SUPPLIER PREQUALIFICATION 2021



PRE-QUALIFICATION OF SUPPLIERS FOR SUPPLY OF GOODS, WORKS AND SERVICES TO THE NAIROBI HOSPITALFOR THE PERIOD OF(1st JUNE 2021 - 31st MAY 2023)CATEGORY REF NO…………………………………………………………………CATEGORY DESCRIPTION…………………………………………………….PAYMENT RECEIPT NO(attach receipt copy)PRE-QUALIFICATION APPLICATION CLOSING DATE: 31st MAY 2021Table of Contents TOC \o "1-3" \h \z \u I.PREAMBLE PAGEREF _Toc71039169 \h 2II.INSTRUCTIONS PAGEREF _Toc71039170 \h 4III.IMPORTANT NOTES TO SUPPLIERS PAGEREF _Toc71039171 \h 4IV.EVALUATION PAGEREF _Toc71039172 \h 10a)Mandatory Requirements for Evaluation PAGEREF _Toc71039173 \h 10b)Additional Requirements PAGEREF _Toc71039174 \h 11c)Points Award Summary PAGEREF _Toc71039175 \h 11V.DECLARATION PAGEREF _Toc71039176 \h 12PREAMBLEThe Nairobi Hospital invites applications for pre-qualification from eligible competent Suppliers (including the current suppliers) for the supply of goods, works and services for the Period (1st June 2021 – 31st May 2023) under the following listed categories;NB: Youth, women and persons with disability are encouraged to participateTHE NAIROBI HOSPITAL PRE-QUALIFICATION OF SUPPLIERS (FY2021-2023)The Nairobi Hospital (referred to as TNH in this full document) is pre-qualifying suppliers for provision of goods and services as listed below. We wish to invite eligible firms that would be interested to be our partners in offering their products or Services to us under the categories listed below to apply for pre-qualification for the period FY2021 - FY2023. All existing Suppliers MUST also apply for consideration.MAIN CATEGORY (PRODUCT / SERVICE)CATEGORY REF NO.Sub- Categories1. GENERAL SERVICESTNH/PQ/1/2021/23Provision of Outsourced Cleaning & Pottering ServicesTNH/PQ/2/2021/23Provision of Clearing & Forwarding ServicesTNH/PQ/3/2021/23Provision of Courier& Moving Services (Upcountry and International)TNH/PQ/4/2021/23Provision of Fumigation, Pest Control & Sanitary ServicesTNH/PQ/5/2021/23Provision of Garbage Collection & Incineration ServicesTNH/PQ/6/2021/23Provision of Insurance Brokerage ServicesTNH/PQ/7/2021/23Provision of Landscaping, Gardening and General ServicesTNH/PQ/8/2021/23Provision of Medical Waste Collection & Incineration ServicesTNH/PQ/9/2021/23Provision of Photography & Video graphic ServicesTNH/PQ/10/2021/23Provision of Property Valuation, Estate Agents and medical equipment valuation.TNH/PQ/11/2021/23Provision of Staff Recruitment ServicesTNH/PQ/12/2021/23Provision of Staff Training & Development servicesTNH/PQ/13/2021/23Provision of Transport & Taxi Services (Car Hire, Buses Hire & Pick Up Hire Services) TNH/PQ/14/2021/23Provision of Car Tracking SystemsTNH/PQ/15/2021/23Provision of Auctioneer servicesTNH/PQ/16/2021/23Provision of Debt Collection servicesTNH/PQ/17/2021/23Provision of Security services and Guarding Services TNH/PQ/18/2021/23Provision of microbial and chemical tests for food productsTNH/PQ/19/2021/23Provision of vehicles/motor cycles service and repairsTNH/PQ/20/2021/23Provision of Environmental Impacts Assessments and Audits services.TNH/PQ/21/2021/23Provision of Quality Systems Audits and Certification (ISO 9001:2015, ISO 14001:2015, ISO 22000:2018 & ISO 45001:2018)TNH/PQ/22/2021/23Provision of Waste Recycling Services for plastics, cartons, papers, metal offcuts etc. TNH/PQ/23/2021/23Provision of Air Ticket & Air Travel ServicesTNH/PQ/24/2021/23Provision of Inspection Services, Products, Certification, Quality Surveillance & NEMA Certification2. GENERAL SUPPLIESTNH/PQ/25/2021/23Supply & delivery of Printed StationeryTNH/PQ/26/2021/23Supply & delivery of Library BooksTNH/PQ/27/2021/23Supply & delivery Branded StationeryTNH/PQ/28/2021/23Supply & delivery of General printing, laboratory labels and barcodesTNH/PQ/29/2021/23Supply & Delivery