Completion of Chepsaga Dispensary

COMPLETION OF CHEPSAGA DISPENSARY

Tender number: VCHS/26075/0009/2026-27

Procuring entity: VIHIGA COUNTY HEALTH SERVICE

Procurement category: Works

Procurement method: Open Tender

Bidding access: Open

Reserved for: County Residents

Source of funds: GoK

Technical evaluation: Yes/ No Basis

Evaluation basis: Grand total wise

Bid validity: 210 days

Site visit: COMPLETION OF CHEPSAGA DISPENSARY

Clarifications until: 09 Oct 2026 11:00 (Nairobi time)

Published: 08 Oct 2026 18:00 (Nairobi time)

Closing: 19 Oct 2026 11:00 (Nairobi time)

Bid opening: 19 Oct 2026 11:01 (Nairobi time)

Eligibility documents required

- SELF-DECLARATION FORMS FORM SD1 & SD2 - COPY OF CERTIFICATE OF COMPANY REGISTRATION/INCORPORATION. - COPIES OF CR 12 CERTIFICATE TOGETHER WITH NATIONAL ID/PASSPORT FOR THE DIRECTORS - VALID COPY OF TAX COMPLIANCE CERTIFICATE - COPY OF VALID NCA CERTIFICATE FOR BUILDING WORKS AND ANNUAL PRACTICE LICENSE AS DETAILED BELOW: NCA 7 AND ABOVE FOR OPEN TENDERS, - VALID COPY OF SINGLE BUSINESS PERMIT FOR COUNTY GOVERNMENT OF VIHIGA - DULLY FILLED SIGNED AND STAMPED BILL OF QUANTITIES - SECTION IV – TENDERING FORMS TENDERER DECLARATIONS : FORM OF TENDER Table Header : - TENDERER DECLARATION Supplier response A) NO RESERVATIONS: WE HAVE EXAMINED AND HAVE NO RESERVATIONS TO THE TENDERING DOCUMENT, INCLUDING ADDENDA ISSUED IN ACCORDANCE WITH INSTRUCTIONS TO TENDERERS (ITT 10); b) Eligibility: We meet the eligibility requirements and have no conflict of interest in accordance with ITT 4; c) Tender/Proposal-Securing Declaration: We have not been suspended nor declared ineligible by the Procuring Entity based on execution of a Tender-Securing Declaration. Or Proposal-Securing Declaration in Kenya in accordance with ITT 19.8; d) Conformity: We offer to supply in conformity with the Tendering document and in accordance with the Delivery Schedules specified in the Schedule of Requirements. e) Tender Validity Period: Our Tender shall be valid for the period specified in TDS 18.1 (as amended, if applicable) from the date fixed for the Tender submission deadline specified in TDS 22.1 (as amended, if applicable), and it shall remain binding upon us and may be accepted at any time before the expiration of that period; f) Performance Security: If our Tender is accepted, we commit to obtain a performance security in accordance with the Tender document; g) One Tender per tenderer: We are not submitting any other Tender(s) as an individual tenderer, and we are not participating in any other Tender(s) as a Joint Venture member, or as a subcontractor, and meet the requirements of ITT 3.4, other than alternative Tenders submitted in accordance with ITT 13.3; h) Suspension and Debarment: We, along with any of our subcontractors, suppliers, consultants, manufacturers, or service providers for any part of the contract, are not subject to, and not controlled by any entity or individual that is subject to, a temporary suspension by the procuring entity or a debarment imposed by the Public Procurement Regulatory Authority. Further, we are not ineligible