CONTINOUS REGISTRATION OF SUPPLIERS

MATHIRA WATER AND SANITATION COMPANY LIMITED REGISTRATION OF SUPPLIERS FOR GOODS, SERVICES & WORKS COMPANY NAME: CATEGORYNUMBER:. CATEGORYDESCRIPTION:. IF SPECIAL GROUP PLEASE INDICATE ( ) BELOW: WOMEN YOUTH PERSONS WITH DISABILITIES CONTINOUS REGISTRATION OF SUPPLIERS Mathira Water and Sanitation Company Registration of suppliers Page 1

Table of Contents COMPANY NAME:... 1 CATEGORYNUMBER:.... 1 CATEGORYDESCRIPTION:.... 1 SECTION I - GENERAL INTRODUCTION... 4 SECTION II - INVITATION TO REGISTER... 5 SECTION III - REGISTRATION NOTICE... 6 SECTION IV - INSTRUCTIONS TO CANDIDATES... 9 2.1 Scope of Tender... 9 2.2 Submission of Application... 9 2.3 Eligible Candidates... 9 2.4 Qualification Criteria... 9 2.5 Public Sector companies... 10 2.6. Conflict of Interest... 10 2.7 Appendix to instructions to candidates... 10 SECTION V - LETTER OF APPLICATION... 11 A) Notes on letter of application... 11 B) Letter of Application (format)... 12 SECTION VI - STANDARD FORMS... 14 Notes on completion of Standard Forms... 14 APPLICATION FORM (1)... 16 General Information... 16 APPLICATION FORM (2A)... 17 General Experience Record... 17 APPLICATION FORM (2B)... 18 Joint Venture Summary... 18 APPLICATION FORM (3)... 19 Past Experience Record... 19 Mathira Water and Sanitation Company Registration of suppliers Page 2

APPLICATION FORM (4)... 20 Contract commitments/work in progress... 20 APPLICATION FORM (5A)... 21 Personnel capabilities... 21 APPLICATION FORM (5B)... 22 Candidate summary... 22 APPLICATION FORM (6)... 23 Equipment capability... 23 APPLICATION FORM (7)... 24 Financial capability... 24 Source of funding... 25 APPLICATION FORM (8)... 26 Litigation history... 26 APPLICATION FORM (9)... 27 SECTION VII OTHER IMPORTANT PRE-REQUISITES... 29 SECTION VIII DECLARATIONS... 31 SECTION IX FORM OF TENDER... 32 SECTION X EVALUATION CRITERIA... 33 Mathira Water and Sanitation Company Registration of suppliers Page 3

SECTION I - GENERAL INTRODUCTION Mathira Water and Sanitation Company ltd (MAWASCO) is one of the Water Service Providers contracted by Tana Water Services Board. The Company is located in Karatina sub-county and serves both Mathira East and Mathira West administrative districts of Nyeri County, an area of 320km 2. MAWASCO s main goal is to provide quality water and enhanced sewerage services to all residents within the area of its operation as mandated by the water act 2002. The total area covered has an estimated population of over 159,998 people and 106,574 livestock. With a computed growth rate of 0.8% per annum, our water demand is over 17,436m 3 per day The Administrative offices are located at Ragati water offices which is about 1km from Karatina Town on your way to the District Hospital. The Company s Board of Directors (BOD) is composed of elected representatives from the community, representatives of the county government and a representative from Tana Water services Board. The Company is headed by a Managing Director with a work force of over 60 permanent members of staff and several casuals. MAWASCO s mandate is Efficient and economical provision of water and sewerage services, within Mathira east and West administrative districts and their immediate environs as per the service agreement with Tana Water Services Board as mandated by the Water act 2016. The company s vision is to be the model water and sanitation Company in Kenya and our mission is to ensure provision of quality, affordable, reliable, portable and sustainable water and sanitation services to all residents of Mathira and its environs. Mathira Water and Sanitation Company Registration of suppliers Page 4

