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ANNOUNCEMENT
TO ALL SUPPLIERS: THE STATE SECURITY AGENCY (SSA) INVITES SUITABLY QUALIFIED AND EXPERIENCED SUPPLIERS TO EXPRESS THEIR INTEREST IN SUPPLYING GOODS AND/OR SERVICES IN VARIOUS REGIONSSSA recognises the need to stimulate local trade in the regions/provinces where it operates. Suppliers are hereby invited to express their interest in being considered as approved suppliers/service providers on the SSA Suppliers’ Database. All previously registered suppliers are required to reapply due to the overhaul of the database.
In order to comply with National Treasury instructions, the State Security Agency is required to develop a database of suppliers who are to be selected on a rotational basis for the procurement of goods and services up to the value of R500,000.00 per transaction. The purpose of this database is to give prospective suppliers an equal opportunity to submit quotations to the State Security Agency.
The goods and services that may be required by the SSA include, but are not limited to:
Suppliers/service providers who are interested in supplying or providing services may request an application form by contacting the SSA or by downloading the forms (www.ssa.gov.za). Completed original application forms may be posted, couriered or hand delivered with a company profile to: Postal Address Physical Address
State Security Agency State Security Agency
Private Bag X87 Musanda Complex (Joe Nhlanhla Str)
Pretoria R50 (Delmas Road) 0001
Enquiries can be directed to: Ms Annelie Snyders (012) 427 4617
Ms Nandi Mfeya (012) 427 4612
Ms Leoni Seyfferdt (012) 427 4344
NB: A security competency check is conducted on all service providers before their services are utilised. SSA reserves the right to obtain any outstanding information it deems necessary and to appoint and contract service providers - once deemed to offer the best service and to comply with all requirements - and to monitor their performance. SSA further reserves the right to request or require of any supplier/service provider to undergo security clearance/vetting and to contract with only vendors that obtain the appropriate security clearance level.

SUPPLIER REGISTRATION APPLICATION FORM

New Application / Yes / No
INSTRUCTIONS
The Supplier Registration Application form serves to apply to be registered on the SSA’s Suppliers’ Database.
Section A - Company Details
Section B - Bank Details
Section C - Ordering Details
Section D - Account Details
Section E - Type of Enterprise
Section F - Reference Details
Section G - Safety
Section H - Commodity/Services
Section I - Conditions of Purchase
Section J - Declaration of Interest and Related Parties
Section K - Documentation Required
·  Certain fields and documents are mandatory to certain business types. Please ensure that all fields that are mandatory to your business type are completed and those that are not are clearly marked N/A. Only fully completed forms submitted together with all required substantiating documentation are considered.
·  Processing of Registration – Your completed registration will be processed once verified, after which it will be approved or rejected. The letter of confirmation of registration will be dispatched to the work address supplied. Once your registration is in the SSA database, your details will be accessible to the purchasing officers/buyers of SSA. Formal registration as a creditor of SSA shall only be done on placement of the first official order.
·  Business Opportunities – Please note that registration on the SSA Suppliers’ Database does not guarantee business opportunities. Inclusion in a database does not in any way guarantee business from SSA for any person, company, services provider or supplier, etc. All procurement will be subjected to the Procurement- and Tender Policies of SSA.
·  When Consortiums/Joint Ventures are making an application, each party must separately submit a completed SSA-SCM1 form (together with all required substantiating documentation).
·  A company profile may accompany the registration form but will not be accepted as substitute for the application form.
·  It should be noted that the SSA reserves the right to accept or reject any application.
·  A BBBEE Status level verification certificate must be submitted in order to qualify for preference points.
TAX CLEARANCE CERTIFICATE REQUIREMENTS
·  The consideration of an application is subject to the applicant providing a tax clearance certificate or proving that satisfactory arrangements have been made with South African Revenue Service (SARS) to meet the applicant’s tax obligations.
·  The original tax clearance certificate must be submitted. Failure to submit the original and valid tax clearance certificate will result in the invalidation of the application. Certified copies of the tax clearance certificate are not acceptable.