under the Kenya laws or official regulations or pursuant to a decision of International organizations to which Kenya is a member; i) Binding Contract: We understand that this Tender, together with your written acceptance thereof included in your Letter of Award, shall not constitute a binding contract between us, until a formal contract is prepared and executed; j) Procuring Entity Not Bound to Accept: We understand that you are not bound to accept the lowest evaluated cost Tender, the Best Evaluated Tender or any other Tender that you may receive; k) Fraud and Corruption: We hereby certify that we have taken steps to ensure that no person acting for us or on our behalf engages in any type of Fraud and Corruption. Further, we confirm that we have read and understood the full content and scope of fraud and corruption as informed in “Appendix 1- Fraud and Corruption” . l) Code of Ethical Conduct: We have read and understood the contents of the Code of Ethics for persons participating in Public Procurement and Asset Disposal and my responsibilities under the Code and we commit to abide by the provisions of the Code of Ethics copy available from www.ppra.go.ke during the procurement process and the execution of any resulting contract; m) Anti-competitive and Collusive practices: We hereby certify and confirm that the tender is genuine, non-collusive and made with the intention of accepting the contract if awarded. We have arrived at the Tender independently without consultation, communication, agreement or arrangement with, any competitor on but not limited to prices; methods, factors or formulas used to calculate prices; the intention or decision to submit, or not to submit, a tender; or the submission of a tender which does not meet the specifications of the request for Tenders except as disclosed in the Tenderer’s Eligibility - Confidential Business Questionnaire. Further, we confirm that the terms of the Tender have not been, and will not be, knowingly disclosed by the Tenderer, directly or indirectly to any competitor, prior to the date and time of the official tender opening, or of the awarding of the Contract, whichever comes first, unless otherwise required by law or as specifically disclosed above.; n) Beneficial Ownership Information: We commit to provide to the procuring entity the Beneficial Ownership Information in conformity with the Beneficial Ownership Disclosure Form upon receipt of notification of intention to enter into a contract in the event we are the successful tenderer in this subject procurement proceeding; o) We, the Tenderer, have duly completed, signed and stamped the following Forms as part of our Tender: i) Tenderer’s Eligibility & Confidential Business Questionnaire ii) Self-Declaration of the Tenderer (FORM SD 1 & SD 2) p) We undertake, if our tender is accepted, to commence the Works as soon as is reasonably possible after the receipt of the Engineer's notice to commence, and to complete the whole of the Works comprised in the Contract within the time stated in the Particular Conditions of Contract. Q) TENDER PRICE: IN ACCORDANCE WITH