Common use of DECLARATION WITH REGARD TO COMPANY Clause in Contracts

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 Name of company/firm:……………………………………………………………………………. 8.2 VAT registration number:……………………………………….………………………………… 8.3 Company registration number:…………….……………………….……………………………. 8.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX] 8.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………….. 8.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] 8.7 Total number of years the company/firm has been in business:…………………………… 8.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contributor indicated in paragraphs 1.4 and 6.1 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the B-BBEE status level of contributor has been claimed or obtained on a fraudulent basis or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have – (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and (e) forward the matter for criminal prosecution. I, the undersigned, Xxxxxx declare under oath as follows:

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 9.2 VAT registration number:……………………………………….………………………………… 8.3 …… 9.3 Company registration number:…………….……………………….……………………………. 8.4 9.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX]FIRM 8.5 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… …………………………………………………………………………………………………..ACTIVITIES 8.6 9.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX]CLASSIFICATION 8.7 9.7 Total number of years the company/firm has been in business:…………………………… 8.8 …… 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE BBEE status level of contributor contribution indicated in paragraphs 1.4 and 6.1 paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the a bidder submitted false information regarding its B-BBEE status level of contributor contributor, local production and content, or any other matter required in terms of the Preferential Procurement Regulations, 2017 which will affect or has been claimed affected the evaluation of a bid, or obtained on where a fraudulent basis bidder has failed to declare any subcontracting arrangements or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –have (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) if the successful bidder subcontracted a portion of the bid to another person without disclosing it, Transnet reserves the right to penalise the bidder up to 10 percent of the value of the contract; (e) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and (ef) forward the matter for criminal prosecution. SIGNATURE(S) OF BIDDERS WITNESSES Signature 1. Witness signature Name Date 2. Witness signature Signed at NAME OF TENDERING ENTITY: 1. I/we do hereby certify that I/we acquainted myself/ourselves with all the documentation comprising this TENDER and all conditions contained therein, as laid down by Transnet SOC Ltd for the undersigned, Xxxxxx declare under oath as follows:carrying out of the proposed supply/service/works for which I/we submitted my/our Tender.

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 9.2 VAT registration number:……………………………………….………………………………… 8.3 …… 9.3 Company registration number:…………….……………………….……………………………. 8.4 9.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX] 8.5 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES …………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………….. 8.6 9.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] 8.7 9.7 Total number of years the company/firm has been in business:…………………………… 8.8 …… 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contributor contribution indicated in paragraphs 1.4 and 6.1 paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the a bidder submitted false information regarding its B-BBEE status level of contributor contributor, local production and content, or any other matter required in terms of the Preferential Procurement Regulations, 2017 which will affect or has been claimed affected the evaluation of a bid, or obtained on where a fraudulent basis bidder has failed to declare any subcontracting arrangements or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –have (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) if the successful bidder subcontracted a portion of the bid to another person without disclosing it, Transnet reserves the right to penalise the bidder up to 10 percent of the value of the contract; (e) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi audit alteram partem (hear the other side) rule has been applied; and (ef) forward the matter for criminal prosecution. I, the undersigned, Xxxxxx declare under oath as follows:WITNESSES 2. SIGNATURE(S) OF BIDDERS(S) DATE: ………………………………….. ADDRESS …………………………………..

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 9.2 VAT registration number:……………………………………….………………………………… 8.3 …… 9.3 Company registration number:…………….……………………….……………………………. 8.4 9.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX] 8.5 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………….. 8.6 9.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] 8.7 9.7 Total number of years the company/firm has been in business:…………………………… 8.8 …… 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contributor contribution indicated in paragraphs 1.4 and 6.1 paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the a bidder submitted false information regarding its B-BBEE status level of contributor contributor, local production and content, or any other matter required in terms of the Preferential Procurement Regulations, 2017 which will affect or has been claimed affected the evaluation of a bid, or obtained on where a fraudulent basis bidder has failed to declare any subcontracting arrangements or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –have (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) if the successful bidder subcontracted a portion of the bid to another person without disclosing it, Transnet reserves the right to penalise the bidder up to 10 percent of the value of the contract; (e) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi audit alteram partem (hear the other side) rule has been applied; and (ef) forward the matter for criminal prosecution. I, the undersigned, Xxxxxx declare under oath as follows:WITNESSES 2. SIGNATURE(S) OF BIDDERS(S) DATE: ………………………………….. ADDRESS …………………………………..

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 9.2 VAT registration number:……………………………………….………………………………… 8.3 9.3 Company registration number:…………….……………………….……………………………. 8.4 9.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX] 8.5 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ………………………………………………………………………………………………….. 8.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX] 8.7 9.6 Total number of years the company/firm has been in business:…………………………… 8.8 9.7 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE status level of contributor indicated in paragraphs 1.4 and 6.1 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the B-BBEE status level of contributor has been claimed or obtained on a fraudulent basis or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have – (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and (e) forward the matter for criminal prosecution. I, the undersigned, Xxxxxx declare under oath as follows:WITNESSES 2. SIGNATURE(S) OF BIDDERS(S) 1 This Standard Bidding Document must form part of all bids invited.

