REQUEST FOR PROPOSAL FOR DESIGN AND DEVELOPMENT OF AN IMPLEMENTATION PLAN FOR A BANKING SECTOR CYBERSECURITY OPERATIONS CENTER (BS-SOC) AND A COMPREHENSIVE SECTORAL CYBERSECURITY FRAMEWORK FOR THE CENTRAL BANK OF KENYA

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 1. Country
Tenderer.
2. City
3. Location
4. Building
5. Floor
6. Postal Address
7. Name and email of contact person.
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
29
C2: CBK - Official
C2: CBK - Official
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: -
Nominal Kenya Shillings (Equivalent)
Issued Kenya Shillings (Equivalent)
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.
Entity) who has/have an interest or relationship in this firm?
If yes, provide details as follows.
Names of Person Designation in the Interest or Relationship with
Procuring Entity Tenderer
1
2
3
ii) Conflict of interest disclosure
Type of Conflict Disclosure If YES provide details of the
YES OR relationship with Tenderer
NO
1 Tenderer is directly or indirectly 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
30
C2: CBK - Official
C2: CBK - Official
Type of Conflict Disclosure If YES provide details of the
YES OR relationship with Tenderer
NO
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 such Contract.
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)
31
C2: CBK - Official
C2: CBK - Official
2. CERTIFICATE OF INDEPENDENT PROPOSAL DETERMINATION
I, the undersigned, in submitting the accompanying TECHNICAL PROPOSAL SUBMISSION FORM to the
[Name of Procuring Entity]
for: [Name and number of tender] in response to the request
for tenders made by: [Name of Tenderer] do hereby make the
followingstatementsthatIcertifytobetrueandcompleteineveryrespect:
I certify, on behalf of [Name of Tenderer] that:
2. I have read and I understand the contents of this Certificate;
2. I understand that the Tender will be disqualified if this Certificate is found not to be true and complete in every
respect;
3. I am the authorized representative of the Tenderer with authority to sign this Certificate, and to submit the
Tender on behalf of the Tenderer;
4. For the purposes of this Certificate and the Tender, I understand that the word “competitor” shall include any
individual or organization, other than the Tenderer, whether or not affiliated with the Tenderer, who:
• Has been requested to submit a Tender in response to this request for tenders;
• could potentially submit a tender in response to this request for tenders, based on their qualifications, abilities
or experience;
5. The Tenderer discloses that [check one of the following, as applicable]:

[]

[]