THE CONDITIONS OF CONTRACT, SPECIFICATIONS, DRAWINGS AND BILLS OF QUANTITIES FOR THE EXECUTION OF THE ABOVE-NAMED WORKS, WE, THE UNDERSIGNED OFFER TO CONSTRUCT AND COMPLETE THE WORKS AND REMEDY ANY DEFECTS THEREIN. Table Footer : - OPTION 1: TOTAL PRICE(ONE LOT) : FORM OF TENDER Table Header : TOTAL PRICE IN FIGURES TOTAL PRICE IN WORDS CURRENCY Table Footer : - Sr no. Formula 1 TOTAL PRICE IN WORDS=TOTAL PRICE IN FIGURES OPTION 2 TENDER PRICE (MULTIPLE LOTS): : FORM OF TENDER Table Header : LOT NO/DESCRIPTION CURRENCY TOTAL PRICE IN FIGURES TOTAL PRICE IN WORDS Table Footer : - Sr no. Formula 1 TOTAL PRICE IN WORDS=TOTAL PRICE IN FIGURES COMMISSIONS, GRATUITIES, FEES: : FORM OF TENDER Table Header : K) WE HAVE PAID, OR WILL PAY THE FOLLOWING COMMISSIONS, GRATUITIES, OR FEES WITH RESPECT TO THE TENDERING PROCESS OR IMPLEMENTATION OF THE CONTRACT: NAME OF RECIPIENT ADDRESS REASON AMOUNT Table Footer : STATE OWNED ENTERPRISES OR INSTITUTIONS : FORM OF TENDER Table Header : - STATEMENT TENDERER'S RESPONSE WE ARE NOT STATE OWNED ENTERPRISE OR INSTITUTION WE ARE STATE-OWNED ENTERPRISE OR INSTITUTION BUT MEET THE REQUIREMENTS OF ITT 3.8 Table Footer : - SIGN OFF : FORM OF TENDER Table Header : - STATEMENT TENDERER'S RESPONSE NAME TITLE OR DESIGNATION DATE WE CONFIRM THAT THE INFORMATION GIVEN ABOVE IS CORRECT AND WE UNDERSTAND THAT GIVING FALSE INFORMATION WILL LEAD TO DI SQUALIFICATION Table Footer : PERSON SIGNING THE TENDER SHALL HAVE THE POWER OF ATTORNEY GIVEN BY THE TENDERER. THE POWER OF ATTORNEY SHALL BE ATTACHED WITH THE TENDER SCHEDULES. TENDERER’S DETAILS: : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - TENDERER’S NAME TENDERER’S ACTUAL OR INTENDED COUNTRY OF REGISTRATION TENDERER’S YEAR OF REGISTRATION TENDERER’S LEGAL ADDRESS IN COUNTRY OF REGISTRATION Table Footer : - JOINT VENTURE DETAILS : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - JV’S NAME JV’S ACTUAL OR INTENDED COUNTRY OF REGISTRATION JV’S YEAR OF REGISTRATION JV’S LEGAL ADDRESS IN COUNTRY OF REGISTRATION Table Footer : - TENDERER’S/JV MEMBER’S AUTHORIZED REPRESENTATIVE INFORMATION : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - NAME ADDRESS TELEPHONE NO. EMAIL Table Footer : - A) SOLE PROPRIATORSHIP : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - NAME IN FULL AGE NATIONALITY COUNTRY OF ORIGIN CITIZENSHIP Table Footer : - B) PARTNERSHIP : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - NAMES OF PARTNERS NATIONALITY CITIZENSHIP PERCENTAGE OF SHARES OWNED Table Footer : - C) REGISTERED COMPANY - (I) COMPANY DETAILS : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : GENERAL AND SPECIFIC DETAILS PRIVATE OR PUBLIC COMPANY (SELECT ONE) - COMBO NOMINAL KENYA SHILLINGS ISSUED KENYA SHILLINGS Table Footer : - DIRECTORS DETAILS : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - NAMES OF DIRECTOR (S) NATIONALITY CITIZENSHIP PERCENTAGE OF SHARES OWNED Table Footer : DISCLOSURE OF INTEREST-INTEREST OF THE FIRM IN THE PROCURING ENTITY : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : STATEMENT SUPPLIER RESPONSE (SELECT ONE) - COMBO IS THERE ANY PERSON(S) IN