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Invitation to Tender

Tender Name: Supply and Delivery of Self-Adhesive Labels to PPECB.

Tender No.: RFP/OPS/LABELS/2018/11

Date of Issue Friday, 02 November 2018Compulsory Briefing Not applicableClosing Date Thursday, 23 November 2018 at 15h00Method of Submission Tender box, PPECB Main Reception Enquiries Procurement Unit PPECB business hours 08:15 – 16:45 E-mail: thabilel@ppecb.com Category Packaging

Contents

1 Invitation to Tender......................................................................................................................3

2 PPECB Background........................................................................................................................3

3 Timeline for the bid process.........................................................................................................4

4 Scope of Terms of Reference........................................................................................................5

5 Technical Specification..................................................................................................................7

6 Tender Information and Instructions...........................................................................................9

7 Requirements for Tender Submission........................................................................................10

8 Bid Evaluation.............................................................................................................................10

9 Special Conditions.......................................................................................................................12

10 Insurance.....................................................................................................................................12

11 Addenda......................................................................................................................................12

12 Reservations................................................................................................................................13

13 Service Provider Business Profile................................................................................................13

14 Vendor’s Financial Information..................................................................................................14

15 Customer References..................................................................................................................15

16 Form of Contract.........................................................................................................................16

17 Service Provider Terms & Conditions.........................................................................................16

18 Security of the premises.............................................................................................................16

19 Future Plans................................................................................................................................16

20 Further Information....................................................................................................................16

21 Preferential Procurement Requirement.....................................................................................17

22 Annexures to Document:............................................................................................................19

1.2.3.4.5.6.

6.1.

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6.16.26.36.46.5

1 Invitation to Tender

Bidders are invited to tender for the supply and delivery of Self-Adhesive Labels to the Perishable Products Export Control Board (PPECB).

Bidders must comply with the instructions and all other requirements of this Invitation to Tender. Non-compliance may lead to a tender not being considered by the PPECB.

2 PPECB Background

PPECB is a Schedule 3A Public Entity that is constituted and mandated in terms of the PPEC Act, No 9, of 1983 to perform cold chain services. PPECB also delivers inspection and food safety services as mandated by the Department of Agriculture, Forestry and Fisheries under the APS Act, No.119 of 1990.

PPECB’s executive Authority is the Minister of Agriculture, Forestry and Fisheries who appoints the board of directors. The board comprises of representatives from the perishable product industries.

PPECB employs more than 700 people, who deal with more than 200 products and 500 varieties. There are 50 service types, over 30 offices in 11 production regions, at more than 1,500 locations. A large percentage of staff are inspectors and therefore not office bound. In addition to these offices PPECB also has a number of sub offices that operate on a seasonal or ad-hoc basis.

PPECB, mandated by the Department of Agriculture, Forestry and Fisheries, has been delivering end-point inspection services on perishable products destined for export since 1991. Inspectors, stationed across the country; deliver inspection services on 200 product types at more than 1500 locations.

PPECB is responsible for South Africa's cold chain management and ensures that products for export are handled, stored and transported at specific temperatures and optimum conditions.

Please visit PPECB’s website on www.ppecb.com for more information on the PPECB.

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3 Timeline for the bid process

The period of validity of tender and the withdrawal of offers, after the closing date and time is 120

days. The project timeframes of this bid are set out below:

Activity Due Date

Advertisement of bid on Government e-tender portal and PPECB Website 02 November 2018

Bid closing date 23 November 2018 at 15h00pm

Notice to bidder(s) PPECB will endeavor to inform bidders of the progress until conclusion of the tender.

All dates and times in this bid are South African standard time.

Any time or date in this bid is subject to change at PPECB’s discretion. The establishment of a

time or date in this bid does not create an obligation on the part of PPECB to take any action or

create any right in any way for any bidder to demand that any action be taken on the date

established. The bidder accepts that, if PPECB extends the deadline for bid submission (the

Closing Date) for any reason, the requirements of this bid otherwise apply equally to the extended

deadline.

4 Scope of Terms of Reference

The PPECB invites bidders to submit proposals for the supply and delivery of self-adhesive Labels for a period of three years on “as and when required basis” with an option to renew for two more years based on performance which will be assessed on an annual basis.  PPECB requires the successful bidder to manufacture, supply and deliver the self-adhesive labels to the various PPECB offices nationally.