of General office Stationery TNH/PQ/30/2021/23Provision of lamination and book binding servicesTNH/PQ/31/2021/23Supply & delivery of Staff Uniforms TNH/PQ/30/2021/23Supply of Protective Clothing and Safety Wear3. MARKETING & CUSTOMER RELATIONS SUPPLIESTNH/PQ/29/2021/23Supply of Aluminum, Perspex & Self Illuminating Signage and other SignageTNH/PQ/30/2021/23Supply of Customized T shirts, caps, banners, plaques etc.TNH/PQ/31/2021/23Supply of newspaper and periodicals.TNH/PQ/32/2021/23Provision of Advertising & Public Relations Services (including outdoor advertising services)TNH/PQ/33/2021/23Supply of Promotional Materials, branded and decorative items, gifts and flowers.TNH/PQ/34/2021/23Hiring of tents, canopies, tables and banqueting furniture TNH/PQ/35/2021/23Provision of Event Management Services???4. HOUSEKEEPING SUPPLIESTNH/PQ/36/2021/23Supply & delivery of General Housekeeping MaterialsTNH/PQ/37/2021/23Supply & delivery of DetergentsTNH/PQ/38/2021/23Supply & delivery of Chemicals & Disinfectants5. MAINTENANCE SUPPLIESTNH/PQ/39/2021/23Supply, Installation and Repair of Plumbing & Water InfrastructureTNH/PQ/40/2021/23Supply Electrical Equipment & Electrical ConsumablesTNH/PQ/41/2021/23Provision of services for electrical works.TNH/PQ/42/2021/23Provision of Motor repairs and rewinding servicesTNH/PQ/43/2021/23Provision of roof repair servicesTNH/PQ/44/2021/23Supply & delivery of Paint & Varnishes Crown BrandTNH/PQ/45/2021/23Supply & delivery of Transport Trolleys & ComponentsTNH/PQ/46/2021/23Supply and delivery of building and construction materials e.g. Sand, ballast, hardcore, paving slabs, bricks etc.TNH/PQ/47/2021/23Provision of painting services labor.TNH/PQ/48/2021/23Supply & delivery of medical gasesTNH/PQ/49/2020/23Supply of special effects painting worksTNH/PQ/50/2021/23Supply of Interior Decorative Design services & Related Supplies TNH/PQ/51/2021/23Statutory Inspections & Certifications of pressure vessels and LiftsTNH/PQ/52/2021/23Supply & Maintenance of Fire Equipment and fire detection systemsTNH/PQ/53/2021/23Supply, Installation and Maintenance of Kitchen EquipmentTNH/PQ/54/2021/23Supply & Maintenance of Diesel GeneratorsTNH/PQ/55/2021/23Supply & delivery of Office Equipment, Furniture & Window blindsTNH/PQ/56/2021/23Provision of Repairs & Maintenance of Motor Vehicles & Motor Bikes servicesTNH/PQ/57/2021/23Supply, Installation and maintenance of Nurse/patient management call systems.TNH/PQ/58/2021/23Supply and Maintenance of Restricted Access SystemsTNH/PQ/59/2021/23Supply and delivery of Fuels - diesel, HFO, LPG gas and LubricantsTNH/PQ/60/2021/23Provision of Professional Services and Consultancy - Quantity Surveyors, Architects, Projects management, civil & structural engineering services, mechanical & Electrical Engineering servicesTNH/PQ/61/2021/23Supply, Installation and maintenance of Lift TNH/PQ/62/2021/23Supply, Installation & Maintenance of Laundry EquipmentTNH/PQ/63/2021/23Supply, Installation and Repairs of Pump & Air CompressorsTNH/PQ/64/2021/23Supply, installation and maintenance of Medical air, Oxygen & vacuum generation plantsTNH/PQ/65/2021/23Supply, installation and maintenance of Medical Gases & vacuum distributions, monitoring and controlling systems.TNH/PQ/66/2021/23Supply, Installation and Maintenance of Heating, Ventilation, Air-conditioners and Cold-roomsTNH/PQ/67/2021/23Supply and Maintenance of Steam Boilers, Steam Autoclaves, Calorifiers, steam distribution, steam monitoring and control systemsTNH/PQ/68/2021/23Supply, installation and maintenance of medical sterilizers /autoclave- moist heat, dry heat, ultrasonic disinfection (water disinfection/sterilization) and gas.TNH/PQ/69/2021/23Provision of Flat Roof Maintenance servicesTNH/PQ/70/2021/23Provision of Infrared thermography