SECTION II - INVITATION TO REGISTER 1. Mathira Water and Sanitation Company (MAWASCO) hereinafter referred to as Procuring entity invites interested eligible bidders to apply for registration of supply and delivery of various goods and services. 2. The invitation is open to eligible candidates for supply/provision of goods, services and works under the categories provided in Schedule A and in the Registration notice provided in Section III of the Registration Document. 3. Among the requirement for qualification is to have successfully carried out similar contract in the last five (5) years although a candidate who is new in the business will also be considered. 4. Applications for tender must be submitted enclosed in plain sealed envelopes marked with the tender name and category and deposited in the tender box at the Customer Care Office of Mathira Water and Sanitation Company in Ragati area of Karatina Town, or be addressed to The Managing Director, Mathira Water and Sanitation Company, P.O Box 1981-10101 Karatina. So as to be received on or before the dated indicated in the cover page. 5. All candidates whose applications will have been received before the closing date and time will be advised in due course, of the results of their applications. The Managing Director Mathira Water and Sanitation Company Mathira Water and Sanitation Company Registration of suppliers Page 5

SECTION III - REGISTRATION NOTICE Mathira Water and Sanitation Company intend to update its register of suppliers for various goods, works and services.interested eligible bidders are invited to apply for the category of goods, works or services they wish to supply. Current suppliers who wish to be retained in our database need not re-apply and submit up to date information as requested in the tender and registration documents. REGISTRATION NUMBER REGISTRATION NAME SPECIAL CONDITIONS(if applicable) MAWASCO/REG/01/18-20 Supply of fuel, oils and Lubricants Dealers with a service station within Karatina Town ELIGIBILITY Open MAWASCO/ REG /02/18-20 Supply and Delivery of Electrical fittings and Accessories Preference will be given to suppliers within Karatina/Nyeri special Groups MAWASCO/ REG /03/18-20 Supply and Delivery of motor vehicle and motorcycle spares, tyres, tubes & batteries special Groups MAWASCO/ REG /04/18-20 Repair of Motor vehicles and Motor cycles Registered garages within Karatina/Nyeri Open MAWASCO/ REG /05/18-20 Supply, delivery and maintenance of submersible and surface pumps Open MAWASCO/ REG /06/18-20 Supply and delivery of effective micro organisms Open MAWASCO/ REG /07/18-20 Building, construction and general civil works Open MAWASCO/ REG /08/18-20 Supply and Delivery of Meter Test Bench and portable meter test kit (for domestic water meters) Open MAWASCO/ REG /09/18-20 Supply and delivery of Airtime Preference will be given to suppliers within Karatina/Nyeri MAWASCO/ REG /010/18-20 Provision of General insurance services Special Groups Open MAWASCO/ REG /011/18-20 Provision of Medical insurance services Underwriters only Open Mathira Water and Sanitation Company Registration of suppliers Page 6

MAWASCO/ REG /012/18-20 Provision of company secretary services Open MAWASCO/ REG /013/18-20 Provision of legal services Open MAWASCO/ REG /014/18-20 Provision of Tax consultancy services Open MAWASCO/ REG /015/18-20 Provision of Technical Consultancy (Surveying, Designs, EIA, Hydrological Assessments, Feasibility study for civil works and other related consultancies) Open MAWASCO/ REG /016/18-20 Provision of Management consultancy services (TNA, Strategic planning, Job grading and other related consultancies) MAWASCO/ REG /017/18-20 Software Development(GIS, AutoCAD, Billing, Accounting,Human Resource Management systems and other related software) Open Open MAWASCO/ REG /018/18-20 MAWASCO/ REG /019/18-20 MAWASCO/ REG /020/18-20 MAWASCO/ REG /021/18-20 MAWASCO/ REG /022/18-20 Supply and Delivery of Electro- Mechanical Equipment (Data loggers, Pressure loggers, Pipe locators, GPS and related gadgets) Supply and Delivery of uniforms, protective clothing and sports items Supply, Installation & maintenance of CCTV and Security Alarm system Servicing and repair of computers,printers and other ICT equipment Supply, delivery and servicing of Fire Fighting Equipment Open Open Open Special groups Special groups NOTE: Special groups comprises of enterprises owned by Youth, Women and Persons with disability. They MUST be duly registered by the Directorate of Procurement at the National or County Treasury and should proof the same by attaching a valid certificate of registration in their tender/registration documents. A Special criterion will be used to evaluate categories reserved for Special groups. Special groups may choose to apply for registration in categories open to the public. However, all applications for categories open to public will be subject to the same evaluation criteria. Mathira Water and Sanitation Company Registration of suppliers Page 7