Regional Office Address

Citrusdal 65 Voortrekker Road, Citrusdal, 7340

Ceres 37 Voortrekker Road,Van Eeden Building, Ceres, 6835

Paarl Zomerlust Estate, Bergrivier Bouleward, Paarl, 7646

Robertson 12 Paul Kruger Street, Robertson, 6705

Grabouw 7 Bosboulaan Avenue, Grabouw, 7160

Nelspruit 5 Emkhe Street, Nelspruit 1200

OR TamboUnit 34 Lonrho Logistic Building, Foreign Airline Cargo OR Tambo International Airport, Kempton Park, 1619

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Groblersdal 17 Gemsbok Street Groblersdal 0470

Tzaneen 2 Thiem Street, Tzaneen, 0850

Durban 2 Old Mission, Bluff, Durban, 4052

Port Elizabeth 63 Newton Street, Newton Park, 6055

Montague GardensUnit A5 Arden Grove Park, Corner Racecourse & Omuramba Road, Montague Gardens, 7441

CPT Airport Office Tower Road, Cape Town International Airport, 7525

Head Office 45 Silverboom Avenue, Plattekloof, Cape Town, 7500

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5 Technical Specification

PPECB uses its labels in the cold storage environment during the transit of perishable exports to the various destinations. Due to the nature of extreme cold conditions, the labels are required to stick for a long period of time.

Product Code

Label Description

Material Adhesive Label Size Die Cut Cylinder Step Around

Step Across

Distortion Distortion Print Size

Number of Colour Colours Labels per roll

                      Process  Spot     

PPECB-LBL001

Passed for Export 

Semi Gloss  Hot Melt 48 X 48 mm

Round 96T = 304.8

6 @ 50.8 mm

4 @ 51 mm

98.03% 298.81 mm 1 2 Pantone  2755 CVC; Yellow

1000

PPECB-LBL002

For Analysis  Semi Gloss  Hot Melt 50X 203.2 mm 

Butt Cut

128T = 406.4

2 @ 203.2 mm

5 @ 50 mm

98.52% 400.41 mm 0 2 Pantone  485 CVC; Pantone 2755 CVC

1000

PPECB-LBL003

Pre-Trip  Semi Gloss  Hot Melt 60 x 80.45 mm

Butt Cut

76T = 241.3

3 @ 80.45 mm

5 @ 60 mm

97.51% 235.31 mm 2 0 Yellow; Black

1000

PPECB-LBL004

Urgent  Fluorescent Orange

Hot Melt 35 x 101.6 mm

Butt Cut

96T = 304.8

3 @ 101.6 mm

5 @ 35 mm

98.03% 298.81 mm 1 0 Black 1000

PPECB-LBL005

Verification Semi Gloss  Hot Melt 40 x 29.63 mm

  112T = 355.6

12 @ 29.63 mm

5 @ 40 mm

98.31% 349.61 mm 2 0 Yellow; Black

1000

PPECB-LBL006

Cold Store Semi Gloss  Hot Melt 110 x 161.925 mm

Butt Cut

102T = 323.85

2 @ 161.025 mm

2 @ 110 mm

98.15% 317.86 mm 0 2 Pantone  2975 CVC; Pantone 2755 CVC

1000

PPECB-LBL007

Service Semi Gloss  Hot Melt 90 x 80.45 mm

Butt Cut

76T = 241.3

3 @ 80.45 mm

3 @ 90 mm

97.51% 235.31 mm 2 1 Yellow; Black

1000

PPECB-LBL008

Rejected Semi Gloss  Hot Melt 50 x 101.6 mm

Butt Cut

96T = 304.8 

3 @ 101.6 mm

3 @ 50 mm

98.03% 298.81 mm 0 1   1000

PPECB-LBL009

Temperature Sensor Inside

Fluorescent Orange

Hot Melt 203 x 152.4 mm

Butt Cut

96T = 304.8

2 @ 152.4 mm

1 98.03% 298.81 mm 1 0 Black 1000

PPECB-LBL010

Sample bag label

Semi Gloss  Hot Melt  40 x 150 mm

  96T = 304.8

2 @ 152.4 5 @ 43 mm

98.52% 298.81 1 0 Black 1000

PPECB-LBL011

Barcoded label to view

                        1000

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6 Tender Information and Instructions

The tender submission and assessment process will be conducted in compliance with the Public Finance Management Act of 1999, Supply Chain Regulations and PPECB’s Procurement Policy. PPECB is committed to support and grow Black Economic Empowerment and Small Medium Enterprises in South Africa, emphasis being placed on procurement from historically disadvantaged South Africans.

