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REPUBLIC OF KENYA

COUNTY GOVERNMENT OF KIRINYAGA


P.O. BOX 260
KUTUS
THE STANDARD TENDER DOCUMENT
AND LIST OF REQUIREMENTS

TENDER NO. CGK/040/2014/2015-2015/2016


PRE-QUALIFICATION OF
FISH NETS, FISH PACKAGING POLYTHENES, ROLLS
AND POND LINERS.
RECEIPT NO.

CLOSING DATE & TIME: TUESDAY


24th JUNE 2014 at 12.00 NOON.

PRE-OUAL1FICATION OF POND LINERS


PRE-QUALIFICATION
1. Name of contractor..............................................................................................................

................................................................................................................................
....................................................................................................................................................
..........................................................................
Postaladdress

Physical address (Building, road/street)..


Telephone (land line or mobile No...
Name and signature of authorized person.
Name of directors/proprietors of the company and contact address.
(1)
(2) ..
(3) ............................................................................................................ ......
2. Single business permit (attach certified copy
3. Attach a copy of certificate of registration incorporation (attach certified copy)
4. VAT/PIN Registration Certificates (attach copies certificate)
5.
Copy of certified valid Tax Compliance Certificate (Attach)
6.
Particulars of similar works & magnitude done in the last five (5) years
7.
Particulars of Professional/Technical Personnel and plants and Equipment for the specified
works

8.

Particulars of financial standing and access to credit lines.

9.
10.

A properly filled Confidential Business Questionnaire and stamped


Provide 2 documents one marked original and the other copy bearing all Attachments

CONFIDENTIAL BUSINESS QUESTIONNAIRE FORM


You are requested to give the particulars indicated in Part 1 and either Part 2(a), 2(b) or 2 (c)
whichever applied to your type of business. You are advised that it is a serious offence to give
false information on this form

Part 1 General:
Business Name
Location of business premises.
Plot No Street/Road ..
Postal Address .. Tel No. . Fax . E mail .
Nature of Business ..
Registration Certificate No.
Maximum value of business which you can handle at any one time Kshs.
Name of your bankers .. Branch

Part 2 (a) Sole Proprietor


Your name in full .. Age ..
Nationality Country of origin .
Citizenship details

Part 2 (b) Partnership


Given details of partners as follows:
Name
Nationality
Citizenship Details
Shares
1.
2.
3. ..
4. ..
Part 2 (c ) Registered Company
Private or Public .
State the nominal and issued capital of companyNominal Kshs.
Issued Kshs.
Given details of all directors as follows
Name
Nationality
Citizenship Details
Shares
1
2. ..
3.
4.
5 .
Date .. Signature of Candidate ..

If a Kenya Citizen, indicate under Citizenship Details whether by Birth, Naturalization or


registration.

Previous work done:


Serial
No.

Institutions

Clients Name& Value of the Year(s)


the
Address
project (KShs.) services
were
undertaken

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

List and attach similar works (Note: 3 points will be awarded for those three works).

Signed
by
contractor

Name
of
Signatory

Date