·  When consortia/joint ventures/sub-contractors are involved, each party is required to submit a separate tax clearance certificate.
·  The tax clearance certificate requirement also applies to foreign suppliers. Tax clearance certificates are obtained from any SARS office nationally.
·  Any arrangements or dispute of whatever nature with SARS needs to be supported by written proof from SARS for consideration.
·  Incomplete or incorrectly submitted application forms will not be considered.
·  All supplier information submitted will be treated in the strictest confidence.
·  Where the financial risks are deemed to be high, suppliers that meet all the requirements will be requested to submit most recent financial statements. These financial statements will be evaluated and qualifying suppliers will be loaded on the database.
PLEASE STATE TYPE OF GOODS OR SERVICE TO BE PROVIDED:
(or Description of Principal Business)
WHAT IS THE PRIME SECTOR IN WHICH BUSINESS IS CONDUCTED?
SECTION A: COMPANY DETAILS
Registered Name of Enterprise
Trading Name of Enterprise
How long has the enterprise been in business?
Title, Initials & Surname: (In the event of a sole proprietor)
Previous Name(s) of Enterprise (if applicable)
Enterprise Registration Number/ CIPRO
VAT Registration Number
Postal Address
Postal Code
Physical Address
Postal Code
E-Mail Address
Telephone Number / - / Fax Number / -
Website
LIST ALL PARTNERS, PROPRIETORS AND SHAREHOLDERS. (Attach your own list if the space provided is inadequate).
Name / Position Occupied / ID Number / Citizens / Date of Ownership
PLEASE INDICATE (X) THE GEOGRAPHICAL AREAS WHERE YOUR BUSINESS IS WILLING
AND CAPABLE OF SUPPLYING GOODS OR SERVICES TO THE SSA:
Gauteng / KwaZulu-Natal / Western Cape
Mpumalanga / Free State / Eastern Cape
North West / Northern Cape / Limpopo
SECTION B: BANK DETAILS
(See attached banking details form)
Name of Enterprise
Name of Account
Bank
Branch Name
Branch Number
Account Number
Type of Account / Current Account / Savings Account / Transmission Account
SSA Payment Terms: 30 days after receipt of invoice and statement
SECTION C: ORDERING DETAILS
Contact Person
Telephone
Number 1 / - / Telephone Number 2 / -
Fax Number / - / May orders be placed by e-mail? / Yes / No
E-Mail Address
SECTION D: ACCOUNT DETAILS
Contact Person
Telephone
Number 1 / - / Telephone Number 2 / -
Fax Number / - / May payment advice be forwarded by e- mail? / Yes / No
E-Mail Address
SECTION E: TYPE OF ENTERPRISE
(Tick the appropriate box.)
Public Company / Private Company / Partnership / Close Corporation
Other
If you have ticked “Other”, please specify ...
In terms of the definitions of enterprises in the Codes of Good Practice on BBBEE, is your business a/n:
Exempt Micro-Enterprise (EME, annual turnover less than R5 million)?
Qualifying Small Enterprise (QSE, annual turnover between R5 million and R35 million)?
Large Business (annual turnover above R35 million)?
BBBEE Contribution
Level
A valid BBBEE certificate from the South African National Accreditation System (SANAS)-accredited verification agency or proof of exemption by the registered auditor/accounting officer is to be provided.
How many full-time employees does your enterprise employ?
% Black Male Ownership
% Black Female Ownership
% White Female Ownership
SECTION F: REFERENCES
Details of Your Reference (if applicable)?
Contact Name: / Contact Tel/Cell Number
Contract:
Assignment Details
SECTION G: SAFETY
Do you conduct your business in compliance with the requirement of the Occupational Health and Safety Act?
(OHS Act No. 85 of 1993) (Yes/No) …………………………………………………………………………
Are you registered and in good standing with the Compensation Commissioner? (Compensation for Occupational
Injuries and Diseases Act No. 130 of 1993) (Yes/No) …………………………………………………………………………….
If Yes, kindly attach a copy of a valid letter of Good Standing. Please note that this is compulsory for all maintenance and building contractors.