Documents may be downloaded free of charge from our website www.mawasco.co.ke Applicants who download the tender and registration documents should email their names, contact details and registration number to info@mawasco.co.ke. Those wishing to be registered in more than one category will require to download documents for each category. Completed documents are to be enclosed in plain sealed envelopes clearly marked with the category name and number as indicated above and addressed to: The Managing Director, Mathira Water and Sanitation Company Ltd, P O Box 1981 10101, KARATINA No indication of the identity of the bidder should be given on the envelopes. The list of registered suppliers will be maintained in the company database and does not constitute any contractual obligation with any party. The Company reserves the right to accept or reject any application for registration in part or in whole. Any canvassing whatsoever will render the prospective bidder ineligible for participation. MANAGING DIRECTOR Mathira Water and Sanitation Company Registration of suppliers Page 8

SECTION IV - INSTRUCTIONS TO CANDIDATES 2.1 Scope of Tender 2.1.1 It is expected that tender applications will be submitted to be received by the procuring entity not later than date and time indicated above. 2.1.2 Tender is open to eligible suppliers as indicated in appendix to instructions to candidates and on the tender notice. 2.2 Submission of Application 2.2.1 All the information requested for tender shall be provided in the English language. Where information is provided in any other language, it shall be accompanied by a translation of its pertinent parts into English language. The translation will govern and will be used for interpreting the information. 2.1.3 Failure to provide information that is essential for effective evaluation of the applicant s qualifications or to provide timely clarification or sub substantiation of the information supplied may result in the applicant s disqualification. 2.3 Eligible Candidates 2.3.1 This invitation for registration is open to all candidates who are eligible as defined in Kenya s Public Procurement Law and regulations and as indicated in the appendix to instructions to candidates. 2.3.2 The procuring entity s employees, committee members, board members and their relative (spouse and children) are not eligible to participate in the tender unless where specially allowed under section 131 of the Act. 2.3.3 All firms found capable of performing the contract satisfactorily in accordance to the set criteria shall be qualified. 2.4 Qualification Criteria 2.4.1 Registration will be based on meeting the minimum requirements to pass in the criteria set as shown below. The declaration will be either pass or fail regarding the applicant s general and particular experience, personnel and equipment capabilities and financial position as demonstrated by the applicant s response in the forms provided in Section VI and submitted with the letter of application. The procuring entity reserves the right to waive minor deviations if they do not materially affect the capability of an applicant to perform the contract. 2.4.2 When highly specialized inputs are required by the applicant from specialist sub contractors, such subcontractors and their inputs shall be described in the Standard Form 1 (General Information) 2.4.3 The audited Accounts for the last 2 years or bank statements or letter from the bank shall be submitted and must demonstrate the soundness of the applicant s financial position, showing long-term profitability. Mathira Water and Sanitation Company Registration of suppliers Page 9

2.4.5 Litigation history: the applicant should provide accurate information on any litigation or arbitration resulting from contracts completed or under its execution over the last five years. A consistent history of awards against the applicant may result in failure of the application. 2.5 Public Sector companies 2.5.1 Any public owned enterprise might be eligible to qualify if, in addition to meeting all the above requirements, it is also legally and financially autonomous, it operates under commercial law, and it is not a dependent agency of another public entity. 2.6. Conflict of Interest 2.6.1 The applicant shall not be associated, nor have been associated in the past, with the Mathira Water or any other entity that has prepared the specifications and other tender and bidding documents for the procuring entity. Any such association must be disclosed and may result in the disqualification of the applicant. 2.7 Appendix to instructions to candidates The following instructions for the tender of candidates shall supplement, complement or amend the provisions of the instructions to candidates. 2.7.1: Where there is a conflict between the provisions of the instructions to candidates and the provisions of the appendix, the provisions of the appendix herein shall prevail over those of the instructions to the candidates. 2.7.2: Bidders to attach company registration documents, Valid Tax compliance certificates, PIN certificates, VAT certificates, AGPO certificates(for special groups), Authority/License from relevant authorities to conduct the business among other important documents as instructed to the bidder. 2.7.3: The bidder should ensure that all pages and documents in their bid document are sequentially numbered and the total number of pages indicated on the cover page of the bid document Mathira Water and Sanitation Company Registration of suppliers Page 10

SECTION V - LETTER OF APPLICATION A) Notes on letter of application 1. The letter of application will be prepared by the applicant and will follow the form presented herein. 2. The letter of application will be prepared on the letterhead paper of the applicant or partner responsible for a joint venture and will include full postal address, telephone numbers, fax number and Email address. 3. The letter of application will be signed by duly authorized representatives of the applicant 4. The applicant must agree to abide by this application for the period of processing the applications and prepared and executed, this application together with written acceptance thereof shall constitute a binding agreement between us. 5. The applicant should understand ; a) That this is not a tender or quotation but an application for consideration to be registered as Mathira Water s suppliers for goods/services/works included or related to this category. b) That Mathira Water is not bound to accept this application or any that you may receive. 6. The applicant should attach to this letter, copies of original documents of: a) Registration /Incorporation Certificate b) PIN Certificate c) VAT Certificate/Vat Exemption certificate d) Valid Tax Compliance Certificate e) Audited accounts for the lasts two (2) financial years OR f) Bank statements for the last six months (for Special interest groups) g) Valid AGPO certificate relevant to the category applied for (for Special interest groups) 7. You make this application with the full understanding that; a) Bids by registered applicants will be subject to verification of all information submitted. Mathira Water and Sanitation Company Registration of suppliers Page 11

b) Mathira water reserves the right to accept or reject any application, cancel the registration process and reject all applications, before the contract has been signed. c) Request for quotations and bids will only be called from registered bidders who meet the registration of suppliers requirements set out by Mathira Water. Any clause which does not apply to the applicant in the letter of application herein shall be deleted by the applicant B) Letter of Application (format) Date To. (name and address of the procuring entity) Ladies and/or Gentlemen I. Being duly authorized to represent and act on behalf of.. (name of firm) (hereinafter referred to as the Applicant ), and having reviewed and fully understood all of the registration of suppliers information provided, the undersigned hereby apply to be registered as one of your suppliers for the following category......(registration Number and Registration name) 2. Your Agency and its authorized representatives are hereby authorized to conduct any inquiries or investigations to verify the statements, documents, and information submitted in connection with this application, and to seek clarification from our bankers and clients regarding any financial and technical aspects. This letter of Application will also serve as authorization to any individual or authorized representative of any institution referred to in the supporting information, to provide such information deemed necessary and as requested by you to verify statements and information provided in this application, such as the resources, experience, and competence of the Applicant. Mathira Water and Sanitation Company Registration of suppliers Page 12

3. Your Agency and its authorized representatives may contact the following persons for further information. General and managerial enquiries Contact 1 Telephone 1 Contact 2 Telephone 2 Personnel enquiries Contact 1 Telephone 1 Contact 2 Telephone 2 4. This application is made with the full understanding that: (a) (b) Bids by bidder s applicants will be subject to verification of all information submitted for tender at the time of bidding. Your Agency reserves the right to: amend the scope and value of any contracts bid under this project; in such event, bids will only be called from tender bidders who meet the revised requirements; and reject or accept any application, cancel the tender process, and reject all applications (c) Your Agency shall not be liable for any such actions Mathira Water and Sanitation Company Registration of suppliers Page 13

SECTION VI - STANDARD FORMS Notes on completion of Standard Forms Application Form 1 - General information Application Form 2 - General Experience Record This form is to be completed by all applicants. Where the applicant proposes to use sub-contractors the information should be supplied in this format. Where there is a joint venture, each partner shall complete the form This form is to be completed by all applicants. Separate sheets should be used for each partner of a joint venture. Applicants are not required to enclose testimonials, certificates or publicity materials with their applications. Application Form 3 - Past Experience Record This form is to be completed by all applicants meeting the requirement set out in the instructions to candidates. Application Form 4 - Contract commitments/work in progress This form is to be completed by all applicants including each member of a joint venture. It shall contain the current commitments on all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts approaching completion, but for which an unqualified, full completion certificate has yet to be issued. Application Form 5 - Personnel Capabilities This form is to be completed by all applicants. It shall include specific positions essential to contract implementation. The applicants shall provide the names of at least two candidates qualified to meet the specified requirements stated for each position. Application Form 6 - Equipment Capability This form is to be completed by all applicants. It should provide adequate information to demonstrate clearly that Mathira Water and Sanitation Company Registration of suppliers Page 14

