Tenderer Information Form. Tenderer's name 1. Attached are copies of original documents of!!"#$%&’()*+),-%*".*"/#$*-)0*")’12$3/&’-#)4*%25’-#()*+)%*-(#$#2#$*-)*")/((*%)/$-/4#8$**"-)647*%25’-#()*+)"’9$(#"/#$*-)*+)#:’) &’9/&)’-#$#;)-/5’4)/<*3’7)$-)/%%*"4/-%’)=$#:),>>))?@? ! ! In case of JV, letter of intent to form JV or JV agreement, in accordance with ITT 4.1!In case of state-owned enterprise or institution, in accordance with ITT 4.6, documents establishing: ! "! Legal and financial autonomy!! "! Operation under commercial law!! "! Establishing that the Tenderer is not under the supervision of the Procuring Entity!!"!K,6&$*)*+%.)+-4)+2.9%,’‘%-’2,%&+64%.-T+%+&’/-+2(+F2%.*+2(+8’.)6-2./T+%,*+-4)+3)+,)(’6’%&+2 Date: ITT No. and title: 11.! FORM ▇▇▇ -1.2 Tenderer's JV Information Form ]-2+3)+6205&)-)*+(2.+)%64+0)03).+2(+7),*).).Y/++QBD JV member’s name: JV member’s country of registration: JV member’s year of constitution: JV member’s legal address in country of constitution: JV member’s authorized representative information Name: Address: Telephone/Fax numbers: E-mail address: 1. Attached are copies of original documents of ! !!"#$%&’()*+),-%*".*"/#$*-)0*")’12$3/&’-#)4*%25+’-)#%()*-(#$#2#$*-)*" /((*%$/#$*-67)/-48*")"’9$(#"/#$*-)4*%25’-#()*+)#:’) &’9/&)’-#$#;)-/5’4)/<*3’7)$-)/%%*"4/-%’)=$#:),>>)?@?@ ! !!"#$%&’#()#%#+&(,*"%’-#*’"*’./.0&’#(.#0"&*0*1*0("2#-($13’"*&#’&*%450&60"7#5’7%5#%"-#)0"%"$0%5#%1*("(382#(/’.%*0(" ,0*6#$(33’.$0%5 #5%,2#%"-#*6%*#*6’8#%.’#"(*#1"-’.#*6’#&1/’.90&0("#()#*6’#:.($1.0"7#;"*0*82#0"#%$$(.-%"$’#,0*6#!<<#=>?> !"+K,6&$*)*+%.)+-4)+2.9%,’‘%-’2,%&+64%.-T+%+&’/-+2(+F2%.*+2(+8’.)6-2./T+%,*+-4)+3+),)(’6’%&+ Date: ITT No. and title: 12.! FORM CON –2 ! /- !!!"#$%&’(%!$)#*$+&,#&-’$(+!./.!$#%!#((0&!1/$(+ 2 !3’$0’&4"!#$%&’()*&!+1*’,+(/,/+.!/$!5+(%/#$!66! 67Evaluation and Qualification Criteria, Sub-Factor 2.1. " ! @("*.%$*A&B#"(*#/’.)(.3’-#&0"$#C’(,#D%"1%.H8#"#,+.)&1+’#.&I /’$0)0’-#0"#E’$*0("#!!!2#;9%51 %"0-#("# F1%50)0$%*0("#@.0*’.0%2#.’G10.’3’"*#H>C Year ++ + Non- performed portion of contract Contract Identification Total Contract Amount (current value, currency, exchange rate and Kenya Shilling equivalent) L$AC)2E H)BE2O L$AC)E=2B>(G BAI2J)EF)A=B’)O CAo=ntract Identification: L$AI$FB=)2F(>J%)=)2F(A=EBF=2 2AG>T)E<2BAI2BAH2(=K)E2$I)2A=$&$FB=$(AOName of Procuring Entity: L$AC)E=2&G%%2 2AB>)OAddress of Procuring Entity: L$AC)E=2C=E))=XF$=H2XReason(s) for nonperformance: L$AI$FB=)2>B$A2E)BC2 AB>)X2L$AC2)E= (AQCWO Pending Litigation, in accordance with Section III, Evaluation and Qualification Criteria ! I( /’"-0"7#50*07%*0("#0"#%$$(.-%"$’#,0*6#E’$*0("#!!!2#;9%51%*0("#%"-#F1%50)0$%*0+("#)@E/%.0#**’."0)%F@)2#GE@14! H’-4$-9)&$#$9/#$*-)$-)/%%*"4/-%’)=$#:)D’%#$*-),,,7)I3/&2/#$*-)/-4)J2/&$+$%/#$*-)K"$#L’E"$/%/7#)D*"2)<F@G)/()$-4$%/#’4)<)’&*=@ Tenderer's Name: Date: JV Member's Name ITT No. and title: ! 8-,%."$ . 1’/36(- . H&"6#(.’# . 1’/36(- . I56%%-#5).J !"