servicesTNH/PQ/71/2021/23Provision of key cutting servicesTNH/PQ/72/2021/23Supply and repair of glass productsTNH/PQ/73/2021/23Provision of energy audit servicesTNH/PQ/74/2021/23Provision of water storage tank cleaning servicesTNH/PQ/75/2021/23Provision of sewer lines and drainage unblocking services including snake camera inspectionTNH/PQ/76/2021/23Supply of protective clothingTNH/PQ/77/2021/23Supply, installation and maintenance of solar water heating solutionsTNH/PQ/78/2021/23Supply, Installation and maintenance of glass doors and windowsTNH/PQ/79/2021/23Supply, installation and maintenance of solar street lighting.TNH/PQ/80/2021/23Provision of? machining and moulding services for mechanical partsTNH/PQ/81/2021/23Supply, maintenance & calibration of weighing scalesTNH/PQ/82/2021/23Supply, maintenance and repair services for UPSTNH/PQ/83/2021/23supply, maintenance and repair services for aquariumsTNH/PQ/84/2021/23Supply and delivery of Zenith and rexine upholstery materialsTNH/PQ/85/2021/23Supply & delivery of water pumpsTNH/PQ/86/2021/23Supply, delivery and installation of x-ray bag scannersTNH/PQ/87/2021/23Provision of maintenance and repair services for automatic and revolving doorsTNH/PQ/88/2021/23Provision of building and civil works repairs and maintenance servicesTNH/PQ/89/2021/23Provision of Mechanical works repairs and maintenance servicesTNH/PQ/90/2021/23Provision of swimming pool repairs and maintenance servicesTNH/PQ/91/2021/23Provision of sun breaker glass cladding ?and parapet cleaning servicesTNH/PQ/92/2021/23Fabrication of stainless steel products and equipmentTNH/PQ/93/2021/23Provision of repairs & Maintenance of Electronic itemsTNH/PQ/94/2021/23Supply and delivery of medical gasesTNH/PQ/95/2021/23Supply and delivery of potable water in tanker trucksTNH/PQ/96/2021/23Supply & delivery of Pharmaceuticals fridges6. ICT SUPPLIES (must be approved / Licensed partners where applicable)TNH/PQ/97/2021/23Supply of Servers, Storage, Computers, Printers, Copiers, UPS and related items for IBM, NetApp, HP, Lenovo, APC and Eaton brands.TNH/PQ/98/2021/23Supply and maintenance of Label Printers (Zebra, Bixolon)TNH/PQ/99/2021/23Repairs & Maintenance for ICT infrastructure (servers, storage, computers, Printers, scanners, projectors and UPS below 1.5 KVA)TNH/PQ/100/2021/23Provision of networking services (fiber, copper and wireless) i.e. structured cabling, support and maintenance of equipment.TNH/PQ/101/2021/23Supply of network equipment (switches, routers, firewalls wireless access points) - Approved cisco product partners.TNH/PQ/102/2021/23Supply of general ICT accessories and consumables e.g. printer consumables, computer spare parts, networking accessories, iPads etc.TNH/PQ/103/2021/23Provision of electronic waste disposal servicesTNH/PQ/104/2021/23 Supply and Implementation of ICT service desk system (helpdesk)TNH/PQ/105/2021/23Supply of projectors and audio visual equipment (direct purchase and lease options)TNH/PQ/106/2021/23Provision of Broadband internet and WAN connectivity servicesTNH/PQ/107/2021/23Supply and maintenance of Data card printersTNH/PQ/108/2021/23Provision of domain hosting and mail relay gateway servicesTNH/PQ/109/2021/23 Provision of website design and maintenance servicesTNH/PQ/110/2021/23Supply and support and maintenance of various software or solutions i.e. operating system, desktop applications, virtualization, antivirus, backup & recovery etc.TNH/PQ/111/2021/23Provision of ICT security services e.g. Security assessment, managed service etc.TNH/PQ/112/2021/23Provision of data center infrastructure support and maintenance services e.g. cooling (Airedale), UPS, access control, cleaning etc.TNH/PQ/113/2021/23Supply and maintenance of surveillance solutions e.g. CCTV software, cameras etc.TNH/PQ/114/2021/23Supply, installation