The following terms shall have the following meanings:

Invitation to Tender: This DocumentContact Office: The Procurement Office

PPECB45 Silverboom AvenuePlattekloof

Public Entity: Perishable Products Export Control Board (PPECB)Bidder: The person / organisation submitting a tender bid to

the PPECB under this tender.

The PPECB invites Bidders in accordance with the information in this pack to submit a fixed price for providing the required products for a period of 12 months.

Bidders are required to submit detailed evidence to demonstrate its ability to provide the products and services they will deliver on this tender.

The tender shall be submitted on the Forms of Tender incorporated herein. The form shall be signed by each Bidder and submitted in the manner and by the date and time stated below together with the documents listed duly completed.

The bid will consist of three parts and shall be submitted in two separate sealed envelopes indicating the name of the bidder, tender number and date.

All of the following documents must be submitted as part of the response to this bid request.

Form Document Description

1. SBD 1 Invitation to Bid2. SBD 2 Tax Clearance Certificate Requirements3. SBD 3.1 Pricing Schedule4. SBD 4 Declaration of Interest5. SBD 6.1 Preference Point Claim form6. SBD 7.1 Contract form: Purchase of goods/works7. SBD 8 Declaration of Bidder’s past SCM Practices8. SBD 9 Certificate of Independent Bid Determination

7 Requirements for Tender Submission

The Bidder will submit 2 envelopes as follows

Envelope 1 - The entire technical proposal/specifications (No Pricing in this envelope). Please insert a copy of the tender documents in Ms Word format on a USB stick in envelope 1 as well.

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Envelope 2 – All the pricing and SBD documents indicated under Point No. 6 above.

The Standard bidding forms (SBD Forms) must be signed by an authorized person representing the bidder.

The tender and accompanying documents shall be carefully parcelled, sealed and be delivered to the Procurement Office no later than 15h00 on 23 November 2018. Failure to comply with these instructions may result in the tender being considered ineligible.Written tenders will only be accepted in a sealed envelope or parcel which shall bear the word: BID: Self-Adhesive Labels.

No late tender shall be considered. Late tenders will be opened after the Contract has been awarded, for the sole purpose of identifying Bidders.

Tenders will be opened in accordance with the relevant procedures.

8 Bid Evaluation8.1 Pre-Qualification Criteria

The following is the pre-qualifying criteria that are applicable to this tender, any bidder who does not meet them will be disqualified and shall not be evaluated further:

a) Preferential Procurement - Only suppliers with a B-BBEE status level 4 and higher may respond to this tender, therefore proposals from bidders with B-BBEE level 5 to 8 will not be considered for this bid.

b) The company must have been operational for the past 3 consecutive years with core business being printing.

c) PPECB will only consider the manufacturers of Self-Adhesive labels for this tender and therefore agencies and sub-contractors will not be considered.

d) The directors and shareholders of the company and or the company must not be listed as defaulters or/and be listed as restricted on National Treasury database.

8.2 Evaluation Criteria

Responses will be evaluated using a predetermined set of evaluation criteria. The evaluation criteria is designed to reflect the PPECB’s requirements in terms of identifying a suitable service provider and ensure the selection process is transparent and afford all the bidders a fair opportunity for evaluation and selection.

During the evaluation process, the PPECB may require a bidder’s representative to answer questions with regard to the proposal and/or require certain bidders to make a formal presentation to the evaluation team.

8.3 B-BBEE

The tender responses will be evaluated on the 80/20 point system. Please provide detailed breakdown of all direct and indirect costs associated with the contract, including all fees if any for the full contract period.

PPECB supports and is committed to the Broad-Based Black Economic Empowerment (“B-BBEE”) objectives as defined in the Broad-Based Black Economic Empowerment Act 53 of 2003 (“the B-BBEE Act”). The B-BBEE status of the Supplier will therefore be used in the evaluation criteria for this RFP. Each Supplier responding to this RFP must also submit the following:

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(i) A B-BBEE rating certificate issued by a member of and accredited B-BBBE rating agency.