#(%,5(.71-#(’$’5,(’"# . 2"(,4.!"#(%,5(.H&"6#( . I56%%-#5)JK.L-#),.:<’44’#.0 9M6’;,4-#( .I-C5<,#0- . %,(-J. + + + + Contract Identification: Name of Procuring Entity: Address of Procuring Entity: Matter in dispute: Party who initiated the dispute: Status of dispute: fffffff ffff 2 + + ++ + ++ + Contract Identification: Name of Procuring Entity: Address of Procuring Entity: Matter in dispute: Party who initiated the dispute: Status of dispute: ++ + H&"6#(.’# . !"#(%,5(.71-#(’$’5,(’"# . 2"(,4.!"#(%,5(.H&"6#( . ! ! ! ! 1’/36(- . ! ! 1’/36(- . ! ! ! ! ! I56%%-#5).J ! ! I56%%-#5)JK.L-#),.:<’44’#.0 9M6’;,4-#(.I-C5<,#0- . %,(-J. Litigation History in accordance with Section III, Evaluation and Qualification Criteria ! No Litigation History in accordance with Section III, Evaluation and Qualification Criteria, ! Sub-Factor 2.4. ! ! ! ! ! ! ! ! ! ! ! ! Litigation History in accordance with Section III, Evaluation and Qualification Criteria, Sub- Factor 2.4 as indicated below. Year of Outcome as Contract Identification Total Contract Amount award + + percentage of + (currency), Kenya L$AC)2E L$AC)2E= Contract Identification: [indicate L$AC)E=2B>(G2A=O
Appears in 1 contract
Sources: Framework Agreement
Tenderer Information Form. Date: ITT No. and title: In case of Joint Venture (JV), name of each member: Tenderer's nameactual or intended country of registration:[indicate country of Constitution] Tenderer's actual or intended year of incorporation: ▇▇▇▇▇▇▇▇'s legal address [in country of registration]: Tenderer's authorized representative information Name: Address: Telephone/Fax numbers: E-mail address:
1. Attached are copies of original documents of!!"#$%&’()*+),-%*".*"/#$*-)0*")’12$3/&’-#)4*%25’-#()*+)%*-(#$#2#$*-)*")/((*%)/$-/4#8$**"-)647*%25’-#()*+)"’9$(#"/#$*-)*+)#:’) &’9/&)’-#$#;)-/5’4)/<*3’7)$-)/%%*"4/-%’)=$#:),>>))?@? ! ! In case of JV, letter of intent to form JV or JV agreement, in accordance with ITT 4.1!In case of state-owned enterprise or institution, in accordance with ITT 4.6, documents establishing: ! "! • Legal and financial autonomy!! "! autonomy • Operation under commercial law!! "! law • Establishing that the Tenderer is not under the supervision of the Procuring Entity!!"!K,6&$*)*+%.)+-4)+2.9%,’‘%-’2,%&+64%.-T+%+&’/-+2(+F2%.*+2(+8’.)6-2./T+%,*+-4)+3)+,)(’6’%&+2 Date: ITT NoEntity2. Included are the organizational chart, a list of Board of Directors, and title: 11the beneficial ownership.! FORM ▇▇▇ -1.2 Tenderer's JV Information Form ]-2+3)+6205&)-)*+(2.+)%64+0)03).+2(+7),*).).Y/++QBD JV member’s name: JV member’s country of registration: JV member’s year of constitution: JV member’s legal address in country of constitution: JV member’s authorized representative information Name: Address: Telephone/Fax numbers: E-mail address: 1. Attached are copies of original documents of ! !!"#$%&’()*+),-%*".