and support of a Queue Management System (outright purchase or lease)7. COMMUNICATIONTNH/PQ/115/2021/23Supply of office Air time (scratch cards) on monthly basisTNH/PQ/116/2021/23Supply of hybrid desk phones( Alcatel, Panasonic).TNH/PQ/117/2021/23Supply & delivery of Alcatel PABX and accessoriesTNH/PQ/118/2021/23Supply & Delivery of Motorola two way radios and accessories.TNH/PQ/119/2021/23Provision of Dstv maintenance and support services on decoders, television repair and cabling.TNH/PQ/120/2021/23Supply & delivery of general electronic equipment and appliances e.g. TVs, Radios.MAIN CATEGORY (PRODUCT / SERVICE)CATEGORY REF NO.Sub- Categories8. CATERING SUPPLIESTNH/PQ/121/2021/23Supply & delivery of Bread and CakesTNH/PQ/122/2021/23Supply & delivery of dry goods and related foodstuffTNH/PQ/123/2021/23Supply & delivery of JuicesTNH/PQ/124/2021/23Supply & delivery of Fresh Vegetables, Fruits and other food stuff (Processed)TNH/PQ/125/2021/23Supply & delivery of Fresh Vegetables, Fruits and other food stuff (non -Processed)TNH/PQ/126/2021/23Supply & delivery of milk and related dairy ProductsTNH/PQ/127/2021/23Supply & delivery of Meat, Fish, Sea Food & Chicken ProductsTNH/PQ/128/2021/23Collection of Pig Swill and Waste Cooking oilTNH/PQ/129/2021/23Supply & delivery of EggsTNH/PQ/130/2021/23Provision of Water Dispensers, Mineral water, Bottled water and Water Related ServicesTNH/PQ/131/2021/23Supply & delivery of Cutlery & Crockery9. LAUNDRY SUPPLIESTNH/PQ/132/2021/23Curtains & UpholsteryTNH/PQ/133/2021/23Linen/Laundry Trolleys TNH/PQ/134/2021/23Laundry Detergents & Stain removersTNH/PQ/135/2021/23Supply & delivery of Hospital Linen, Patient Wear 10. MEDICAL EQUIPMENTTNH/PQ/136/2021/23Supply, Installation and Maintenance of Laboratory EquipmentTNH/PQ/137/2021/23Supply, Installation and Maintenance of Radiology EquipmentTNH/PQ/138/2021/23Supply, Installation and Maintenance of Bio Medical, Surgical & Other Medical EquipmentTNH/PQ/139/2021/23Supply, installation/maintenance of physiotherapy /electrotherapy/occupational therapy equipmentTNH/PQ/140/2021/23Supply, Installation and Maintenance of Theatre EquipmentsTNH/PQ/141/2021/23Supply, Installation and Maintenance of Renal /Dialysis EquipmentsTNH/PQ/142/2021/23Supply, Installation and Maintenance of ICU Equipments???11. MEDICAL CONSUMABLESTNH/PQ/143/2021/23Theatre Implants, Screws & PlatesTNH/PQ/144/2021/23Surgical instrumentsTNH/PQ/145/2021/23Radiology suppliesTNH/PQ/146/2021/23Renal & ICU consumablesTNH/PQ/147/2021/23Nuclear Medicine ConsumablesTNH/PQ/148/2021/23Supply of Dental consumables, instruments and equipments.TNH/PQ/149/2021/25Radiotherapy accessoriesMAIN CATEGORY (PRODUCT / SERVICE)CATEGORY REF NO.Sub- Categories12. RADIOTHERAPY SUPPLIESTNH/PQ/150/2021/23Radiotherapy accessoriesTNH/PQ/151/2021/23Radiotherapy Immobilizing DevicesTNH/PQ/152/2021/23Prostrate Brachytherapy Treatment SeedsTNH/PQ/153/2021/23Radio-Iodine 131 Thyroid Treatment TNH/PQ/153/2021/23Brachytherapy Esophageal ApplicatorsTNH/PQ/154/2021/23Brachytherapy Gynecological ApplicatorsTNH/PQ/155/2021/23India Ink Tattooing InkTNH/PQ/156/2021/23Irridium 192 Brachytherapy Radio-Active SourceTNH/PQ/157/2021/23Gafchromic FilmTNH/PQ/158/2021/23Radiation Quality InspectionTNH/PQ/159/2021/23TLD Film Monthly Reading???13. SECURITY RELATEDTNH/PQ/160/2021/23Supply of Security Network Video Recorder Servers, Storage server, laptop Computers and Integration of Security SystemsTNH/PQ/161/2021/23Construction of gate one canopy and installation of guard hutTNH/PQ/162/2021/23Provision of Security Staff Training and security awareness training on counter on terrorism, active shooter, child abduction and workplace violentTNH/PQ/163/2021/23Supply of parking cones and investigation kitsTNH/PQ/164/2021/23Supply of evacuation chairsTNH/PQ/165/2021/23Installation of UVS and baggage scanners at the hospital entrances and Metal detectors and handheld explosives/narcotic scannersTNH/PQ/166/2021/23Emergency response signage’s, Fire marshals cabinets, Fire marshalls jackets, Purchase of dedicated fire engineTNH/PQ/167/2021/23Provision of security Auxiliary services (Fire Engine Response, Maintenance contract for VHF radios, maintenance of the alarm system, Maintenance contract for evacuation chairs, Service maintenance for Garret walk through and hand held detectors, Service maintenance for Security Safes and Provision of Integrated guarding Security Services)TNH/PQ/168/2021/23Expansion of VHF Radio network (Supply of VHF Radio Software & additional radios) and visitors management systemINSTRUCTIONSPrequalification documents can be downloaded from The Nairobi Hospital website A non-refundable fee of Kshs 5,000.00 per sub- category is payable via Lipa na M-PESA through Pay Bill No. 998151, Account No. Company Name at the Main Hospital ADT Cashier’s desk.The original receipt showing proof of payment should be attached to the prequalification documents at the point of submission.Full completed prequalification documents and related scanned copies marked with the Category Number Reference e.g. TNH/PQ/169/2021/23 can be sent to hospital email addresses; procurement@ on or before 31st May, 2021. SUPPLIER PREQUALIFICATION DOCUMENTTNH continuously seeks to partner with competent suppliers & service providers for supply of various goods & provision of various services.IMPORTANT NOTES TO SUPPLIERSThe purpose of this document is to assist TNH in the identification & evaluation of potential suppliers who may subsequently be invited to tender.In order to simplify this process, you need to provide certified copies of all supporting documents requested under the questionnaire, for example, audited accounts/financial statements, registration & compliance certificates, statements & policies, etc.You may also be asked to clarify your answers or provide more details. (Please answer every question. If the question does not apply to you please write N/A; if you don’t know the answer, please write N/K).Failure to complete this questionnaire &/or to provide written answers to any further questions or requests for additional information or requests for clarification will result in the supplier's elimination from further consideration with no payment refund.Please note that by responding to this questionnaire you accept that all answers provided in this questionnaire are legally binding on the supplier & should the need arise, they may be used as evidence in any court of law, which has jurisdiction. Further, TNH reserves the right without further recourse to verify at its own cost the accuracy of any answers provided herein.Where necessary & if insufficient space has been provided on the questionnaire for the answers, please provide the answers as supplements on separate sheets.Please initial & rubber stamp each page & sign the last page in the space provided.If you have any queries about this form, please contact the Manager Procurement on an email subject: Supplier Prequalification Clarification 2021 via; procurement@COMPANY INFORMATION (TOTAL 12 POINTS)Bidders willing to be considered for this requirement are expected to furnish TNH with, among others the following vital information, which will be treated in strict confidence.Full name of organization: ……………………………………….Is your organization(Please tick one)A public limited company? If yes, please attach copies of the company’s memorandum of association & articles including any change of namePublic listed company? If yes, attach copies as (i) aboveA limited company? If yes, attach copies as (i) aboveA partnership? If yes attach the Partnership deeda sole trader? If yes attach business certificateother (please specify)Date of Registration (Attach a copy of certificate of incorporation)Full physical address of principal place of business: ……………………….