Application Form 7 - Financial Capability Application Form 8 - Litigation History the applicant has the capability to meet the requirements for each and all items of equipment listed in the instructions to candidates. A separate form shall be prepared for each item of equipment or for alternative equipment proposed by the applicant. This form shall be completed by every applicant and each member of a joint venture. It should contain financial information to demonstrate that they meet the requirements stated in the instructions to candidates and that they are financially capable of meeting their contractual obligations.. If necessary, separate sheets should be used to provide complete banker information. A copy of the audited financial statements or current bank statements should be attached. This form is to be completed by all applicants including each member of a joint venture. It should provide information on any history of litigation or arbitration resulting from contracts executed in the last five years or currently under execution. Application Form 9 - Confidential Business Questionnaire This form is to be completed by all applicants including each member of a joint venture. It should provide confidential information as outlined in the form. The applicant is assured that the information provided in this form will not be revealed to its competitors or any unauthorized parties. Mathira Water and Sanitation Company Registration of suppliers Page 15

APPLICATION FORM (1) General Information 1. Name of firm 2. Head office address and actual physical location 3. Telephone Contact Person 4. Fax E-mail 5. Place of incorporation/registration Year of incorporation/registration Details of Directors/owners (attach copies of CR 12 form) Name Nationality Percentage of ownership 1. 2. 3. 4. 5 Mathira Water and Sanitation Company Registration of suppliers Page 16

APPLICATION FORM (2A) General Experience Record Name of Applicant Annual turnover data Year Turnover Kshs. 1. 2. 3. 4. 5. Mathira Water and Sanitation Company Registration of suppliers Page 17

APPLICATION FORM (2B) Joint Venture Summary Names of all partners of a joint venture 1. Lead partner 2. Partner 3. Partner Total value of annual turnover, in terms of work billed to clients, in Kshs. Annual turnover data (Kshs.) Partner Year 1 Year 2 Year 3 1. Lead Partner 2. Partner 3. Partner Totals Mathira Water and Sanitation Company Registration of suppliers Page 18

APPLICATION FORM (3) Past Experience Record Name of Applicant List below, your past experience that is relevant to this application for registration. You should attach contractual documents such as recent LPOs as documentary evidence. You may use additional sheets. Name of firm Name of contract Value of contract(kshs.) 1. 2. 3. 4. 5. 6. Mathira Water and Sanitation Company Registration of suppliers Page 19

APPLICATION FORM (4) Contract commitments/work in progress Name of Applicant Name of contract 1. Value of outstanding work Kshs. Estimated completion date 2. 3. 4. 5. 6. Mathira Water and Sanitation Company Registration of suppliers Page 20

APPLICATION FORM (5A) Personnel capabilities Name of Applicant 1. Title of position Name of prime candidate Name of alternate candidate 2. Title of position Name of prime candidate Name of alternate candidate 3. Title of position Name of prime candidate Name of alternate candidate 4. Title of position Name of prime candidate Name of alternate candidate Mathira Water and Sanitation Company Registration of suppliers Page 21

APPLICATION FORM (5B) Candidate summary Name of Applicant Position Candidate * Prime * Alternate Candidate information 1. Name of candidate 2. Date of birth 3. Professional qualifications Present employment 4. Name of employer 5. Address of employer Telephone Contact (manager/personnel officer) Fax E mail Job title of candidate Years with present employer Summarize professional experience over the last 5 years, in reverse chronological order. Indicate particular technical and managerial experience relevant to the tender applied for. From To Company/Project/Position/Relevant technical and management experience Mathira Water and Sanitation Company Registration of suppliers Page 22

APPLICATION FORM (6) Equipment capability Name of Applicant Item of equipment(including vehicles)[you may use additional sheets] Equipment information 1. Name of manufacturer 2. Capacity Current status 3. Current location 4. Details of current commitments.. Source 5. Indicate source of the equipment * Owned * Rented * Leased * Specially manufactured If rented or leased, provide the details below Owner 6. Name 7. Address of owner.. Telephone Fax Contact name and title Email Mathira Water and Sanitation Company Registration of suppliers Page 23

APPLICATION FORM (7) Financial capability Name of Applicant Banker Name of banker(your main banker) Address of banker Telephone Contact name and title Fax E mail Financial information in Kshs. 1. Total assets Actual : previous two years 1 2 Projected: next two years 3 4 2. Current assets 3. Total liabilities 4. Current liabilities 5.Networth(Total assets- Total Liabilities) 6.Working capital (Total assets-net worth) 7. Profits before taxes 8. Profits after taxes (Provide recent company accounts / financial statements) Mathira Water and Sanitation Company Registration of suppliers Page 24

Source of funding Source of finance Amount Kshs. 1. 2. 3. 4. 5. 6. 7. Mathira Water and Sanitation Company Registration of suppliers Page 25