*"/#$*-)0*")’12$3/&’-#)4*%25+’-)#%()*-(#$#2#$*-)*" /((*%$/#$*-67)/-48*")"’9$(#"/#$*-)4*%25’-#()*+)#:’) &’9/&)’-#$#;)-/5’4)/<*3’7)$-)/%%*"4/-%’)=$#:),>>)?@?@ ! !!"#$%&’#()#%#+&(,*"%’-#*’"*’./.0&’#(.#0"&*0*1*0("2#-($13’"*&#’&*%450&60"7#5’7%5#%"-#)0"%"$0%5#%1*("(382#(/’.%*0(" ,0*6#$(33’.$0%5 #5%,2#%"-#*6%*#*6’8#%.’#"(*#1"-’.#*6’#&1/’.90&0("#()#*6’#:.($1.0"7#;"*0*82#0"#%$$(.-%"$’#,0*6#!<<#=>?> !"+K,6&$*)*+%.)+-4)+2.9%,’‘%-’2,%&+64%.-T+%+&’/-+2(+F2%.*+2(+8’.)6-2./T+%,*+-4)+3+),)(’6’%&+ Date: ITT No. and title: 12.! FORM CON –2 ! /- !!!"#$%&’(%!$)#*$+&,#&-’$(+!./.!$#%!#((0&!1/$(+ 2 !3’$0’&4"!#$%&’()*&!+1*’,+(/,/+.!/$!5+(%/#$!66! 67Evaluation and Qualification Criteria, Sub-Factor 2.1. " ! @("*.%$*A&B#"(*#/’.)(.3’-#&0"$#C’(,#D%"1%.H8#"#,+.)&1+’#.&I /’$0)0’-#0"#E’$*0("#!!!2#;9%51 %"0-#("# F1%50)0$%*0("#@.0*’.0%2#.’G10.’3’"*#H>C Year ++ + Non- performed portion of contract Contract Identification Total Contract Amount (current value, currency, exchange rate and Kenya Shilling equivalent) L$AC)2E H)BE2O L$AC)E=2B>(G BAI2J)EF)A=B’)O CAo=ntract Identification: L$AI$FB=)2F(>J%)=)2F(A=EBF=2 2AG>T)E<2BAI2BAH2(=K)E2$I)2A=$&$FB=$(AOName of Procuring Entity: L$AC)E=2&G%%2 2AB>)OAddress of Procuring Entity: L$AC)E=2C=E))=XF$=H2XReason(s) for nonperformance: L$AI$FB=)2>B$A2E)BC2 AB>)X2L$AC2)E= (AQCWO Pending Litigation, in accordance with Section III, Evaluation and Qualification Criteria ! I( /’"-0"7#50*07%*0("#0"#%$$(.-%"$’#,0*6#E’$*0("#!!!2#;9%51%*0("#%"-#F1%50)0$%*0+("#)@E/%.0#**’."0)%F@)2#GE@14! H’-4$-9)&$#$9/#$*-)$-)/%%*"4/-%’)=$#:)D’%#$*-),,,7)I3/&2/#$*-)/-4)J2/&$+$%/#$*-)K"$#L’E"$/%/7#)D*"2)<F@G)/()$-4$%/#’4)<)’&*=@ Tenderer's Name: Date: JV Member's Name ITT No. and title: ! 8-,%."$ . 1’/36(- . H&"6#(.’# . 1’/36(- . I56%%-#5).J !"#(%,5(.71-#(’$’5,(’"# . 2"(,4.!"#(%,5(.H&"6#( . I56%%-#5)JK.L-#),.:<’44’#.0 9M6’;,4-#( .I-C5<,#0- . %,(-J. + + + + Contract Identification: Name of Procuring Entity: Address of Procuring Entity: Matter in dispute: Party who initiated the dispute: Status of dispute: fffffff ffff 2 + + ++ + ++ + Contract Identification: Name of Procuring Entity: Address of Procuring Entity: Matter in dispute: Party who initiated the dispute: Status of dispute: ++ + H&"6#(.’# . !"#(%,5(.71-#(’$’5,(’"# . 2"(,4.!"#(%,5(.H&"6#( . ! ! ! ! 1’/36(- . ! ! 1’/36(- . ! ! ! ! ! I56%%-#5).J ! ! I56%%-#5)JK.L-#),.:<’44’#.0 9M6’;,4-#(.I-C5<,#0- . %,(-J. Litigation History in accordance with Section III, Evaluation and Qualification Criteria ! No Litigation History in accordance with Section III, Evaluation and Qualification Criteria, ! Sub-Factor 2.4. ! ! ! ! ! ! ! ! ! ! ! ! Litigation History in accordance with Section III, Evaluation and Qualification Criteria, Sub- Factor 2.4 as indicated below. Year of Outcome as Contract Identification Total Contract Amount award + + percentage of + (currency), Kenya L$AC)2E L$AC)2E= Contract Identification: [indicate L$AC)E=2B>(G2A=O
Appears in 1 contract
Sources: Framework Agreement