(ii) A signed and stamped affidavit for the EME and QSE is required.

(iii) Details on ownership by black people, reflected through equity ownership and control.

(iv) Details of the Product and/or Services that the Service Provider intends to procure from Black Empowered Enterprises and/or Black Enterprises in respect of this RFP. These include:

a. Full contact details of such entities and their representatives.

b. Full details about the specific product and/or services to be procured from such entities.

8.4 Quantity and Price

a) Any quantities indicated in this RFP or in the Proposal, whether qualified or not, will be for evaluation purposes only. PPECB does not undertake to purchase any minimum quantity of the Product from the successful Supplier. PPECB will, accordingly, not be bound by any representation regarding quantities to be purchased, unless expressly agreed in writing in an agreement signed by the duly authorised representative of PPECB. For clarity, the quantity of Product that PPECB wants to purchase will be set out in the orders for the supply of the Product submitted in accordance with the draft agreement referred to above, which orders PPECB may, in its sole and absolute discretion, change before the Product requested is delivered to PPECB by the Supplier.

b) PPECB prefers that the Suppliers must give firm prices in their Proposals. For the purposes of this RFP “firm prices” are prices at which the Supplier will supply the Product and/or the Services to PPECB without any adjustment thereto for any reason whatsoever, for the duration of agreement that PPECB may conclude with the Supplier, for the Proposal accepted by PPECB. PPECB will in this regard prefer that prices be firm for a period of at least 12 (twelve) months.

c) The Supplier’s Proposal must set out all pricing assumptions, including the applicable foreign currency exchange rates, applicable indices and the like.

d) Should the Supplier not quote a firm price in the Proposal, the Supplier must provide a suitable and simple escalation formula to determine how their prices will be escalated. In the event that PPECB accepts the Supplier’s Proposal, then the escalation rates or formula shall not be binding on PPECB, and shall be subject to negotiation.

e) Suppliers must submit a price schedule in which they set out the total cost breakdown of the prices they have quoted in their Proposals

9 Special Conditions

a) PPECB reserves the right to reject any proposal found to be inadequate or non-compliant to the Terms of Reference.

b) The Bidder may not intend to assign, in whole or in part, any of its obligations to perform in terms of the contract to any third party, unless disclosed and prior consent is obtained in writing.

c) A bidder may not intend to cede his right to payment in terms of a contact to a third party without prior written consent.

d) PPECB may reject bid if doesn’t comply with the instruction of submission of the proposal referred to above.

e) A bidder to sign a consent letter for PPECB to perform vetting of the company and its directors as part of the due diligence.

f) PPECB reserves the right to terminate without penalty if the successful Bidder is not able to honour the terms and conditions specified by the tender requirements.

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10 Insurance

The successful Supplier will be responsible for its work and every part thereof, and for all materials, tools, equipment, and property of any and all descriptions issued in connection with this Request for Proposal.

Upon award of contract and prior to beginning work, the successful bidder must provide proof of insurance. Please provide a sample certificate of insurance that indicates your company’s limitations of liability as part of your RFP response.

11 Addenda

In the event that it becomes necessary to revise any part of this Request for Proposal, addenda will be provided to all Suppliers on E-Tenders and PPECB website.

12 Reservations

a) PPECB’s decision/s regarding the acceptance or non-acceptance of a Proposal shall be final and PPECB is not obliged to furnish any reason for such decision.

b) Proposals shall be considered and evaluated against a pre-determined evaluation value structure determined by PPECB. All Suppliers shall provide all information requested in this RFP in order to facilitate the evaluation process. Suppliers shall strictly adhere to the instructions stated in this RFP. PPECB shall not be bound to divulge such evaluation criteria, but may do so in its sole and absolute discretion.

c) PPECB may, during and after the evaluation of the Proposals and in its sole and absolute discretion, decide to:

To reject all proposals.

Accept one or more Proposals;

Accept a Proposal other than the lowest priced Proposal;

Accept no Proposal;

Consider or accept any Proposal not conforming with the requirements of this RFP;

Refuse to consider any Proposal not conforming with the requirements of this RFP;

Ask any Supplier to supply further information after the closing date;

Cancel this RFP or any part thereof at any time;

Award the contract pursuant to this RFP or any part thereof to any one or more Suppliers; or Re-issue this RFP at any time after the closing date.