….Full postal address of the principal place of business: …………………………Registered address if different from the above: ………………………………...Postal Code: ………………………………....Telephone number: …………………………Fax number: …………………………………E-mail address: …………………………...…Website address (if any): ………………..….Company Tax PIN: (Kindly provide a copy of the PIN Certificate)VAT Registration number:(Kindly provide a copy of the VAT Certificate)Tax Compliance certificate (Kindly provide a current copy of Tax Compliance certificate)Compliance with statutory payments i.e. NSSF & NHIF (please attach evidence of the same)Proof of registration with the relevant government Ministry (if applicable to this Prequalification) (Attach copy of current registration certificate)Period in which you have been in business: …………………………….Names of the Shareholders, Directors & Partners (Please indicate the citizenship of the directors)Kindly provide original copy of an official search report issued by the Registrar of Companies showing the directors & shareholders of the company (CR12). The report should not be more than three months old.Associated companies (if any)Provide the name of company’s Certified Secretary/AuditorsName of (ultimate) parent/holding company (if this applies):Companies Registry number of parent/holding company (if this applies):If a consortium is expressing interest, please give the full name of the other organization (the proposed consortium partners should also complete this questionnaire in its entirety)Contact person within the organization to whom enquiries about this prequalification should be directed:NAME: ……………………….TITLE: ………………………..TEL: …………………………..FAX: ………………………….EMAIL: ……………………….FINANCIAL POSITION (TOTAL 15 POINTS)What was your turnover in the last 2 years?What maximum volume of business in (Kshs.) can your company sustain/supply per month?Has your organization met all its obligations to pay its creditors & staff during the past year? Yes / NoIf No, please give detailsHave you had any contracts terminated for poor performance in the last five years, orany contracts where damages have been claimed by the contracting authority/client?Yes / NoIf yes, please give details:If “No” please explain why not:What is the name & branch of your bankers (who could provide a reference)? Name: …………………………..………..Branch: …………………………..….……Telephone Number: …………………….Postal Address: ……………………….…Contact Person Name: ………………….Contact Position: …………………….….Contact E-mail: …………………………Provide a copy of the following:A copy of your most recent audited accounts (for the last 2 years)A statement of your liquidity, turnover, profit & loss account & cash flow for the most recent year of tradingWhat maximum payment/credit period would you be willing to give The Nairobi Hospital?BUSINESS ACTIVITIES (TOTAL 30 POINTS)What are the main business activities of your organization? (Please specify).Are you a current supplier/contractor at The Nairobi Hospital? (Please specify)How many staff does your organization have?Indicate the number under each categoryTop Management…………...Technical (Permanent………, Temporary……...