THIS PROCURING ENTITY WHO HAS ANY INTEREST OR RELATIONSHIP IN YOUR FIRM. YES/NO (SELECT ONE) Table Footer : IF YES, PROVIDE DETAILS AS FOLLOWS: RELATIONS WITH THE TENDERER IN THE PROCURING ENTITY : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - NAMES OF PERSON DESIGNATION IN THE PROCURING ENTITY INTEREST OR RELATIONSHIP WITH TENDERER Table Footer : - CONFLICT OF INTEREST DISCLOSURE : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - TYPE OF CONFLICT DISCLOSURE (YES OR NO) - COMBO IF YES PROVIDE DETAILS OF THE RELATIONSHIP WITH TENDERER 1. TENDERER IS DIRECTLY OR INDIRECTLY CONTROLLED BY OR IS UNDER COMMON CONTROL WITH ANOTHER TENDERER. 2. TENDERER RECEIVES OR HAS RECEIVED ANY DIRECT OR INDIRECT SUBSIDY FROM ANOTHER TENDERER. 3. TENDERER HAS THE SAME LEGAL REPRESENTATIVE AS ANOTHER TENDERER 4. TENDERER HAS A RELATIONSHIP WITH ANOTHER TENDERER, DIRECTLY OR THROUGH COMMON THIRD PARTIES, THAT PUTS IT IN A POSITION TO INFLUENCE THE TENDER OF ANOTHER TENDERER, OR INFLUENCE THE DECISIONS OF THE PROCURING ENTITY REGARDING THIS TENDER 5. ANY OF THE TENDERER’S AFFILIATES PARTICIPATED AS A CONSULTANT IN THE PREPARATION OF THE DESIGN OR TECHNICAL SPECIFICATIONS OF THE WORKS THAT ARE THE SUBJECT OF THE TENDER. 6. TENDERER HAS A CLOSE BUSINESS OR FAMILY RELATIONSHIP WITH A STAFF OF THE PROCURING ENTITY 7. HAS THE CONFLICT STEMMING FROM SUCH RELATIONSHIP STATED IN ITEM 6 ABOVE BEEN RESOLVED IN A MANNER ACCEPTABLE TO THE PROCURING ENTITY THROUGHOUT THE TENDERING PROCESS AND EXECUTION OF THE CONTRACT. 8. THE TENDERER HAS ENTERED INTO CONSULTATIONS, COMMUNICATIONS, AGREEMENTS OR ARRANGEMENTS WITH ONE OR MORE COMPETITORS REGARDING THIS REQUEST FOR TENDERS AND THE TENDERER DISCLOSES, COMPLETE DETAILS THEREOF, INCLUDING THE NAMES OF THE COMPETITORS AND THE NATURE OF, AND REASONS FOR, SUCH CONSULTATIONS, COMMUNICATIONS, AGREEMENTS OR ARRANGEMENTS Table Footer : CONFIRMATION AND CERTIFICATION : TENDERER’S ELIGIBILITY - CONFIDENTIAL BUSINESS QUESTIONNAIRE Table Header : - STATEMENT TENDERER'S RESPONSE NAME TITLE OR DESIGNATION DATE WE CONFIRM THAT IFORMATION PROVIDED ABOVE IS CORRECT AND WE UNDERSTAND THAT FALSE INFORMATION WILL LEAD TO DI SQUALIFICATION OF OUR TENDER Table Footer : ITEM OF EQUIPMENT : 1 FORM EQU- EQUIPMENT Table Header : THE TENDERER SHALL PROVIDE ADEQUATE INFORMATION TO DEMONSTRATE CLEARLY THAT IT HAS THE CAPABILITY TO MEET THE REQUIREMENTS FOR THE KEY EQUIPMENT LISTED IN SECTION III, EVALUATION AND QUALIFICATION CRITERIA. A SEPARATE FORM SHALL BE PREPARED FOR EACH ITEM OF EQUIPMENT LISTED, OR FOR ALTERNATIVE EQUIPMENT PROPOSED BY THE TENDERER. NAME OF MANUFACTURER MODEL AND POWER RATING CAPACITY YEAR OF MANUFACTURE CURRENT LOCATION DETAILS OF CURRENT COMMITMENTS SOURCE OF THE EQUIPMENT Table Footer : NAME OF OWNER : 1 FORM EQU- EQUIPMENT Table Header : OMIT THE FOLLOWING INFORMATION FOR EQUIPMENT OWNED BY THE TENDERER. ADDRESS OF OWNER TELEPHONE CONTACT NAME AND TITLE DETAILS OF RENTAL / LEASE / MANUFACTURE AGREEMENTS SPECIFIC TO THE PROJECT Table Footer : - CONTRACTOR'S REPRESENTATIVE AND KEY PERSONNEL SCHEDULE : 2 FORM PER - 1- CONTRACTOR'S REPRESENTATIVE AND