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13 Service Provider Business Profile

Service Provider’s Response

Age of Business

State last 3 years revenue, profit and loss

Total Number of current customers.

Number of Customers for these services/product

Number of references available for this services:

In [Country]?Total?

Profile of Customers

Current Number of Employees.

Service Provider principal business.

With which customers have you formed business partnerships to provide coal supply services?

Detail the commercial nature of any third party agreements which form part of the proposed solution.

Will you sub-contract any part of the products or services proposed in the solution? If yes, please state which products or services and the nature of the agreements with the third party.

14 Vendor’s Financial Information

Service Provider Financial Information

The Service Provider to provide current audited financial statements (hard copies) as well as the two prior years’ financial results.

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Measurement Year 3 Year 2Year 1

(Latest full FY)

ROEProfit after Tax

Owner’s equity

Return on assets

Profit before interest & Tax

Total assets

Assets Turnover

Sales

Total Assets

Net MarginProfit before interest & Tax

Sales

Gross MarginGross Profit

Sales

15 Customer References

Please supply the following information regarding your customer base

Provide references of four references sites (of the proposed products only) of a similar size and/or national network to PPECB.

Three contactable references

Please provide the following details for each Customer Reference Site:

Reference Site Service Provider’s Response

Company Name  

Contact name  

Contact Phone  

Nature of Business  

Specify the capacity of the services provided  

Value of Contract

Length of Contract and dates  

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Comments  

16 Form of Contract

The PPECB and the successful Bidder will enter into a written contract and/or Service Level Agreement in respect of the products and services detailed in this Invitation to Tender.

The form of contract and/or Service Level Agreement will be as agreed between the PPECB and the successful Bidder.

17 Service Provider Terms & Conditions

Service Provider’s Response

Please include copies of your standard terms and conditions

Please identify non-standard terms and conditions that are being offered to PPECB

18 Security of the premisesThe bidder to outline the security measures in place to ensure safety of PPECB Labels onsite.

19 Future Plans

Please advise your product/service roadmap for the next 3 years. Briefly discuss any recent events or on-going plans that will be advantageous to PPECB.

[Your text here]

20 Further Information

For further information a Bidder may contact the Procurement Office at the address shown below:

Physical Address PPECB45 Silverboom AvenuePlattekloof

Postal Address PPECBThe Procurement OfficePO Box 15289

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Panorama7506

Contact number +27 21 9301134Enquiries Thabile Langa - thabilel@ppecb.com

Ppecb-procurement@ppecb.com

Operating Hours 08h15 – 16h45 (Monday to Friday only)

21 Preferential Procurement Requirement

The following preference point systems are applicable to all bids whereby preference points shall be awarded for Price and B-BBEE Status Level of Contribution.

the 80/20 system for requirements with a Rand value of up to R50 000 000 (all applicable taxes included).

Preference points for this bid shall be awarded for:

Price; and B-BBEE Status Level of Contribution.

21.1 Points awarded for price

A cost estimate for the contract period of the year based on the provided estimated quantities, which must include related assumptions and details make up.

(i) Cost must be quoted as per each label (per thousands)(ii) The total quotation must be inclusive of VAT(iii) The prices quoted must be delivered to all PPECB offices, and no additional charges will be

acceptable.

NOTE: No variation, to the accepted, quote will be allowed unless the supplier has obtained prior written approval from PPECB.

21.2 Points awarded for B-BBEE status level of contribution

In terms of Regulation 5 (2) and 6 (2) of the Preferential Procurement Regulations, preference points will be awarded to a bidder for attaining the B-BBEE status level of contribution in accordance with the table as set out in the Preference Points Claim Form.

21.3 Technical Evaluation

The evaluation is based on functionality, which will be evaluated using the following criteria and points:

(i) Desktop Evaluation – Phase 1 The tender submission will be technically evaluated out of a maximum of 200 points based on

the bidder’s paper-based submission. A threshold of 225 out of the 250 has been set

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Only bidders achieving 90% will qualify to be evaluated for Phase 2 All bidders achieving less than the set threshold will be declared non-responsive and will not

be further evaluated on BBBEE and Price.

(ii) Price and Preference – Phase 2 All bidders meeting the set threshold will qualify to be further evaluated on BBBEE and Price.

21.4 Objective Criteria

(i) The PPECB reserve the right not to consider proposals from bidders who are currently in litigation with the PPECB.