Litigation history APPLICATION FORM (8) Name of Applicant or partner of a joint venture Applicants, including each of the partners of a joint venture, should provide information of any history of litigation or arbitration resulting from contracts executed in the last five years or currently under execution. A separate sheet should be used for each partner of a joint venture. Year Award FOR or AGAINST Applicant Name of client, cause of litigation, and matter in dispute Disputed amount (current value Kshs.) Applicant s NAME SIGNATURE ADDRESS WITNESS NAME.. SIGNATURE.. ADDRESS DATE DATE... TELEPHONE TELEPHONE Mathira Water and Sanitation Company Registration of suppliers Page 26

APPLICATION FORM (9) A: Confidential Business Questionnaire 1 Name of Firm: 2 Postal Address 3 Telephone Office: Mobile: Name of Contact Person: 4 E-mail: Website: 5. Exact Physical Location street, building: 6. Legal Status (partnership/sole proprietor /Ltd. Company) 7. Company Reg. Certificate No:/Registration of Business Name (Attach Copy) Year of Incorporation/Registration: 8. VAT Reg. Certificate No: (Attach Copy) PIN Certificate No: (Attach Copy) 9. Valid Tax Compliance Cert./Vat Exemption Cert. (Attach Copy) 10. Current trade license (Attach Copy) 11. Nature of business 12. Maximum Value of Business which you can handle at a time Kshs: 13. Name of your bankers and branch: 14. Your trade terms (mode or payment cash. or credit..credit period allowed... Mathira Water and Sanitation Company Registration of suppliers Page 27

B: Capability and Competence to Deliver Goods or Services 1. How many employees do you have?... How many are permanent?... How many are temporary?... 2. Which quality standards certification have you attained in the last two years? (Attach copies) 3. Are you a manufacturer/wholesaler/retailer/other? (Please specify)...... 4. What is your average response time to a request for quotation/ proposal?... 5. What is your average response to delivery of goods/services after issuance of an LPO/LSO?... 6. Have you at any one time been requested to quote for supply of goods or services and failed to return the quotation without assigning reason for your action?... 7. If you are a current or previous supplier of goods and services to Mathira Water, have you at any one time been issued with an LPO/LSO and failed to supply goods within the agreed time or supplied inferior goods not within the specifications?... Mathira Water and Sanitation Company Registration of suppliers Page 28

SECTION VII OTHER IMPORTANT PRE-REQUISITES 1. TERMS OF TRADE (i) (ii) (iii) (iv) Cash on delivery(tick as appropriate) Credit period Yes/ No. (Tick as appropriate if Yes indicate No. of days.... Upfront payment / Down payment Yes/ No. (Tick as Appropriate) if Yes state percentage... The prices quoted must remain valid for at least 90 days from date of tender opening 2. REFEREES (2) Name of Company... Address and phone number... Names of contact person... Signature and date... Company stamp... Name of Company... Address and phone number... Names of contact person... Signature and date... Company stamp... Mathira Water and Sanitation Company Registration of suppliers Page 29

3. Canvassing directly or indirectly will lead to automatic disqualification. 4. Bidders should be able to trade within the Company s trading terms of 60 days from invoice / statement date. 5. The prices quoted must be in Kenya shillings and net inclusive of taxes and other relevant costs. Mathira Water and Sanitation Company Registration of suppliers Page 30

SECTION VIII DECLARATIONS I. ANTI-CORRUPTION DECLARATION A) I/we confirm that the firm, its servants or agents have not offered and shall not offer any inducement(s) to the procuring entity in order to be prequalified or awarded the tender Authorized Signature... Name and Title of Signatory... B) I/We have completed this document accurately at the time of reply and it is agreed that all responses can be substantiated, if requested to do so. Any inaccuracy in the information filled herein will be used as grounds for removal from or termination of the qualification process. Signed and Sealed... For and on behalf of... Position in Company... Date andofficial stamp... II. DECLARATION ON CONFLICT OF INTEREST For the purpose of transparency and fair dealing, all applicants shall make full disclosure of any existing business relationship with any Mathira Water employee, Member of board of directors, or consultant Do you have a relationship with any Mathira Water employee, member of board of directors, or consultant that would cause conflict of interest?... Signed and Sealed... For and on behalf of... Position in Company... Date andofficial stamp... Mathira Water and Sanitation Company Registration of suppliers Page 31

