ANNUAL PROCUREMENT RETURN TEMPLATE 2018

1.    DETAILS OF PROCURING ENTITY

Procuring Entity Name Address

Accounting Officer Station Direct Line & Mobile Ph:

Date of Reporting (DD/ MM/ YY) Period Reported (DD/ MM/ YY)

Annual Procurement Budget Actual Annual Procurement

(USD) (USD)

PE Procurement Category (select appropriate)

Ministry

Ministry Department.

Commission

Hospitals

Colleges & Universities.

Parastatals

Regulatory Body

Joint Ventures

Special Purpose Vehicles (SPV)

Urban Councils

Local Boards

Town Councils

Rural District Council

2.    DETAILS OF PROCUREMENT MANAGEMENT UNIT

Registration with PRAZ

PMU Registrations
PMU Registrations

YES NO

PMU Personnel Full names Direct Ph

Head of PMU

Procurement Officers

3.    NUMBER & VALUE OF TENDERS AWARDED IN 2018 BY MONTH AND BY TYPE OF PROCUREMENT

Month
Total Number of Procurements Total Amount (USD)
2018

January

February

March

April

May

June

July

August

September

October

November

December

Total

Supplier
Category
Name Industry

2
Goods
etc.

Total

Works
 2
Works
etc.

Total

2
Consultancy Services
etc.

Total

2
Non-Consultancy Services
etc.

Total

TOTAL
Note: Use the correct & full suppliers’/contractors’ names as indicated on the contract and invoices. Where the suppliers use more than one

Project & Contract title Project Description. Contract Value (USD)

Project & Contract title Project Description. Contract Value (USD)

7.  DECLARATIONS
ACCOUNTING OFFICER

Name

Employed by

do hereby declare that the information provided to PRAZ above is true and an accurate record maintained at

I further declare that all cases that are not covered and reported in the checklist are to be considered as 'regular', for which I take the full re

HEAD OF PROCUREMENT MANAGEMENT UNIT

I

Name

Employed by

do hereby declare that the information provided to PRAZ above is true and an accurate record maintained at

I further declare that all cases that are not covered and reported in the checklist are to be considered as 'regular', for which I take the full re
  Website address

Email address

Budget vs Actual Variance (USD)

TICK

Class
Date of Registration
 Date of Registration

A B

Mobile Ph Email Address Procurement Qualifications & Experience

BY TYPE OF PROCUREMENT

Goods(USD) Works(USD)

Domestic International Domestic

4.    NUMBER & VALUE OF TENDERS AWARDED IN 20

International
Nationality No. of Tenders Total Value (USD)
here the suppliers use more than one name names or a ‘T/A’, indicate all names.

Contractor Name Contractor Nationality & Address Date Contract signed

Contractor Name Contractor Nationality & Address Date Contract signed

Surname

Role/Title

d at

'regular', for which I take the full responsibility

 Surname

Role/Title

d at

'regular', for which I take the full responsibility

If Not registered, state reason for
not registering with PRAZ
 If Not registered, state reason for
not registering with PRAZ

Procurement
ations & Experience Certifications(Certification,
Institution, certification number)

Works(USD) Consultancy Services(USD)

International Domestic International

& VALUE OF TENDERS AWARDED IN 2018 BY PROCUREMENT METHOD, BY SUPPLIER AND BY INDUSTRY
Domestic Direct
No. of Tenders Total Value (USD) No. of Tenders
 Sector Project Location Expense Category

6.    NUMBER & VALUE OF CONTRACTS AWARDED BETWEE

Sector Project Location Expense Category

ID Number

e from (Date)

Signature
 ID Number

e from (Date)

Signature
 Non-Consultancy Services(USD)

Domestic International

DUSTRY
Direct RFQ
Total Value (USD) No. of Tenders Total Value (USD)
 5.    NUMBER & VALUE OF CONTRACTS AWARDED IN 2018

Procurement Method Number of Payment Certificates issued to date Payment Certificates issued to date (USD)

E OF CONTRACTS AWARDED BETWEEN 01 JANUARY 2009 & 31 DECEMBER 2017 (Include all contracts that are still running, suspen

Procurement Method Number of Payment Certificates issued to date Payment Certificates issued to date (USD)

ID Number

from (Date)

Name of PE and Location where Record is kept

Signature
ID Number

from (Date)

Name of PE and Location where Record is kept

Signature
 Total ((USD))
No. of Tenders Total Value (USD)
2018

Monthly Project Progress reports submitted

Payments made to date (USD) Project competition status
(Yes /NO)

tracts that are still running, suspended or pending, giving reasons)

Monthly Project Progress reports submitted

Payments made to date (USD) Project competition status
(Yes /NO)

Employee Number

Stationed at

PE and Location where Record is kept

Date
 Employee Number

Stationed at

PE and Location where Record is kept

Date
Contract Performance reports on file at PE
date site availed to contractor Date Contract started
(Yes /NO)

Contract Performance reports on file at PE

date site availed to contractor Date Contract started
(Yes /NO)
Expected Completion Date Date Contract Completed Date Contract Canceled (If applicable)

Expected Completion Date Date Contract Completed Date Contract Canceled (If applicable)
PE remarks on project
progression status and contactor
performance

PE remarks on project
progression status and contactor
performance