FORM NO.
…………………
PRE-QUALIFICATION OF SUPPLIERS FOR GOODS
ANDSERVICES FOR THE YEAR 2015/2016
Manilla Farm Company wishes to invite competent and qualified firms; institutions,
groups and duly registered individuals to express i n te re st for prequalification
of supply of the following goods and services.
CATEGORY A.
MFK/PQ/A/2015/001
MFK/PQ/A/2015/002
MFK/PQ/A/2015/003
MFK/PQ/A/2015/004
MFK/PQ/A/2015/005
MFK/PQ/A/2015/006
MFK/PQ/A/2015/007
MFK/PQ/A/2015/008
MFK/PQ/A/2015/010
MFK/PQ/A/2015/011
MFK/PQ/A/2015/012
MFK/PQ/A/2015/013
MFK/PQ/A/2015/014
MFK/PQ/A/2015/015
MFK/PQ/A/2015/016
MFK/PQ/A/2015/017
MFK/PQ/A/2015/019
MFK/PQ/A/2015/020
CATEGORY B:
MFK/PQ/B/2015/001
MFK/PQ/B/2015/002
MFK/PQ/B/2015/003
MFK/PQ/B/2015/004
MFK/PQ/B/2015/005
MFK/PQ/B/2015/006
MFK/PQ/B/2015/007
MFK/PQ/B/2015/008
MFK/PQ/B/2015/009
MFK/PQ/B/2015/010
MFK/PQ/B/2015/011
MFK/PQ/B/2015/012
MFK/PQ/B/2015/013
MFK/PQ/B/2015/014
CATEGORY C:
MFK/PQ/C/2015/001
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Supply and delivery of assorted Office Stationeries and Printed Stationeries.
Supply and delivery of Computers, Printers, copier and related accessories.
Supply and delivery of Furniture, Furnishing And Fittings
Supply, delivery and servicing of Fire Fighting Equipment.
Supply, delivery and servicing of Audio Visual Equipment.
Supply and delivery of Electrical cables and allied fittings
Supply and delivery of Newspapers and Periodicals.
Supply and delivery of Carpets, Upholstery, Curtains, Blinds and related items.
Supply and delivery of Generator, Solar Panels and UPS’s
Supply of Computer Softwares, Appliances and Anti- Virus.
Supply and delivery of Water Pipes and Allied Fittings
Supply and delivery of Cleaning materials and Detergents, toiletries, etc
Supply and delivery of Cement, Nails, Chain Link, Iron- Sheets, Water Tanks
Supply and delivery of Ballast and Sand
Supply and delivery of Timber (Soft Wood Treated)
Supply and delivery of Hay/Fodder, Concentrated Dairy Feeds
Supply and delivery of Milking Accessories
Supply and delivery of Paint
Provision of Service and Repairs of office equipment (computers / printers)
Provision of Computer Networking and Maintenance
Provision of Transport Services (car hire, cabs, pick-up, Trucks and Vans)
Provision of Design, Layout Printing and Publishing Services
Provision of Advertising Services (billboards, etc)
Provision of Insurance Brokerage and Insurance Services
Provision of Maintenance Repairs and Servicing of Generators.
Provision of Legal Services
Provision of Consultancy Services (audits, trainers, etc)
Provision of Hotel and Catering Services
Provision of Security Services
Provision of Cleaning Services
Provision of Courier Services, Clearing and Forwarding
Provision of Internet Services
Building and General Contractors (Building of Cow Sheds and Office
Partitioning)
Prequalification Application Document 20015/2016
INVITATION FOR PREQUALIFICATION TO
TENDER FOR THE SUPPLY OF GOODS &
SERVICES
(One application form can only be used to apply for ONE category of goods / services)
CATEGORY NO:
_
ITEM DESCRIPTION: _
_
_
_
RECEIPT NO. (Attach receipt copy
Duly completed pre-qualification documents must be delivered in plain sealed
envelope clearly marked “Pre-qualification of Suppliers-2015/2016 and
CATEGORY NUMBER”, should be dropped at Manilla Farm office in Nairobi,
Southern House, 1st Floor, Opposite Meridian Hotel, Nginda Street, before May
30, 2015, addressed to:
THE MANAGING DIRECTOR
MANILLA FARM COMPANY
P.O. BOX 36965 – 00100
NAIROBI
The closing date for the submission of application will be 30th May 2015,
at 4.00 p.m.
