CONSULTANCY SERVICES FOR THE DESIGN AND SUPERVISION OF THE INSTALLATION OF A FIRE DETECTION AND SUPPRESSION SYSTEM AT PODO PARK (KESRA CENTRE), WESTLANDS, NAIROBI

Instruction to Tenderer
Tender is instructed to complete the particulars required in this Form, one form for each entity if Tender is a
JV. Tenderer is further reminded that it is an offence to give false information on this Form.
a) Tenderer’s details
ITEM DESCRIPTION
1 Name of the Procuring Entity
2 Reference Number of the Tender
3 Date and Time of Tender Opening
4 Name of the Tenderer
5 Full Address and Contact Details of the Tenderer. 1. Country
2. City
3. Location
4. Building
5. Floor
6. Postal Address
7. Name of contact person
8. Telephone
9. Email
6 Current Trade License Registration Number and
Expiring date
7 Name, country and full address (postal and physical
addresses, email, and telephone number) of
Registering Body/Agency
8 Description of Nature of Business
9 Maximum value of business which the Tenderer
handles.
10 State if Tenders Company is listed in stock
exchange, give name and full address (postal and
physical addresses, email, and telephone number) of
state which stock exchange
General and Specific Details
b) Sole Proprietor, provide the following details.
Name in full Age
Nationality Country of Origin Citizenship
c) Partnership, provide the following details.
Names of Partners Nationality Citizenship % Shares owned
1
2
3
d) Registered Company, provide the following details.
(i) Private or public Company
(ii) State the nominal and issued capital of the Company
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(iii) Give details of Directors as follows.
Names of Director Nationality Citizenship % Shares owned
1
2
3
e) DISCLOSURE OF INTEREST - Interest of the Firm in the Procuring Entity.
i) are there any person/persons in…………………… (Name of Procuring Entity) who has/have an
interest or relationship in this firm? Yes/ No………………………
If yes, provide details as follows.
Names of Person Designation in the Procuring Interest or Relationship
Entity with Tenderer
1
2
3
ii) Conflict of interest disclosure
Type of Conflict Disclosure If YES provide details of
YES OR NO the relationship with
Tenderer
1 Tenderer is directly or indirectly controls, is controlled by
or is under common control with another tenderer.
2 Tenderer receives or has received any direct or indirect
subsidy from another tenderer.
3 Tenderer has the same legal representative as another
tenderer
4 Tender has a relationship with another tenderer, directly
or through common third parties, that puts it in a position
to influence the tender of another tenderer or influence
the decisions of the Procuring Entity regarding this
tendering process.
5 Any of the Tenderer’s affiliates participated as a consultant
in the preparation of the design or technical specifications
of the works that are the subject of the tender.
6 Tenderer would be providing goods, works, non-
consulting services or consulting services during
implementation of the contract specified in this Tender
Document.
7 Tenderer has a close business or family relationship with
a professional staff of the Procuring Entity who are
directly or indirectly involved in the preparation of the
Tender document or specifications of the Contract,
and/or the Tender evaluation process of such contract.
8 Tenderer has a close business or family relationship with
a professional staff of the Procuring Entity who would be
involved in the implementation or supervision of the such
Contract.
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Type of Conflict Disclosure If YES provide details of
YES OR NO the relationship with
Tenderer
9 Has the conflict stemming from such relationship stated
in item 7 and 8 above been resolved in a manner
acceptable to the Procuring Entity throughout the
tendering process and execution of the Contract.
f) Certification
On behalf of the Tenderer, I certify that the information given above is complete, current and accurate as at
the date of submission.
Full Name
Title or Designation
(Signature) (Date)
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SECTION 4. FINANCIAL PROPOSAL - STANDARD FORMS
{Notes to Consultant shown in brackets {....} provide guidance to the Consultant to prepare the Financial
Proposals; they should not appear on the Financial Proposals to be submitted.}
Financial Proposal Standard Forms shall be used for the preparation of the Financial Proposal according to the
instructions provided in Section 2.
FIN-1 Financial Proposal Submission
Form FIN-2 Summary of Costs
FIN-3 Breakdown of
Remuneration FIN-4
Reimbursable expenses
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FORM FIN-1: FINANCIAL PROPOSAL SUBMISSION FORM
Dear Sirs:
amount currency} {Insert amounts in words and figures}, including of all taxes in accordance with ITC24.2 in
and figures}.
{Please note that all amounts shall be the same as in Form FIN-2}.
Our Financial Proposal shall be valid and remain binding upon us, subject to the modifications resulting from
Contract negotiations, for the period of time specified in the ITC12.1 Datasheet.
Commissions and gratuities paid or to be paid by us to an agent or any third party relating to preparation or
submission of this Proposal and Contract execution, paid if we are awarded the Contract, are listed below:
Name and Address, Amount and Purpose of Commission of Agents, Currency or Gratuity

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