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 VAT registration number:……………………………………….………………………………… 8.3 Company registration number:…………….……………………….……………………………. 8.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX] 8.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ……: ………………………………………………………………………………………………… ……. 9.2 VAT registration number: ………………………………………………………………………………………………… ……………………………….……………………………………………………………………… 9.3 Company registration number: …………….……………………………………….…………………………………………………………………... 8.6 9.4 TYPE OF COMPANY/ FIRM 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES 9.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX]CLASSIFICATION 8.7 9.7 Total number of years the company/firm has been in business:: ……………………………………… 8.8 9.8 I/we, the undersigned, who is / are duly authorised to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE BBEE status level of contributor contribution indicated in paragraphs 1.4 and 6.1 paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the a bidder submitted false information regarding its B-BBEE status level of contributor contributor, local production and content, or any other matter required in terms of the Preferential Procurement Regulations, 2017 which will affect or has been claimed affected the evaluation of a bid, or obtained on where a fraudulent basis bidder has failed to declare any subcontracting arrangements or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –have (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable arrangements due to such cancellation; (d) if the successful bidder subcontracted a portion of the bid to another person without disclosing it, Transnet reserves the right to penalise the bidder up to 10 percent of the value of the contract; (e) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and (ef) forward the matter for criminal prosecution. SIGNATURE(S) OF BIDDERS WITNESSES Signature 1. Witness signature Name Date 2. Witness signature Signed at I, the undersigned, Xxxxxx Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts. 2. I am a member / director / owner of the following enterprise and am duly authorised to act on its behalf. 3. I hereby declare under oath that:  The enterprise is % black owned;  The enterprise is % black woman owned;  The enterprise is % black youth owned;  The enterprise is % black disabled owned;  Based on the management accounts and other information available for the financial year, the income did not exceed R10, 000,000.00 (ten million rand). 100% black owned Level One (135% B-BBEE procurement recognition) More than 51% black owned Level Two (125% B-BBEE procurement recognition) Less than 51% black owned Level Four (100% B-BBEE procurement recognition) 4. The entity is an empowering supplier in terms of the dti Codes of Good Practice. 5. I know and understand the contents of this affidavit and I have no objection to take the Prescribed oath and consider the oath binding on my conscience and on the owners of the Enterprise which I represent in this matter. 6. The sworn affidavit will be valid for a period of 12 months from the date signed by commissioner. I, the undersigned, Hereby declare under oath as follows: 1. The contents of this statement are to the best of my knowledge a true reflection of the facts. 2. I am a member / director / owner of the following enterprise and am duly authorised to act on its behalf. 3. I hereby declare under oath that:  The enterprise is % black owned;  The enterprise is % black woman owned;  The enterprise is % black youth owned;  The enterprise is % black disabled owned;  Based on the management accounts and other information available for the financial year, the income did not exceed R50,000,000.00 (fifty million rand);  The entity is an empowering supplier in terms of Clause 3.3 (a) or (b) or (c) or (d) or as amended 3.3 (e) of the dti Codes of Good Practice. (Tick appropriate box in table below).

DECLARATION WITH REGARD TO COMPANY. FIRM 8.1 9.1 Name of company/firm:……………………………………………………………………………. 8.2 9.2 VAT registration number:……………………………………….………………………………… 8.3 …… 9.3 Company registration number:…………….……………………….……………………………. 8.4 9.4 TYPE OF COMPANY/ FIRM  Partnership/Joint Venture / Consortium  One person business/sole propriety  Close corporation  Company  (Pty) Limited [TICK APPLICABLE BOX]FIRM 8.5 9.5 DESCRIBE PRINCIPAL BUSINESS ACTIVITIES ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… …………………………………………………………………………………………………..ACTIVITIES 8.6 9.6 COMPANY CLASSIFICATION  Manufacturer  Supplier  Professional service provider  Other service providers, e.g. transporter, etc. [TICK APPLICABLE BOX]CLASSIFICATION 8.7 9.7 Total number of years the company/firm has been in business:…………………………… 8.8 9.8 I/we, the undersigned, who is / are duly authorised authorized to do so on behalf of the company/firm, certify that the points claimed, based on the B-BBE BBEE status level of contributor contribution indicated in paragraphs 1.4 and 6.1 paragraph 7 of the foregoing certificate, qualifies the company/ firm for the preference(s) shown and I / we acknowledge that: i) The information furnished is true and correct; ii) The preference points claimed are in accordance with the General Conditions as indicated in paragraph 1 of this form; iii) In the event of a contract being awarded as a result of points claimed as shown in paragraphs 1.4 and 6.1paragraph 7, the contractor may be required to furnish documentary proof to the satisfaction of the purchaser that the claims are correct; iv) If the a bidder submitted false information regarding its B-BBEE status level of contributor contributor, local production and content, or any other matter required in terms of the Preferential Procurement Regulations, 2017 which will affect or has been claimed affected the evaluation of a bid, or obtained on where a fraudulent basis bidder has failed to declare any subcontracting arrangements or any of the conditions of contract have not been fulfilled, the purchaser may, in addition to any other remedy it may have –have (a) disqualify the person from the bidding process; (b) recover costs, losses or damages it has incurred or suffered as a result of that person’s conduct; (c) cancel the contract and claim any damages which it has suffered as a result of having to make less favourable favorable arrangements due to such cancellation; (d) if the successful bidder subcontracted a portion of the bid to another person without disclosing it, Transnet reserves the right to penalize the bidder up to 10 percent of the value of the contract; (e) recommend that the bidder or contractor, its shareholders and directors, or only the shareholders and directors who acted on a fraudulent basis, be restricted by the National Treasury from obtaining business from any organ of state for a period not exceeding 10 years, after the audi alteram partem (hear the other side) rule has been applied; and (ef) forward the matter for criminal prosecution. SIGNATURE(S) OF BIDDERS WITNESSES Signature 1. Witness signature Name Date 2. Witness signature Signed at NAME OF TENDERING ENTITY: 1. I/we do hereby certify that I/we acquainted myself/ourselves with all the documentation comprising this TENDER and all conditions contained therein, as laid down by Transnet SOC Ltd for the undersigned, Xxxxxx declare under oath as follows:carrying out of the proposed supply/service/works for which I/we submitted my/our Tender.