Common use of FORM OF OFFER Clause in Contracts

FORM OF OFFER. OFFER T 2020/016: ALL-INCLUSIVE MAINTENANCE AGREEMENT FOR VARIOUS COLOR COPIERS / MULTIFUNCTIONAL DEVICES FOR THE PERIOD 01 JULY 2020 TO 30 JUNE 2023 For proper evaluation purposes it is essential that this specific pricing schedule be completed in full and signed. Alternative pricing schedules will not be accepted COPIER 1 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C759: SERIAL NO. A8JE021002423 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 2 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C759: SERIAL NO. A8JE21002377 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (REGISTRATION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 3 MAINTENANCE AGREEMENT: KYOCERA TASKALFA 8052ci: SERIAL NO. RFH9407671 STELLENBOSCH: DRUKKERS AVENUE (FIRE SERVICES) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 4 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e : SERIAL NO. A2X0047002276 PAARL OFFICE: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (OFFICE OF THE EXECUTIVE MAYOR) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 5 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047002332 STELLENBOSCH OFFICE: ▇/▇ ▇▇▇▇ ▇▇▇▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (DISASTER MANAGEMENT) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 6 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047002336 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (TECHNICAL SERVICES) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 7 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047001960 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (REGISTRATION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 8 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C454e: SERIAL NO. A5C▇▇▇▇▇▇▇▇▇▇ STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (▇▇▇▇▇ ▇▇▇▇▇▇▇▇) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 9 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e: SERIAL NO. A61D041002267 ▇▇▇▇▇▇▇▇▇ OFFICE: ▇▇ ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 10 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C454e : SERIAL NO. A5C▇▇▇▇▇▇▇▇▇▇ WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 11 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e: SERIAL NO. A61D041000916 CERES OFFICE: ▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 12 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e : SERIAL NO. A61D041000946 PAARL OFFICE: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 13 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047000279 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 14 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754: SERIAL NO. 41000270 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 15 MAINTENANCE AGREEMENT: MINOLTA NASHUA ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇▇▇▇▇ STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (SUPPLY CHAIN MANAGEMENT) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE:

FORM OF OFFER. OFFER T 2020/016: ALL-INCLUSIVE MAINTENANCE AGREEMENT FOR VARIOUS COLOR COPIERS / MULTIFUNCTIONAL DEVICES FOR THE PERIOD 01 JULY 2020 TO ENDING 30 JUNE 2023 For proper evaluation purposes it is essential that this specific pricing schedule be completed in full and signed. Alternative pricing schedules will not be accepted COPIER 1 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C759: SERIAL NO. A8JE021002423 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 2 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C759: SERIAL NO. A8JE21002377 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (REGISTRATION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 3 MAINTENANCE AGREEMENT: KYOCERA TASKALFA 8052ci: SERIAL NO. RFH9407671 STELLENBOSCH: DRUKKERS AVENUE (FIRE SERVICES) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 4 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e : SERIAL NO. A2X0047002276 PAARL OFFICE: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (OFFICE OF THE EXECUTIVE MAYOR) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 5 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047002332 STELLENBOSCH OFFICE: ▇/▇ ▇▇▇▇ ▇▇▇▇▇▇ & ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (DISASTER MANAGEMENT) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 6 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047002336 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (TECHNICAL SERVICES) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 7 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047001960 STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (REGISTRATION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 8 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C454e: SERIAL NO. A5C▇▇▇▇▇▇▇▇▇▇ STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (▇▇▇▇▇ ▇▇▇▇▇▇▇▇) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 9 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e: SERIAL NO. A61D041002267 ▇▇▇▇▇▇▇▇▇ OFFICE: ▇▇ ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 10 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C454e : SERIAL NO. A5C▇▇▇▇▇▇▇▇▇▇ WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 11 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e: SERIAL NO. A61D041000916 CERES OFFICE: ▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ (RECEPTION) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 12 MAINTENANCE AGREEMENT: MINOLTA BIZHUB B554e : SERIAL NO. A61D041000946 PAARL OFFICE: ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 13 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754e: SERIAL NO. A2X0047000279 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 14 MAINTENANCE AGREEMENT: MINOLTA BIZHUB C754: SERIAL NO. 41000270 WORCESTER OFFICE: ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ (COPY ROOM) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: COPIER 15 MAINTENANCE AGREEMENT: MINOLTA NASHUA ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇▇▇▇▇ STELLENBOSCH OFFICE: ▇▇ ▇▇ ▇▇▇▇ ▇▇▇▇▇▇ (SUPPLY CHAIN MANAGEMENT) ITEM AVERAGE MONTHLY USAGE YEAR 1 01/07/2020 – PERIOD ENDING 30/06/2021 YEAR 2 01/07/2021 – 30/06/2022 YEAR 3 01/07/2022 – 30/06/2023 NAME OF SERVICE PROVIDER: SIGNED ON BEHALF OF SERVICE PROVIDER: DATE: