Prequalification of Bidders For Supply/Provision of Goods, Services and Works For 2019 Financial Year Ending December 2019
Prequalification of Bidders For Supply/Provision of Goods, Services and Works For 2019 Financial Year Ending December 2019
Prequalification of Bidders For Supply/Provision of Goods, Services and Works For 2019 Financial Year Ending December 2019
CATEGORY CHS/………………………………………..2019
DECEMBER 2018
TABLE OF CONTENTS
1.0 PREQUALIFICATION INSTRUCTIONS ............................................................................................................. 4
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3.3.3 FINANCIAL CONDITION ...................................................................................................................... 8
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SECTION 1
1.1 INTRODUCTON
The CHIEF EXECUTIVE OFFICER, CENTRE FOR HEALTH SOLUTIONS – KENYA (CHS) would like
to invite interested candidates, who must qualify by meeting the set criteria as provided by
the procuring entity, to perform the contract of supply and delivery or provision of goods
and services
1.4 EXPERIENCE
Prospective suppliers and contractors must have carried out successful supply and delivery
of similar items/services to institutions of similar size and complexity. Potential suppliers
/contractors must demonstrate the willingness and commitment to meet the tender
criteria.
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1.7 DISTRIBUTION OF PRE-QUALIFICATION DOCUMENTS
One copy of the complete pre-qualification data and other information requested should be
submitted to reach:
NAIROBI
Not later than 10:00AM (local time) on Wednesday, January 30, 2019
The category applied for should be clearly indicated on the envelope alongside with the
vendor’s company name.
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SECTION 2
2.4 PAYMENTS
All local purchase shall be on credit of a minimum of thirty (30) days or as it may be
stipulated in the contract agreement.
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SECTION 3
3.2 QUALIFICATION
3.2.1 TENDER DATA
It is understood and agreed that the tender data on prospective bidders will be used by
CENTRE FOR HEALTH SOLUTIONS – KENYA (CHS) in determining, according to its sole
judgment and discretion, the qualifications of prospective bidders to perform in respect to
the tender lots described by the client.
(b) Prospective suppliers require special experience and capability to organise supply and
deliver items or services at short notice.
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3.3.2 PERSONNEL
The names and pertinent information and the CV of the key personnel for individual or
group to execute the contract must be indicated in Form PQ3.
3.4 STATEMENT
The application must include a sworn statement (Form PQ6) by the tender applicant
ensuring the accuracy for the information given.
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4. Financial position and Bank Details PQ-4 15
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FORM PQ-1
PRE-QUALIFICATION DOCUMENTATION
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FORM PQ-2
PRE-QUALIFICATION DATA
Contractor Identification
City…………………………………………………………………………………..………………..…..
Country……………………………………………………………………………………………..……
Contact Person…………………………………………………………………….…………………
Title..……………………………….………………………………………………………………………
Management Personnel..…………………………………………………………………………
MD………………………………………………………………………..…………………………………
Director…………………………………………………………………………………………….…..…
General Manager……………………………………………………………………………………..
Treasurer…………………………………………………………………………………………………
Other……………………………………………………………………………………………………….
Name of partners.………………………………………………………………………………..…
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4 Bank reference and address..………………………………………………..…………………
6 Enclose copy of the organisation chart of the firm indicating the main fields of activities
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FORM PQ-3
SUPERVISORY PERSONNEL
Name………………………………………………………………………………………………………………….
Age…………………………………………………………………………………………………………………….…
Academic qualification………………………………………………………………………………………….
Professional qualification………………………………………..………………………………………………
a) Name of client/customer…………………………………………………………………..……………
b) Character and nature of contract……………………………………………………………………
c) Contract value…………………………………………………………………………………………..……
d) Location of contract……………………………………………………………………………..………..
e) Title and responsibility in contract………………………………………………….………………
f) Other…………………………………………………………………………………………………………..….
a) …………………………………………………………………………………………………………
b) …………………………………………………………………………………………………………
c) …………………………………………………………………………………………………………
d) …………………………………………………………………………………………………………
e) …………………………………………………………………………………………………………
f) …………………………………………………………………………………………………………
g) …………………………………………………………………………………………………………
Brief statement of supply and service delivery method the supplier plans to use to execute the
contract………………………………………………………………………………………………………….
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FORM PQ-4
4.1 Attach a copy of the firm’s two recent audited and certified financial statements giving
summary of assets and current liabilities/or any other financial support.
4.2 Provide the firm’s bank details in the CENTRE FOR HEALTH SOLUTIONS – KENYA (CHS) bank
details template attached below
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FORM PQ-5
PAST EXPERIENCE
NAMES OF APPLICANTS OTHER CLIENTS AND VALUES OF CONTRACT/ORDERS IN THE LAST TWO
YEARS
CLIENT 1
Name of 1st client (organisation)……………………………………………………………..…
Address of client (organisation)……………………………………………………………………
Name of contact person at the client (Organisation)……………………………….…..
Client Telephone Number……………………………………………………………………………
Value of contract…………………………………………………………………………………………
Duration of contract (Date)…………………………………………………………………………
CLIENT 2
Name of 2nd client (organisation)……………………………………………………………..…
Address of client (organisation)……………………………………………………………………
Name of contact person at the client (Organisation)……………………………….…..
Client Telephone Number……………………………………………………………………………
Value of contract…………………………………………………………………………………………
Duration of contract (Date)…………………………………………………………………………
CLIENT 3
Others:
……………………………………………………………………………………………………………….……………..
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FORM PQ-6
SWORN STATEMENT
Having studied the tender information for the above project we/I hereby state:
a) The information furnished in our application is accurate to the best of my/our knowledge.
b) That in case of being qualified we acknowledge that this grants me/us the right to
participate in due time in the submission of a tender or quotation on the basis of provisions
in the tender or quotation documents to follow.
c) When the call for Tenders/Quotation s is issued the legal technical or financial conditions or
the contractual capacity of the firm changes, we come ourselves to inform you and
acknowledge your right to review the tender made.
d) We enclose all the required documents and information required for the prequalification
evaluation.
Date: ……………………………………………………………………………………………..…………………..
Signature: …………………………………………………………………………………….…………………….
Designation: ………………………………………………………………………………….…………..……….
(Full name and designation of the person signing and stamp or seal.)
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FORM PQ-7
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
Maximum value of business you can handle at any one time (Kshs)……………………….
Nationality………………………………………………..Country of Origin…………………………………
Citizenship details……………………………………………………………………………………………………
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4.
5.
PART 2(C)-Registered Companies
Private or Public
Nominal Kshs………………………………………………………………….
Issue Kshs………………………………………………………………………..
If Kenyan Citizen, indicate under Citizenship Details whether by Birth, Naturalization or Registration.
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FORM PQ-8
LITIGATION HISTORY
Provide any litigation or arbitration history resulting from any contractual obligation. If none, state
so
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