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Prequalification Application Document 20015/2016
APPLICATION SUBMISSION SHEET
We, the undersigned, apply to be pre-qualified for the provision of goods and
services to Manilla Farm Company for the 2015/2016 financial years and declare
that:
a) We
have examined and have no
Document and Instructions.
reservations to the
Pre-qualification
b) We, including any subcontractors or suppliers for any part of the contract
subject to this pre- qualification process, have the technical and financial
capabilities to undertake the provision of the required goods and services.
c) We, including any subcontractors or suppliers for any part of the contract
subject to this pre- qualification do not have any conflict of interest, in
accordance with the Manilla Farm Policy for Procurement and Disposal and
the Public Procurement & Disposal Act, 2005.
d) We, including any subcontractors or suppliers for any part of the contract
subject to this pre- qualification, have not been declared ineligible to supply
goods and services under the Kenyan laws or official regulations.
e) We understand that you may cancel the prequalification process at any time
and that you are neither bound to accept any application that you may
receive nor to invite the prequalified applicants to bid for the contract subject
of this prequalification, without incurring any liability to the Applicants.
Signed
Name
In the Capacity of _
Duly authorized to sign the application for and on behalf of:
Applicant’s Legal Name (Organization)_______________________________________
Address
Date
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______________
_ Official Stamp
Prequalification Application Document 20015/2016
______________
CONFIDENTIAL BUSINESS QUESTIONNAIRE
PART A - BACKGROUND INFORMATION
1
Name of Organization
2
Address for all Correspondence
3
Principal Contact Person/s
4
Position
5
Telephone Numbers
6
Fax Numbers
7
E-mail Address
8
Physical Location of Business
Premises
Landline/s:
Mobile/s:
Town:
LR. No:
Street:
Building:
9
Nature of Organization
(Ltd, Plc, Partnership, Sole
10 Names of Proprietor/
Partners/Directors
Floor:
NAME
NATIONALITY
1
2
3
4
11 Geographical Areas of
Operations
12 Business Operations
Registration No. (Attach copy of
13 relevant
Certificate)
Year established:
Duration of business operation:
14 VAT Registration No. (Attach copy)
Valid Tax Compliance
Certificate (Attach copy)
16 Current Trade License No.
15
(Attach copy)
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Prequalification Application Document 20015/2016
Brief description of goods /
17 services that you offer
Please attach copy of organizational structure and profile of key personnel
of the organization
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Prequalification Application Document 20015/2016
PART B - FINANCIAL STATUS
Name of Bank & Branch (from which
18 a financialreference may be sought)
Bank
(Indicate Bank name & Branch)
19 Bank address
20 Bank Telephone Number
21 Bank Contact Name & Position
State Annual Turnover (Attach certified
22 copies of bank statements for the past one
year)
Annual
Turn Over in KSh:
State Profit for the past 3 years
Year
Profit in KSh.
23 (Attach copies of audited accounts)
PART C – REFERENCES
24
Provide contact details for 2 referees for previous / current work that is similar or
the same to the one now applied for. (The referees may be contacted)
A
How many references are you indicating?
B
Is Manilla Farm Co. one of your references?
Yes
No
Organization:
Contact Name
Position
C
Signature of referee &
Official Stamp
Telephone No
E-mail address
Organization:
Contact Name
Position
D
Telephone No
E-mail address
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Prequalification Application Document 20015/2016
Signature of referee &
Official Stamp
Please attach copies of LPOs, award letters or any other approved document
from each of the above showing works done and their values.
PART D – PROJECT / SUPPLIES H I S T O R Y
List information on public or private major projects / supplies completed over the last
5 years and most recent / ongoing. (Attach copies of LPOs, award letters or any other
approveddocument from each of the above showing works done and their values).
Completed
(i)
Client
Project title/Supplies
Duration/Period
Value
Duration/Period
Value
Current / On-going
(ii)
Client
Project title/Supplies
(iii) Maximum value of business handled at any one time
KSh……………………………………………………………………….
NB: For those participants who fall under the margin of preference or reservations
please attach the relevant certificates as appropriate and indicate the category and
item description you are applying for.
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Prequalification Application Document 20015/2016