................................
POSTAL ADDRESS........................................
TEL. NO(s)....................................
Email address...................................................................
.................
CLOSING DATE: 20th May, 2014 at
TIME: 12.00 Noon.
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Pre-qualification of suppliers
Lake Victoria South Water Services Board (LVSWSB) is one of the Eight
Water Services Boards (WSBs) in the Country, created under the Water Act,
2002 and operates under the Ministry of Water, Environment and Natural
Resources. It is responsible for the efficient and economical provision of
water and sanitation services in ten Counties: Bomet, Homabay, Kericho,
Kisumu, Migori, Kisii, Nyamira, Siaya and parts of Nandi and Narok.
A complete set of tender/ prequalification documents may be obtained by
interested firms upon payment of a non-refundable fee of Ksh. 1,000 per
CD in bankers cheque payable to Lake Victoria South Water Services
Board. Interested suppliers and service providers may also download the
prequalification documents from
LVSWSBwebsite (www.lvswaterboard.go.ke) free of charge. Upon
downloading, bidders MUST immediately send/email their names and
contact details (including physical addresses) to the following email
addresses for records and communication of any further tender clarifications
or addenda;
1. procurement@lvswaterboard.go.ke
2. procurement2@lvswaterboard.go.ke
Lake Victoria South Water Services Board.
Lavictors House, Off-Ring road, Milimani
P.O.Box 3325, Kisumu Kenya.
Tel: +254-57-2025128, Fax: +254-57-2025127
Email: info@ lvswaterboard.go.ke
: procurement@lvswaterboard.go.ke
The application should clearly show the reference Category No. and
Category Name that the applicant wishes to be pre-qualified and should be
addressed and delivered to:
CHIEF EXECUTIVE OFFICER
LAKE VICTORIA SOUTH WATER SERVICES BOARD (LVSWSB)
P.O.BOX 3325-40100
KISUMU, Kenya
Or be deposited in the Tender Box situated at the 1st floor of Lavictors
House so as to be received on or before 20th May, 2014 at 12.00 Noon.
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Pre-qualification documents will be opened immediately thereafter in the
Boardroom B located on 1st floor of Lavitors House indicated above.
Tenderers or their Representatives are free to attend the opening session.
Section B: Introduction
1.
Lake Victoria south water services board (LVSWSB) will pre-qualify
prospective candidates for the supply of goods, works and services from
among those who will have submitted their pre-qualification documents
in accordance with the requirements to undertake the assignment as
described herein.
2.
Eligible candidates are invited to submit a pre-qualification document for
the supply of goods, works and services. The pre-qualification documents
will be the basis for the pre-qualification and eventual invitation to bid
for the supply of goods, works and services.
3.
Eligible candidates may apply for one or more categories of items but
must purchase/download a separate set of pre-qualification
documents for each category.
4.
The candidates must familiarise themselves with the requirements of the
pre-qualification documents including all attachments.
5.
Lake Victoria South Water Services Board (LVSWSB) will not be
responsible for any costs or expenses incurred by candidates in
connection with the preparation or delivery of these prequalification
documents including costs associated with the preparation of the
documents and attachments.
6. LVSWSB policy requires that candidates observe the highest standard of
ethics during the prequalification process. In pursuance to this policy,
LVSWSB:
.
Defines for the purpose of this provision, the terms set forth below
as follows:
1) Corrupt practice. means offering, giving, receiving or
soliciting anything of value to influence the action of an
officer in the prequalification process.
2) Fraudulent practice. means a misrepresentation of facts in
order to influence the pre-qualification process to the
detriment of the public procurement entity.
.
Will reject an application if it determines that a candidate has
engaged in corrupt or fraudulent activities in the prequalification
process.
.
Will declare a candidate ineligible for pre-qualification if at any
time it determines that the candidate has engaged in corrupt or
fraudulent practices in competing for or in executing a similar
contract.
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.
Will have the right to inspect the business premises of the
candidate.
7. Candidates shall furnish information as described in the pre-qualification
document
8. The prequalification documents should be prepared and submitted in a
plain sealed envelope marked:
Category Number:
Category Name:
Chief Executive Officer
Lake Victoria South Water Services Board
(LVSWSB)
P.O.BOX 3325-00200
KISUMU, Kenya
Or be deposited in the tender box situated at the 1st floor of Lavictors House
marked so as to be received on or before 20th May, 2014 at 12.00 Noon.