SECTION IX FORM OF TENDER To: Date Tender No. [name and address of procuring entity] Gentlemen and/or Ladies: 1. Having examined the tender documents including Addenda (if any) the receipt of which is hereby duly acknowledged, we, the undersigned, offer to supply deliver, install or commission (Item description) in conformity with the said tender documents for the sum of (where applicable). (total tender amount in words and figures) or such other sums as may be ascertained in accordance with the Schedule of Prices attached herewith and made part of this Tender. 2. We undertake, if our Tender is accepted, to deliver install or commission the items in accordance with the delivery schedule specified in the Schedule of Requirements. 3. If our Tender is accepted, we will obtain the guarantee of a bank in a sum of equivalent to 2% percent of the Contract Price (where applicable) for the due performance of the Contract, in the form prescribed by the procuring entity. 4. We agree to a bid by this Tender for a period of...[number] days from the date fixed for tender opening of the Instructions to tenderers, and it shall remain binding upon us and may be accepted at any time before the expiration of that period. 5. This Tender, together with your written acceptance thereof and our notification of award, shall constitute a Contract, between us. (Subject to signing of the Contract by the parties). 6. We understand that you are not bound to accept the lowest or any tender you may receive. Dated this day of 20 [signature] [in the capacity of] Duly authorized to sign tender for an on behalf of Mathira Water and Sanitation Company Registration of suppliers Page 32

SECTION X EVALUATION CRITERIA Mathira water will examine the bid documents to determine completeness, general orderliness and sufficiency in responsiveness. The points given to evaluation criteria are as per the evaluation criteria matrixes below: EVALUATION CRITERIA I For Registered Special Groups (Youth, Women & PWD Only) A MANDATORY REQUIREMENTS COMPLIANCE A1 A2 A3 Valid Certificate of Incorporation/Business Registration (Attach copy) Personal Identification Number(PIN) certificate for the group/enterprise as obtained free of charge from the KRA portal (Attach copy) AGPO certificate issued by the National/County Treasury (Attach copy) (Yes/No) A4 Current/Valid Tax Compliance Certificate for the group/enterprise as obtained free of charge from the KRA portal (Attach copy) EVALUATION CRITERIA II For open Registration/Tender Categories The method of evaluation will be Merit Point System. The criteria of evaluation and the points to be awarded on each criterion will be as follows: B. MANDATORY REQUIREMENTS COMPLIANCE (YES/NO/NA) B1 Valid Certificate of Incorporation/Business Registration (Attach copy) B2 B3 B4 B5 Personal Identification Number(PIN) certificate (Attach copy) Valid Tax Compliance Certificate (Attach copy) Current Business Permit/License (Attach copy) Physical location of business premises (See business questionnaire) Fulfillment of Special condition relevant to the category applied for Mathira Water and Sanitation Company Registration of suppliers Page 33

C. GENERAL REQUIREMENTS C1. Supplier Availability: 10 - Postal Address (2) - Telephone Number (2) - Physical Address (2) - Website (2) - Email Address (2) C2. Business Ownership: 10 Company/Business Profile C3. Financial Capability: Audited Accounts for the last 3 years. OR Bank Statements for the last 6 months( for special groups) C4. Financial Stability Evidence of profit making in the attached 3 years audited accounts or 6 months profit and loss statement(special groups) C5. Experience: 20 10 20 C6 Indicate having undertaken similar assignment with at least 3 firms (Attach Proof: copies of LPOs, Letters of Award, Completion Certificates etc) Supply Capacity: Maximum Volume of Business handled in the (last two years) - 2 Million and above (8) 12-2 Million and below (4) C7. Credit Period: 12 Indicate Credit Period willing to offer - 90 Days (8) - 60 Days (4) C9 Eligibility & Disclosure of litigation history 6 TOTAL 100 NB: The pass mark for registration shall be 70% (The Technical Evaluation Team will verify the information submitted by applicants and may visit the physical premises of the applicants. This will form part of the evaluation process). Mathira Water and Sanitation Company Registration of suppliers Page 34

Declaration (By the Applicant) The applicant is expected to state categorically whether he/she will/will not accept to be evaluated using the above criteria Q. Will you accept your bid to be evaluated based on the above criteria? (Tick appropriately below) Yes No Official Stamp Sign and Date... Mathira Water and Sanitation Company Registration of suppliers Page 35

For Official Use Only The Team Leader of Evaluation Team will make comments below based on the findings about the application ---------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------- Accept the Firm Reject the Firm Sign Date Mathira Water and Sanitation Company Registration of suppliers Page 36