(ii) The PPECB further reserve the right not to award this tender to any bidder based on the proven poor record of accomplishment of the bidder in previous projects within the PPECB and the referee submitted by the bidder.

21.5 Technical Criteria – Desktop

Bidders will be scored according to the responsiveness of the proposal to the submission requirements set forth in the RFP

EVALUATION AREA EVALUATION CRITERIA

Reference Page &

Section NoMax.

PointsMin.

Points

Capacity Full capacity and capability of the bidder to manufacture, supply and deliver self-adhesive labels required by PPECB.

  30 30

Quality Control

Provide proof of Quality control process and standards including safe guarding of stock onsite.

30 30

References

Provide contactable written references of current/previous clients with similar size quantity, must be client’s on their letterhead and not older than 3 years.Maximum of 4 References – 203 References – 152 References – 101 Reference – 5

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Samples

The bidder to supply three samples of self-adhesive labels that it has produced for the references attached, for each of the following:semi-gloss – 10 Fluorescent orange - 10

20

Production Runs

The bidder must outline how it will improve efficiencies and optimise production runs. Provide proof of a production schedule/plan.

10

Stock holding

The bidder must be able to hold minimum stock for adhoc orders. Confirm in writing

10

Company Experience

Specify, your company’s experience in supplying the self-adhesive labels, to large organization with multiple offices.

  30 20Above 5 years – 30 3 to 5 years – 20

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1 month to 35 months - 0

Delivery lead Time

Bidder to provide lead times from PO to delivery.

  30 155 weeks and less – 306 to 8 weeks – 159 weeks & above - 0

Delivery to PPECB offices

Bidder to confirm the ability to deliver to all PPECB offices. Written confirmation is required.

  30 30

Site Visits Bidder to confirm in writing that PPECB shall be given access to visit production sites when requested

20 20

Payment Terms

Bidder to confirm in writing the acceptance of 45 days from invoice, PPECB payment terms.

  20 20

Total     *250

*The minimum required points for bidder to be considered for the next stage (Phase 2) is 220 points. Any bidder that scores below the minimum threshold points on any criteria above or/and doesn’t meet the total minimum threshold will be regarded as non-responsive and therefore disqualified.

VERY IMPORTANT: Technical documents must be arranged in sequence of the above criteria in a pack with clearly marked reference pages and sections.

22 Annexures to Document:

Annexure “A” : Pricing Template

Annexure ‘”B” : Due Diligence Consent

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Annexure A – Pricing Template

Product Code Label DescriptionEstimated Annual Quantities ('000)

Paper Cost

Other Material Cost

Production Cost

Overhead Cost

Transport Cost

Profit Margin

Delivered Unit Price

PPECB-LBL001 Passed for export 7000              

PPECB-LBL002 For Analysis 24              

PPECB-LBL003 Pre-Trip stickers 10              

PPECB-LBL004 Urgent stickers 25              

PPECB-LBL005 Verification stickers 10              

PPECB-LBL006 Cold store stickers 10              

PPECB-LBL007 Service stickers - Yellow 150              

PPECB-LBL008 Rejection stickers 76              

PPECB-LBL009 Temperature Sensor 54              

PPECB-LBL010 Sample bag labels 53              

PPECB-LBL011 Barcoded labels to view 35              

The supplier must clearly indicate the imported items with a Rand/Dollar exchange rate applied per item including country of origin.

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Annexure B – Due Diligence Consent Letter

(TO BE PROVIDED ON VENDOR’S LETTERHEAD)

Thabile LangaPerishable Products Export Control Board45 Silwerboom AvenuePlattekloof7500

Dear Thabile

Having examined the RFP we offer to supply the goods and services in accordance with the provisions of the RFP as submitted by [supplier name] on [date].

We confirm that our Tender is made in good faith and that we have not communicated with any other party other than PPECB on the details of the tender including the pricing which we confirm has not been agreed by prior arrangement with any third party who is not a supplier or subcontractor to ourselves.

As requested our Tender shall remain valid for acceptance by PPECB for 120 days from the date of our Tender submission. We also grant PPECB permission to conduct the necessary due diligence exercise including vetting of the company and its directors.

Yours sincerely

Signed for and on behalf of [Vendor’s company name]

Signature..........................................................

Print name........................................................

Position............................................................

Date..................................................................

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