WASO

PRE-QUALIFICATION SUPPLIERS REGISTRATION QUESTIONNAIRE 29thDecember 2022 – 10th January 2023

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Table of Contents
PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES…………………………………….2
DETAILS FOR SUBMISSIONS OF THE PRE-QUALIFICATION DOCUMENTS………………………..2
CATEGORIES FOR SUPPLY OF GOODS AND SERVICES………………………………………………………….2
PRE-QUALIFICATION INSTRUCTIONS……………………………………………………………………………………….3
ESSENTIAL CRITERIA FOR PRE-QUALIFICATION……………………………………………………………………..4
PRE-QUALIFICATION EVALUATION CRITERIA………………………………………………………………………….6
REQUIREMENTS…………………………………………………………………………………………………………………………….6
TECHNICAL EVALUATION……………………………………………………………………………………………………………6
PAST EXPERIENCE/REFERENCE CLIENT DETAILS……………………………………………………………………..8
PART II. CONFIDENTIAL BUSINESS QUESTIONAIRE………………………………………………………………..9
APPENDIX “A” CONFIDENTIAL BUSINESS QUESTIONNAIRE…………………………………………………9
APPENDIX “B” DECLARATION FORM……………………………………………………………………………………….10
APPENDIX “C” CODE OF ETHICS AND CONFLICT OF INTEREST DISCLOSURE FORM……..11

PRE-QUALIFICATION OF SUPPLIERS FOR GOODS AND SERVICES
WASO is a Non-profit and Non-Governmental Organisation (NGO) that primarily focuses on
Key and Vulnerable Populations’ (KVPs) rights to access health services, education, and
economic opportunities. The commitment of the organization is to promote, support and
advocate for KVPs to ensure they access the services irrespective of gender, age, and other
whatsoever status.
WASO headquarters is located at YomboVituka ward in Temeke, Dar Es Salaam, Tanzania.
Initially the organisation started operations as Community Based Organisation (CBO) in 2009;
thereafter in 2015 it got registered to operate in Tanzania Mainland as a Non-Governmental
Organization (registration No. ooNGO/oooo7773) under NGO ACT of 2002.
Current WASO implemented project, the “EpiC project” with USAID funds following an
agreement with the FHI360to strategically work in collaboration with the Council Health
Management Teams (CHMT), Community Health Providers (CHPs) and Peer Educators (PEs)
to improve the lives of Key Populations (KPs) by providing continuum HIV care to the KPs in
Facility and in the community. The project was implemented in Temeke district in eight (8)
wards that include Kilungure, Keko, Kibondemaji, Mbagala Kuu, Toangoma, Mibulani, Kijichi,
and kurasini.
WASO seeks to invite interested and eligible organizations to submit applications for the
pre-qualification of suppliers.
DETAILS FOR SUBMISSIONS OF THE PRE-QUALIFICATION DOCUMENTS
The pre-qualification documents must be attached in an email and subject line indicating
clearly the appropriate reference number(s) and category name (s) being applied for, and
sent through the email before the deadline.
Bids containing any other external markings that can identify the vendor or that are
addressed to individuals will be disqualified. For any clarifications please contact us on the
above respective numbers and email us on [email protected] or [email protected]

WASO reserves the right to accept or reject any application either in whole or in part, and is
not bound to give reasons for its decision.
Canvassing will lead to automatic disqualification.
Only successful organizations will be contacted.
Please complete the form below and submit with the requested attachments.
PRE-QUALIFICATION INSTRUCTIONS

  1. WASO herein referred to as the organization, requests applicants/candidates who
    meet the criteria set out by the organization to apply for registration of
    pre-qualification.
  2. The pre-qualification objective is to supply and deliver assorted items and also
    provide services under the relevant tenders/quotations to WASO on and as when
    required during the stated period.
  3. Registered suppliers of goods and services under the Laws of Tanzania are invited
    to submit their pre-qualification documents to WASO that they may be
    pre-qualified for submission of quotations. The prospective suppliers are required
    to supply mandatory information for pre-qualification.
  4. Prospective suppliers and contractors must have carried out successful supply and
    delivery of similar items/services to
    NGOs/Corporations/Institutions/Governmentof similar size. Potential
    suppliers/contractors must demonstrate the willingness and commitment to meet
    the pre-qualification criteria.
  5. This invitation of application for pre-qualification is open to potential applicants
    who are able to demonstrate proven technical, financial and managerial capacity
    to supply the listed goods and services.
  6. This document includes questionnaire forms and documents required of
    prospective suppliers.
  7. The successful applicants will be registered on WASO suppliers list for the period of
    one or two years from the date of contract commencement and the organization
    will only deal with the firms that are registered.
  8. Applicants must submit a duly completed and signed Confidential Business
    Questionnaire provided herein as Appendix ‘A’.
  9. WASO reserves the right to request the submission of additional information from
    applicants or any other credible source, and to visit and inspect the business
    premises of the applicant to verify the information given.
  10. The organization will ensure information that is received from companies is treated
    with the utmost confidentiality and shall be for the sole use of the organization.
  11. The pre-qualified suppliers are required to immediately advise the organization of
    any significant change in its financial, technical capacity, ownership or holdings it
    may have.
  12. Failure to submit any of the mandatory requirements will lead to automatic
    disqualification from the exercise.