SECTION H: COMMODITIES/MATERIAL/SUPPLIES/SERVICES
Item / NOTE:
·  A maximum of 3 commodities will be registered per entity/ company on the database.
·  The application will be rejected if more than 3 commodities are indicated/ stated.
·  (Feel free to add your own commodity/ material/ supply/ service on an additional page, if not indicated below).
·  Incorrect commodity selection will lead to immediate disqualification.
·  Select only the main commodities your company specialises in or trades in or does business in. / Mark with X
SUPPLIES:
Building, Cleaning, Functional, Electrical, General, Medical, Perishable provisions, Security.
(Products/ Sales/ Distribution/ Wholesales/ Resellers/ Production for client)
Arms, weapons and Ammunition (including EOD, bullet proof vests, holsters, oil, etc.)
Artwork (Paintings, pictures, frames, etc.)
Assessment Centre Tools (IQ Tests, ability test)
Asset Management Systems, Devices and Equipment (barcodes, scanners, software)
Audio Visual, Photography and Conferencing Equipment/products
Building, Construction and Renovation Materials/ Hardware
Carpets
Cartridges/Ribbons/Toners (for Printers and Copier of all brands, e.g. Edisecure, HP, Brother, Canon, Dell)
Catering Equipment (incl. stoves, marquees, burners, storage, freezer, warmer, dispensers, tables, chairs, etc.)
Chemicals and Gas consumables (laboratory, LPG, industrial, etc.)
Clothing – Corporate
Clothing – Protective clothes, harnesses, boots, overalls, uniforms etc.)
Communication/Telephonic Equipment (Satellite, Cell phone, fixed line, Mobile Faxes, 2-Way Radios, antennas, etc.)
Computer (ICT) Equipment/hardware and software (platforms, applications, Printers, etc.)
Computer Consumables (including for copiers, printer, etc.) (Sticks, memory, cabling, tools, etc.)
Conference Accreditation Material (badges, holograms, lapel pins, laminating pouches etc.)
Corporate Gifts and products
Corporate Gifts (engraving of items)
Décor (mirrors, watches, clocks)
Electrical, Mechanical Equipment and consumables (incl. air conditioners & filters, lights,)
Electromagnetic Shielding materials and devices
Electronic Equipment (including technical and test equipment, etc.)
Encryption/ decryption equipment and devices (all types, voice, video, data, etc.)
Filing Cabinets (including customisable cabinets, etc.)
Fire Fighting Equipment
Furniture (office, including built in, design, custom made, tables, chairs, couch, beds, etc.)
Garden and Farm Equipment
General Consumables (cleaning material and equipment, chemicals)
GIS/ GSM/ GPS equipment
Hardware products, supplies (including Steel, timber, nails, power tools )
Housekeeping Accessories (Cutlery/Crockery/Glasses/Linen)
Hygiene and Pest Control Equipment, facilities.
Kitchen Appliances (kettles, urns, fridges, microwave ovens etc.)
Laboratory Equipment
Language transcription and translation equipment
Library Equipment and hardware (shelves, trolleys etc.)
Library material (Journals, Magazines, Maps, etc.)(SPECIFY)
Library Books
Loaders, lifts and trolleys
Locksmith hardware, material and equipment
Luggage - suitcases, luggage bags, carry bags, briefcases, etc.)
Medals and Heritage
Medical (equipment, beds, X-ray, supplies, products, consumables, First Aid supplies, etc.)
Office Equipment (labour saving devices, copiers, fax, multipurpose printers, etc.)
Perishable provisions (including, beverages, alcohol, dairy products, ) etc.
Pharmaceutical (equipment, supplies products, consumables, Scripts, printing, etc.)
Plumbing products, equipment, materials
Polygraph equipment
Printing and Press Equipment
Printing Paper
Security Equipment (CCTV, Cameras, Access control, Scanners, DVRs, Iris, Biometrics, Vaults, Safes, etc.)