KEY PERSONNEL SCHEDULE Table Header : TENDERERS SHOULD PROVIDE THE NAMES AND DETAILS OF THE SUITABLY QUALIFIED CONTRACTOR'S REPRESENTATIVE AND KEY PERSONNEL TO PERFORM THE CONTRACT. THE DATA ON THEIR EXPERIENCE SHOULD BE SUPPLIED USING THE FORM PER-2 PROVIDED UNDER OTHER TENDERING FORMS FOR EACH KEY PERSONNEL/CONTRACTOR'S REPRESENTATIVE. NAME OF CANDIDATE: DURATION OF APPOINTMENT: TIME COMMITMENT: FOR THIS POSITION: EXPECTED TIME SCHEDULE FOR THIS POSITION: Table Footer : - NON-PERFORMED CONTRACTS IN ACCORDANCE WITH SECTION III, EVALUATION AND QUALIFICATION CRITERIA : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON- PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : CONTRACT NON PERFORMANCE YEAR TENDERER'S RESPONSE (YES OR NO) CONTRACT NON- PERFORMANCE OCCURRED DURING THE PERIOD SPECIFIED IN SECTION III, EVALUATION AND QUALIFICATION CRITERIA, SUB-FACTOR 7 (VI) (A) IF YES, GIVE DETAILS IN THE TABLE BELOW: 2026-2027 Table Footer : IF YES, GIVE DETAILS IN THE TABLE BELOW: DETAILS OF NON-PERFORMED CONTRACTS : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON-PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : JV NAME YEAR NON- PERFORMED PORTION OF CONTRACT CONTRACT IDENTIFICATION NAME OF PROCURING ENTITY ADDRESS OF PROCURING ENTITY REASON(S) FOR NONPERFORMANCE TOTAL CONTRACT AMOUNT (CURRENT VALUE, CURRENCY, EXCHANGE RATE AND KENYA SHILLING EQUIVALENT) PERCENTAGE OF PORTION NOT PERFORMED Table Footer : - PENDING LITIGATION, IN ACCORDANCE WITH SECTION III, EVALUATION AND QUALIFICATION CRITERIA : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON- PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : STATEMENT YEAR TENDERER'S RESPONSE THERE IS PENDING LITIGATION IN ACCORDANCE WITH SECTION III, EVALUATION AND QUALIFICATION CRITERIA. 2026-2027 Table Footer : IF YES GIVE DETAILS IN THE TABLE BELOW DETAILS OF LITIGATION : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON-PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : TENDERER'S/JV NAME YEAR OF LITIGATION AWARD CONTRACT NAME CONTRACT NUMBER NAME OF PROCURING ENTITY MATTER IN DISPUTE PARTY WHO INITIATED THE DISPUTE REASONS FOR LITIGATION AND AWARD DECISION AMOUNT CURRENCY KENYA SHILLING EQUIVALENT (EXCHANGE RATE) Table Footer : LITIGATION HISTORY IN ACCORDANCE WITH SECTION III, EVALUATION AND QUALIFICATION CRITERIA : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON- PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : - STATEMENT TENDERER'S RESPONSE Table Footer : IF YES, GIVE DETAILS: DETAILS OF LITIGATION HISTORY : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FOEM CON 2- HISTORICAL CONTRACT NON-PERFORMANCE, PENDING LITIGATION AND LITIGATION HISTORY Table Header : - DETAILS OF LITIGATION HISTORY YEAR OF LITIGATION AWARD OUTCOME AS PERCENTAGE OF NET WORTH CONTRACT CONTRACT NAME CONTRACT NUMBER NAME OF THE PROCURING ENTITY MATTER IN DISPUTE PARTY WHO INITIATED THE DISPUTE REASONS FOR LITIGATION AND AWARD DECISION AMOUNT Table Footer : - 4.4.1 FINANCIAL DATA : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION-FORM FIN – 3 1- FINANCIAL SITUATION AND PERFORMANCE Table