ESSENTIAL CRITERIA FOR PRE-QUALIFICATION
Experience
a. Prospective Bidders shall have at least three (3) years’ experience in the supply of
goods and services.
b. WASO reserves the right to request additional qualification information as the
tender/quotation stage to suit particular procurement.
c. Share contracts of previous works done and/or recommendation letters.
Capacity to deliver in the expected duration and Convenient
a. Prospective suppliers require special experience and capability to organize supply
and delivery of items or services at short notice and on time.
b. Prospective suppliers require be convenient, easy, or very useful or suitable for
particular purpose.
Price and Quality
a. Maintain high standards while still charging reasonable prices.
b. Fair and reasonable price for goods and service for both parties.

c. The amount based upon the agreed conditions, promised quality and timelines of
contract performance.
Financial Capability
a. The suppliers financial capability will be determined by the latest financial statement
submitted with the pre-qualification document as well as letters of reference from
their bankers regarding suppliers/contractors credit position if applicable
b. Potential suppliers/contractors will be pre-qualified on the satisfactory information
given.
c. Special consideration will be given to the financial capability to execute orders.
Personnel
a. The suppliers/contractors/consultants shall provide pertinent information to
demonstrate that they have qualified staff to carry out the assignment.
b. Curriculum Vitae (CVs) of the key personnel for individuals or groups that will
execute the contract must be indicated in Part I if applicable for service.
Past Performance
a. Past performance will be given due consideration for any pre-qualifying bidders.
b. Letters of reference/recommendation from past customers should be attached.
Premise
The Firm must have a registered and fixed business premise in Tanzania, with a Certificate of
Registration, Incorporation/Memorandum and Articles of Association, copies of which must
be attached.
Statutory Obligations
The firm must show proof that it has paid statutory obligations and has a valid Tax
compliance certificate from the Tanzania Revenue Authority (TRA).

PRE-QUALIFICATION EVALUATION CRITERIA
REQUIREMENTS

PART I. SUPPLIER REGISTRATION QUESTIONNAIRE

  1. Business Name
    ……………………………………………………………………….
    Tin No. ……………………………… VAT Reg. No. ……………………
    (Attach Copy Registration Certificate)
  2. Category applied for……………………………………………………
    Item Description: ……………………………………………………….
  3. Experience:
    State the number of years the company has been in similar business
    ………………………
  4. Have you previously dealt with WASO? If yes, state nature of business.
    …………………………………………
  5. Financial Strength
    Provide copies of the company’s audited account for the prioryears .If Applicable
  6. Delivery & Logistics
    a) State location of registered office, warehouse and space whether owned/rented
    indicating:
    i. Building…………………………………………………………
    …………………………………………………………………
    ii. Street/Road………………………………………………………………
    …………………………………………………………
    iii. City/Town…………………………………………………………………
    ………………………………………………………
  1. Specify the amount of business you can handle at any one time
    ………………………………………………………………………………………
  2. Give any other information that you feel is relevant for purpose of
    Pre-qualification as a supplier………………………………………………
    ADDITIONAL INFORMATION

1.Bank details:

PAST EXPERIENCE/REFERENCE CLIENT DETAILS
Please provide at least three major supplies/projects/assignments you have undertaken
relevant to the good/services you are bidding for, performed over the last three years. The
referees can both sign and stamp below.

  1. Client name(Organization) ———————————————————
    Address————————————————————————————
    Tel No————————————————————————————–
    Contact person————————————————————————–
    Position in the organization———————————————————
    Value of Contract …………………………………………………………..
    Duration of Contract (date)………………………………………………….
    Signature and stamp of client —————————————————–
    (Attach Documentary Evidence of Existence of Contract)
  2. Client name(Organization) ———————————————————
    Address————————————————————————————
    Tel. No————————————————————————————–
    Contact person————————————————————————–
    Position in the organization———————————————————
    Value of Contract …………………………………………………………..
    Duration of Contract (date)………………………………………………….
    Signature and stamp of client —————————————————–
    (Attach Documentary Evidence of Existence of Contract)