…)Semiskilled (Permanent……., Temporary)Please generally describe the experience & expertise your organization possesses that will enable you to effectively & efficiently undertake the work you wish to be prequalified for as required by TNH.Attach you company organogram with emphasis on the job you are being pre-qualified for.Attach CV’s of key staffFor expatriate, provide copies of valid work permitPlease list your major equipment machinery & plants indicating ownership (whether owned or hired) & the ageing.Please list and attach (where necessary) Licenses from the relevant regulatory bodiesTRADE REFERENCES (TOTAL 15 POINTS)Please provide details of at least five (5) of your major previous customers or current works that you have undertaken over the last three (3) years that are relevant to the prequalification category you are applying. Develop as below;Customer Organization (Name)Customer contact name & phone numberContract reference & brief description:Date LPO / contract awardedDate LPO/ contract completedValue of businesses transacted:(KES/USD)Attach copies of LPO’s, Letters of award/signed contracts. Note that the referees may be contacted without further references to you.5. CERTIFICATIONS, ACCREDITATIONS & APPROVALS (TOTAL 5 POINTS)Detail any relevant certifications & accreditations by manufacturers, principals or accreditation bodies & attach copies of such certification (Where necessary and relevant).(Such certifications may be for your company or for your individual staff as relevant to the work they do. Other expected certifications may be in the areas of Quality Management Systems such as ISO, Environmental Management Processes, Security certification or GSM Association certifications).6. AGENCIES & PARTNERSHIPS ((TOTAL 2 POINTS)Detail any agencies & partnerships that you have that are relevant to the category of goods/services you are applying for.MANAGEMENT POLICIES (TOTAL 6 POINTS)Employee IntegrityHow does the firm ensure the integrity of staff? Detail any related policies.Code of Conduct/EthicsDoes your company have a code of conduct? If so, please attach a copy.Indicate if the company subscribes to a professional body with a code of conduct/pany employment policyDoes your organization have a documented employment policy?What are key highlights from this policy if in existence?What types of contracts do your employees have?Customer ServiceDoes your organization have a documented policy on Customer Service?Which position in your firm is responsible for customer service & how is this position supported by other functions?Does your firm use any performance management techniques, including customer satisfaction measurement if so, what are the key parameters?Note: TNH may require that customers for products/services provided by your firm fill out an appraisal form & rate your services for use in subsequent decisions on whether to shortlist your company.Quality AssuranceDoes your organization have a documented policy on Quality? If yes, kindly attach a copy of the same.Health & SafetyDoes your organization have a written Safety, Health &Environment policy? [No/yes] if yes please provide details. (Attach a copy of policy) 8.0 BUSINESS PROBITY & LITIGATION MANAGEMENT (TOTAL 5 POINTS)Please confirm whether any of the any of below applies to your organization:Note that failure to disclose information relevant to this section may result in your exclusion as a potential TNH supplier.Is your organization bankrupt or being wound up, having its affairs administered by the court, or have you entered into an arrangement with creditors, suspended business activities or any analogous situation arising from similar proceedings in Kenya or the country in which it is established? Please provide a statement of any material pending or threatened litigation or other legal proceedings where the claim is of a value in excess of KES 500,000/= (equivalent to USD 5,000)Has any partner, director, shareholder or employee whom you would propose to use to deliver this service been convicted of an offence concerning his professional conduct?Has any partner, director or shareholder been the subject of corruption or fraud investigations by the Police, the Ethics and Anti-Corruption Commission or similar authority in the country in which your organization