Signage/ Displays (billboards, pop up banners, banners, car decal, office, outdoor, mobile, street, buildings, exhibition, conference)
Sound and Music Systems, equipment
Sporting/Gym Equipment
Stationery (all store items/inventory, including paper, batteries, and office basics)
Surveillance, Tracking & Tracing equipment (audio, video, covert cams, bugs, transmitters, jammers, detectors, binoculars, Software, voice changer, interception devices, etc.)
Training Materials and Software
Vehicle (all types, motor, trucks, & buses) (spares/ parts)
Vehicle (consumables/oils/ fuel/ lubricants/ batteries)
Vehicle (number plates, making machines, licencing, etc. (Specify)
Verification Tools, systems, etc.
Workshop equipment (including tools, etc.)
Workshop equipment (Paint)
Other (Specify)
PROFESSIONAL SERVICES:
Consulting, Training and Development, Maintenance, Repairs, Servicing, labour, Support, licencing (Specify exact services)
Accommodation, leasing (Guest houses, lodges, hotels, houses, etc.)
Advertising including design, layout and printing/publishing (in all media forms, print, electronic and online, radio, television, billboards, signage, outdoor).
Banks and Financial Institutions
Building/ Construction/ Renovations
Call Centre Solutions
Catering services
Civil
Computer/ ICT Maintenance and Support (including Licencing)
Conference/ exhibition, training, workshop centres, facilities and venues
Demolition/ Blasting
Dry cleaning services
Electrical
Entertainment (Bands, Artists, Performance Arts, Comedians, etc.)
Estate Agencies
Florists
Functional (including Security, etc.)
General or Other: Please state/ Specify
Glazing contractors
Guest/ Motivational/ Facilitation/ Speakers (All topics, professions, areas, studies, etc.)
Housekeeping Services: (including cleaning, gardening, hygiene and pest control services)
ID card personalisation services
Import, export services
Installation (sound and musical systems)
Installation and repairs (TV’s, DSTV)
Insurance/ Assurance companies (All assets insurance cover, customised policies, including brokers etc.)
Interior Design (curtains)
Language translation and transcription services
Lifts
Maintenance of electrical, mechanical, equipment (including servicing and repairs of air conditioners, Low, medium, high voltage, subs, etc.)
Professional/ Consultancy Services (all professions, Medical, Pharmaceutical, Practitioners, Actuarial, Legal, Management Consultants, Systems, remuneration, HR).
Property Valuators/ Assessors/ Appraisers (Valuation of land, property, buildings)
Recruitment Agencies/ Assessment Centres
Research and Development (Security, ICT, Standards, Verification, Projects, etc.)
Services: General Repairs and Maintenance (SPECIFY)
Specific pharmaceutical, medical, health and safety, First Aid, Administrators, Managed Care, Pharmaceutical Benefit Management services
Subscription to Databases and supply of data (Data, information, statistic),
Subscriptions (delivery of newspapers)
Subscriptions (journals, information, books, publications, publishers, )
Training, colleges, education, Institute, etc.
Training, Seminars, Workshops and Conference related services
Transport/Freight (including shuttle, charter flights, cargo, container shipment, air, land and sea, etc.)
Travel Administration and Management (Travel Agencies, Tours, Tour guides, etc.)
Upholsterers
Vehicle Hire
Vehicles (servicing, repairs, replacement of consumables, panel beating, etc.)
Other (Specify)
DISPOSALS:
Auctioneering Services, waste disposal, sales, etc.
Clothing and textiles
Furniture
General (SPECIFY)
Medical Waste
Property
Recycling (Paper, tyres, etc.) (environmentally friendly)
Scrap Metal
Vehicles
Waste disposal
SECTION I: CONDITIONS OF PURCHASE
IMPORTANT CONDITIONS PERTAINING TO PURCHASE ORDERS
1.  The Seller shall bear the risk of goods being damaged, lost or destroyed until delivery to the SSA is effected and receipt thereof acknowledged.
2.  The Seller shall make provision for suitable packing, preservation and delivery in all quotations. Unless otherwise stated all packing containers and packing material shall become the property of the SSA upon delivery.