Header : STATEMENT OF FINANCIAL POSITION (INFORMATION FROM BALANCE SHEET) YEAR TOTAL ASSETS (TA) TOTAL LIABILITIES (TL) TOTAL EQUITY/NET WORTH (NW) CURRENT ASSETS (CA) CURRENT LIABILITIES (CL) WORKING CAPITAL (WC) CURRENCY Table Footer : INFORMATION FROM INCOME STATEMENT : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION-FORM FIN – 3 1- FINANCIAL SITUATION AND PERFORMANCE Table Header : - YEAR TOTAL REVENUE (TR) PROFITS BEFORE TAXES (PBT) CURRENCY Table Footer : - CASH FLOW INFORMATION : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION-FORM FIN – 3 1- FINANCIAL SITUATION AND PERFORMANCE Table Header : - YEAR CASH FLOW FROM OPERATING ACTIVITIES CURRENCY Table Footer : - 4.4.2 SOURCES OF FINANCE : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION-FORM FIN – 3 1- FINANCIAL SITUATION AND PERFORMANCE Table Header : SPECIFY SOURCES OF FINANCE TO MEET THE CASH FLOW REQUIREMENTS ON WORKS CURRENTLY IN PROGRESS AND FOR FUTURE CONTRACT COMMITMENTS. SOURCE OF FINANCE AMOUNT Table Footer : - 4.4.3 FINANCIAL DOCUMENTS : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION-FORM FIN – 3 1- FINANCIAL SITUATION AND PERFORMANCE Table Header : ATTACH COPIES OF FINANCIAL STATEMENTS FOR THE YEARS REQUIRED ABOVE; AND COMPLYING WITH THE REQUIREMENTS STATEMENT SUPPPLIER THE TENDERER AND ITS PARTIES SHALL PROVIDE COPIES OF FINANCIAL STATEMENTS PURSUANT SECTION III, EVALUATION AND QUALIFICATIONS CRITERIA. THE FINANCIAL STATEMENTS SHALL: (A) REFLECT THE FINANCIAL SITUATION OF THE TENDERER OR IN CASE OF JV MEMBER, AND NOT AN AFFILIATED ENTITY (SUCH AS PARENT COMPANY OR GROUP MEMBER). (B) BE INDEPENDENTLY AUDITED OR CERTIFIED IN ACCORDANCE WITH LOCAL LEGISLATION. (C) BE COMPLETE, INCLUDING ALL NOTES TO THE FINANCIAL STATEMENTS. (D) CORRESPOND TO ACCOUNTING PERIODS ALREADY COMPLETED AND AUDITED. Table Footer : ANNUAL CONSTRUCTION TURNOVER (CONSTRUCTION ONLY) : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FORM FIN - 3 2- AVERAGE ANNUAL CONSTRUCTION TURNOVER Table Header : YEAR ANNUAL TURNOVER AMOUNT CURRENCY EXCHANGE RATE KENYA SHILLING EQUIVALENT Table Footer : AVERAGE ANNUAL CONSTRUCTION TURNOVER * : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FORM FIN - 3 2- AVERAGE ANNUAL CONSTRUCTION TURNOVER Table Header : - AVERAGE ANNUAL CONSTRUCTION TURNOVER * TENDERER RESPONSE AVERAGE ANNUAL CONSTRUCTION TURNOVER * Table Footer : * SEE SECTION III, EVALUATION AND QUALIFICATION CRITERIA FINANCIAL RESOURCES : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FORM FIN - 3 3- FINANCIAL RESOURCES Table Header : SPECIFY PROPOSED SOURCES OF FINANCING, SUCH AS LIQUID ASSETS, UNENCUMBERED REAL ASSETS, LINES OF CREDIT, AND OTHER FINANCIAL MEANS, NET OF CURRENT COMMITMENTS, AVAILABLE TO MEET THE TOTAL CONSTRUCTION CASH FLOW DEMANDS OF THE SUBJECT CONTRACT OR CONTRACTS AS SPECIFIED IN SECTION III, EVALUATION AND QUALIFICATION CRITERIA SOURCE OF FINANCING AMOUNT Table Footer : - CURRENT CONTRACT COMMITMENTS : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FORM FIN – 3 4- CURRENT CONTRACT COMMITMENTS - WORKS IN PROGRESS Table Header : TENDERERS AND EACH MEMBER TO A JV SHOULD