is established?Has the organization not fulfilled obligations relating to the payment of any statutory deductions or contributions including income tax as required under Kenyan law or the laws of the country in which it is established?Please state if any Director, Shareholder/ Partner & / or Company Secretary of the Organization is currently employed or has been employed in the past three years by TNH.Please state if any Director / Partner & / or Company Secretary of the Organization has a close relative who is employed by TNH & who is in a position to influence the award of any supply. For purpose of pre-qualification process close relative refers to parents, siblings, spouse or children.9.0 INSURANCE (TOTAL 10 POINTS)Please provide details of your current insurance cover Value (Kshs)Employer’s Liability:Public Liability:Professional Indemnity (if applicable)W.I.B.AOther (specify)EVALUATIONMandatory Requirements for EvaluationThe following documents MUST be attached. Except where stated, all copies must be certified by your Company Secretary or an Advocate of the High Court of Kenya.For organizations not legally incorporated or registered within the Republic of Kenya, all documents must be notarized by a Notary Public.Certificate of Incorporation/Business Name Registration Certificate Valid Trading Certificate /Practicing Certificate for all professionals (where applicable)Business Permits (where applicable)Certificate from relevant regulatory authority/Body (where applicable)PIN Certificate of the Firm/Company/Individual from Kenya Revenue AuthorityVAT CertificateTax Compliance Certificate from Kenya Revenue AuthorityList of Directors, telephone no & their postal addressForm CR 12 as issued by the Registrar of Companies (certified copy of original)Audited Accounts for the last 3 yearsLatest Annual Returns & filing receiptAccounts Information/Letter of recommendation from the firm’s Banker Where mandatory for service provision, attach evidence of registration with Professional bodiesQuality assurance certificates (if any)Letters of recommendation from three (3) of your major clients.CVs of Senior StaffOrganogramProof of Payment for the Pre-qualification sub category being appliedAdditional RequirementsAttach any relevant catalogues & brochuresPoints Award Summary#REQUIREMENTSITEMPOINTS1Company Information122Financial Position153Business Activities304Trade References155Certifications &Accreditations56Agencies &Partnerships27Management Policies68Business Probity &LitigationManagement59Insurance10DECLARATION For any organization listed in section 3 (i) – (iii), this declaration must be completed & signed by 2 authorized signatories of the organization.For a partnership, the declaration must be completed & signed by at least 2 partnersFor a sole trader business, the declaration must be completed & signed by the person in whose name the business is run, & witnessed by the business' auditorFor any other organization, the declaration must be completed & signed as per such organization's mandate, a copy of which must be submitted to TNH.I/We declare that to the best of my/our knowledge the answers submitted in this Prequalification document (& any supporting documentation) are correct. I/We understand that any misrepresentation will render my/our organization ineligible to participate in TNH’s future tenders.FORM COMPLETED BY:FORM COMPLETED/WITNESSED BY:Name: ………………………………………Name: ………………………………….….Position (Job Title): ………….…………….Position (Job Title): ……………………….Date: ………………………………………..Date: ……………………………………….Telephone number: …………………….…Telephone number: ………………………Email: ……………………………………….Email: ……………………………………...Signature: ………………..…………………Signature: ………………………………….Stamp/SealStamp/Seal ................
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