Opening will be carried out immediately thereafter in the boardroom B in
Lavictors House. Candidates or their representatives are invited to witness
the opening.
9. This is a registration of suppliers exercise and not a tender for supply/
provision of goods, works and services.
10. Both successful and unsuccessful candidates will be notified in writing.
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Section C: Mandatory requirements
Candidates:
1.
Must be registered or be incorporated in Kenya. (Certificate of
registration/incorporation must be attached).
2.
Must be tax compliant with the Kenya Revenue Authority (Current tax
compliance certificate to be attached).This will be verified online through
KRA TCC checker.
3.
Copies of PIN and VAT certificate must be attached.
4.
YAGPO certificate for persons between 18-35 years (Attach copy of
registration certificate from Treasury) OR
5.
Registration certificate for Micro and Small Enterprise owned by women
and persons with disabilities (Attach proof)
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Section D: Application Form
REGISTRATION OF SUPPLIERS APPLICATION FORM
I/We (Firm name) --------------------------------------------------------hereby
apply for registration as
supplier/(s) of ---------------------------------------------------------(Catego
ry
No.) ---------------------------------------------------------------------------
----Postal
Address-------------------------------------------------------------------------
Telephone
Number (fixed line) ----------------------Mobile ---------------------E-
mail address-------------------------------------------Fax No-------------------
--Town---------------------------------
Street-------------------------------------------Building-----------------------
-------
Floor---------------------Room/Office-------Our
Other Branches/Locations------------------------------------------------------
Full name of the authorised signatory-------------------------------------------
-Designation
/Position-----------------------------------------------------------------
Official Rubber stamp/Seal
Signature..
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Section E: 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 ........................................
Street/Road.............................................................
Plot No....................
Postal Address ..Tel
No..
Nature of
Business.
Current Trade Licence No.Expiring date.............................
Attach copy of Registration Value Added Tax
(VAT)............
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.
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Nationality. County of
Origin..
*Citizenship
details..
Partnership
Given details of partners as follows:
Name
Nationality Citizenship Shares
1. .. .. ..
.
2.
.. .
..
3.
.. .
...
4.
.. .
..
Part 2(c) -Registered Company
Private or
public.
.
State the nominal and issued capital of the company:
Nominal KshIssued
Ksh....
Give details of all directors as follows:
Name& Nationality
Citizenship Shares
1.
..
2.
..
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3. ..
4. ..
5. ..
Date.
Signature of Tenderer.........................
If a citizen, indicate under Citizenship Details whether by Birth
Naturalization or Registration.
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Section F: Status of Compliance with Statutory
Requirements
1.
Certificate of Registration/ Incorporation-------------------(Attach copy)
2.
VAT Certificate (Attach copy)
3.
PIN Certificate (Attach copy)
4.
TAX Compliance Certificate (Attach copy)
5.
YAGPO certificate for persons between 18-35 years. (Attach copy)
OR
6.
Registration certificate for Micro and Small Enterprise owned by women
and persons with disabilities (Attach proof)
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Section G: Financial Position and Terms of Trade
Part I Assets and Liabilities
I. Total Assets in Ksh---------------------------------------------------II.
Current Assets in Ksh----------------------------------------------III.
Total Liabilities in Ksh----------------------------------------------IV.
Net worth (Total Assets-Total liabilities) in Ksh--------------V.
Working Capital (Total assets-Net worth) in Ksh--------------Part
II Terms of Trade (Payment Terms)
LVSWSB will make payment after successful delivery of goods, works and
services upon issuance of a local purchase /service order/contract and upon
inspection and acceptance of goods/service/ works.
Payment will be made within 30 days upon receipt of invoice and delivery
note.
N/B Please indicate your payment terms and credit period allowed.
Please comment on the client.s
terms if not favourable to your organization
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Section H: Declaration
I/We have completed these forms accurately at the time of application and it
is agreed that all responses can be substantiated if requested to do so. Any
inaccuracy in the information filled herein may be used as grounds for
disqualification from further processing.
Signed & Stamped__________________________________________
Name: ___________________________________________________
Position in the Company_____________________________________
Date: ____________________________________________________
Witnessed by: _____________________________________________
Date: ____________________________________________________
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