PROVIDE INFORMATION ON THEIR CURRENT COMMITMENTS ON ALL CONTRACTS THAT HAVE BEEN AWARDED, OR FOR WHICH A LETTER OF INTENT OR ACCEPTANCE HAS BEEN RECEIVED, OR FOR CONTRACTS APPROACHING COMPLETION, BUT FOR WHICH AN UNQUALIFIED, FULL COMPLETION CERTIFICATE HAS YET TO BE ISSUED. NAME OF CONTRACT PROCURING ENTITY’S CONTACT ADDRESS PROCURING ENTITY’S CONTACT TELEPHONE VALUE OF OUTSTANDING WORK ESTIMATED COMPLETION DATE AVERAGE MONTHLY INVOICING OVER LAST SIX MONTHS Table Footer : - GENERAL CONSTRUCTION EXPERIENCE : TENDERER'S QUALIFICATION WITHOUT PREQUALIFICATION- FORM EXP - 4 1- GENERAL CONSTRUCTION EXPERIENCE Table Header : - STARTING YEAR ENDING YEAR CONTRACT NAME BRIEF DESCRIPTION OF THE WORKS PERFORMED BY THE TENDERER AMOUNT OF CONTRACT NAME OF PROCURING ENTITY ADDRESS ROLE OF TENDERER Table Footer : - SIMILAR CONTRACT INFORMATION : TENDERER’S QUALIFICATION WITHOUT PRE- QUALIFICATION- FORM EXP - 4 2(A)- SPECIFIC CONSTRUCTION AND CONTRACT MANAGEMENT EXPERIENCE Table Header : - CONTRACT IDENTIFICATION AWARD DATE COMPLETION DATE ROLE IN CONTRACT TOTAL CONTRACT AMOUNT (KENYA SHILLING) Table Footer : - MEMBER IN A JV OR SUB-CONTRACTOR : TENDERER’S QUALIFICATION WITHOUT PRE-QUALIFICATION- FORM EXP - 4 2(A)- SPECIFIC CONSTRUCTION AND CONTRACT MANAGEMENT EXPERIENCE Table Header : IF MEMBER IN A JV OR SUB-CONTRACTOR, SPECIFY PARTICIPATION IN TOTAL CONTRACT AMOUNT CONTRACT IDENTIFICATION JV OR SUB-CONTRACTOR PARTICIPATION IN TOTAL CONTRACT AMOUNT PROCURING ENTITY'S NAME ADDRESS TELEPHONE/FAX NUMBER E-MAIL Table Footer : - SIMILAR CONTRACT INFORMATION (CONT) : TENDERER’S QUALIFICATION WITHOUT PRE-QUALIFICATION- FORM EXP - 4 2(A)- SPECIFIC CONSTRUCTION AND CONTRACT MANAGEMENT EXPERIENCE Table Header : DESCRIPTION OF THE SIMILARITY IN ACCORDANCE WITH SECTION III; EVALUATION AND QUALIFICATION CRITERIA: SIMILAR CONTRACT NO. AMOUNT PHYSICAL SIZE OF REQUIRED WORKS ITEMS COMPLEXITY METHODS/TECHNOLOGY CONSTRUCTION RATE FOR KEY ACTIVITIES OTHER CHARACTERISTICS Table Footer : - KEY ACTIVITIES : TENDERER’S QUALIFICATION WITHOUT PRE-QUALIFICATION- FORM EXP - 4 2(B)- CONSTRUCTION EXPERIENCE IN KEY ACTIVITIES Table Header : ALL SUB-CONTRACTORS FOR KEY ACTIVITIES MUST COMPLETE THE INFORMATION IN THIS FORM AS PER ITT 36 AND SECTION III, EVALUATION AND QUALIFICATION CRITERIA KEY ACTIVITY NO CONTRACT IDENTIFICATION AWARD DATE COMPLETION DATE ROLE IN CONTRACT TOTAL CONTRACT AMOUNT Table Footer : - QUANTITY PERFORMED UNDER THE CONTRACT PER YEAR OR PART OF THE YEAR : TENDERER’S QUALIFICATION WITHOUT PRE-QUALIFICATION- FORM EXP - 4 2(B)- CONSTRUCTION EXPERIENCE IN KEY ACTIVITIES Table Header : ALL SUB-CONTRACTORS FOR KEY ACTIVITIES MUST COMPLETE THE INFORMATION IN THIS FORM AS PER ITT 36 AND SECTION III, EVALUATION AND QUALIFICATION CRITERIA YEAR TOTAL QUANTITY IN THE CONTRACT (I) PERCENTAGE PARTICIPATION (II) ACTUAL QUANTITY PERFORMED (I) X (II) PROCURING ENTITY’S NAME ADDRESS TELEPHONE/FAX NUMBER E-MAIL Table Footer : - TECHNICAL EVALUATION CRITERIA : TECHNICAL EVALUATION FORM Technical Evaluation Process :

- Consider for Technical Evaluation:

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