PART II. CONFIDENTIAL BUSINESS QUESTIONAIRE

NB:
Appendix “A”, Declaration Form Appendix “B” and Conflict of Interest Form Appendix “C”
APPENDIX “A” CONFIDENTIAL BUSINESS QUESTIONNAIRE
You are requested to give particulars indicated in part 1 whichever applies to your type of
business.
You are advised that it is a serious offence to give false information on this Form.
Part 1 General

Business Name……………………………………………………………………..
Location of business premises; Country/Town……………………………
………………………………………………………………………………
Plot No…………………….Street/Road…………………………………………
Postal Address………………………..Tel
No……………………………………………………………………………
Fax No……………………………………………………………………….
E-mail…………………………………………………………..……………
Nature of Business…………………………………………………………….
Current Trade License No………………….Expiring date…………………
Maximum value of business, which you can handle at any time:
Tshs…
Name of your bankers………………………………………………………..
Branch………………………………………………………………………..

Date…………………………Signature of Applicant………………………
*If Tanzania Citizen, indicate under “Citizenship Details” whether by Birth or Registration.

APPENDIX “B” DECLARATION FORM
I/We………………………………………………………………..hereby declare:
✔ That the information given above is true and further state that I/We also understand the
purchase of this form does not guarantee registration.
✔ That I/We are not insolvent/in receivership, bankrupt or being wound up, business
activities not suspended/not subject to legal proceedings.
✔ That I/We have legal capacity to enter into contract.
✔ That I/We have fulfilled obligations to pay taxes/social security contributions.
✔ That if the legal, technical, financial position, or the contractual capacity of the firm
changes, we commit ourselves to inform you and acknowledge your sole right to review
the pre-qualification made.
✔ That I/We understand that I/We shall be disqualified should the information submitted
here for purpose of seeking qualification be materially inaccurate or materially
incomplete.
✔ That I/We give WASO, authority to seek any other references concerning my/Our
Company from whatever sources deemed relevant.
✔ That if pre-qualified, I/we undertake to participate in submission of a tender or
quotation when called upon to do so.
Name…………………………………………………………………………
Designation……………………………………………………………………
Signature………………………………………………………………………
Official rubber stamp…………………………………………………………..
Date……………………………………………………………………………

APPENDIX “C” CODE OF ETHICS AND CONFLICT OF INTEREST DISCLOSURE FORM
WASO Procurement guidelines stipulate that WASO should not permit reciprocity in any
purchase transactions. Any reciprocal financial transactions between a supplier and an
employee, whether before or after pre-qualification, are prohibited. It does not matter
that the transactions at arm’s length or not.
In view of the above, outlined below are the guidelines on code of ethics and conflict of
interest.
Code of Ethics
Except for casual benefits such as hospitality, or gifts worthlessthanTshs50,000equivalent,
employees of WASO are not allowed to acceptor agree to acceptancy money, gifts, or
other benefit on behalf of themselves or any one else, from a person or institution having dealings
with the Organization. No gift may be accepted incases where it is obvious that the gift will result
in an expected reciprocal action from the Organization.
The standard of conduct for all potential suppliers include the following:
1) Potential suppliers are required to refrain from offering, directly or indirectly, any gratuity,
gifts, favors, entertainment or any promise off culture employment to employees of WASO
who may be in a position to influence the procurement decision.
2) Potential suppliers and/or the argents are not expected to deal with an employee who
has a financial interest in their business.
3) During the pre-solicitation phase, potential supplier(s) should avoid soliciting
information on a particular acquisition before such information is available to the
business community at large.
4) Potential suppliers should declare relationships, if any, that could be termed as conflict
of interest.
Conflict of Interest
Please give details of any conflict of interest that may exist between yourself and
employee(s) of the WASO as indicated below, and confirm that you have read the code of
ethics and is in agreement with it.
Has any employee of WASO been your employee in the past one year?

If yes, please give details
………………………………………………………………………………………..…………
…………………………………………………………………………
Do you have any family ties with any WASO employee(s) through spouse or immediate
family?
If so, please explain:
………………………………………………………………………………………
………………………………………………………………
Have you had past business dealings with any employee ?
If yes, please give details:
………………………………………………………………………………………
……………………………………
Do you have other social or political relationships with an employee in procurement, which
may impede his/her independence or objectivity?
………………………………………………
I confirm that all the information given above is true. I understand that failure to comply
with the code of ethics and conflict of interest policy will lead to disqualification of my
application.
Name…………………………………………………………………………………
Designation…………………………………………………………………………..
Signature……………………………………………………………………………..
Official rubber stamp…………………………………………………………………..
Date………………………………………………………………………………….

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