WILDLIFE RESEARCH AND TRAINING INSTITUTE

PO BOX 842 – 20117 NAIVASHA

Email Address; procurement@wrti.go.ke

QUOTATION NO: WRTI-PPRM-104-2024-2025

PROPOSED CONSTRUCTION OF ABLUTION BLOCK AT THE NAIVASHA

WILDLIFE SANCTUARY

PUBLICATION DATE- 9th APRIL 2025

CLOSING DATE- 16th APRIL 2025

 TABLE OF CONTENTS

REQUEST FOR QUOTATIONS ........................................................................................................... 3

PART 1: INSTRUCTIONS TO TENDERERS ................................................................................ 4

Quotation And Qualification Documents .............................................................................................. 6

i) Schedule Of Requirements Table ........................................................................................ 8

ii) Form For Disclosure of Interest ...................................................................................... 9

iii) Certification ................................................................................................................ 10

iv) Certificate Of Independent Quotation Determination ....................................................... 11

v) Self-Declaration Form.................................................................................................. 12

PART 2: SCHEDULE OF REQUIREMENTS ..............................................................................13

TECHNICAL SPECIFICATIONS FOR WORKS/SERICES ....................................................................... 13

TABLE B. SCHEDULE OF REQUIREMENTS TABLE ................................................................................. 15

PART 3: CONTRACT .............................................................................................................. 16

CONTRACT AGREEMENT ................................................................................................................ 16

CONDITIONS OF CONTRACT ......................................................................................................... 17

REQUEST FOR QUOTATIONS (RFQ)

To:
From: Wildlife Research and Training Institute
Po Box 842 -20117
Naivasha, Nakuru County

1. The Wildlife Research and Training Institute invites you to submit Quotations PROPOSED
CONSTRUCTION OF ABLUTION BLOCK AT THE NAIVASHA WILDLIFE SANCTUARY
indicated in detail in “Table A to be supplied at WRTI Headquarters in Naivasha. Schedule of
Requirements and Specifications”. The quotation shall follow the instructions and documents in this
RFQ document and shall be in English Language. Tenderers may obtain further information during
office hours i.e., 0900 to 1500 hours] at the address given below.

2. Quotations shall be submitted in accordance with the instruction in Part 1: Quotation Procedures and
in a sealed envelope clearly indicating name and address of tenderer, the quotation name and title
and must reach the Procuring Entity at the address indicated below not later than 16th April 2025.
Quotations can be delivered by Email; Courier or Hand Delivery at the tenderer's option. Late
quotations shall be rejected.
3. Enquiries regarding this quotation may be addressed to;
Procurement Office
Wildlife Research and Training Institute
Po Box 842 – 20117 Naivasha
procurement@wrti.go.ke

4. Any resulting contract shall be subject to the terms and conditions detailed in Part 3: Contract.

5. Please inform by email or express mail the undersigned within (3days) of receipt of this RFQ if you will not be
submitting a quotation.

6. Address for Submission of Quotations.

Director/CEO
Wildlife Research and Training Institute
Po Box 842 – 20117 Naivasha, Kenya.
Tender/Quotation Box located at the Main Reception, Administration Building

DIRECTOR/CEO
 PART 1: INSTRUCTIONS TO TENDERERS

1. Tenderers are advised to read carefully these instructions and the Conditions of Contract in Part
3: Contract, before preparing the quotation. The standard forms in this RFQ may be photocopied for
completion but the Tenderer is responsible for their accurate reproduction. The term Tenderer shall
mean the firm or person invited to submit a quotation. The term Quotation herein shall mean the
quotation submitted as usually understood in public procurement.

2. Validity of Quotations: The quotation will be held valid for 126 Days from the date of submission.

3. The Quotation shall consist of completed Tables A, B and C and the Form of Quotation all indicated
in Part 2 of this Request for Quotations, and documents to evidence Eligibility and Conformity to
Technical Specifications.

4. Sealing and Marking of Quotations: Quotations in one “one original” should be sealed in a single
envelope, clearly marked with the Quotation No. in the RFQ, the Tenderer's name and the name
of the Procuring Entity. Envelopes should be sealed in such a manner that opening and resealing
cannot be achieved undetected.

5. Submission of Quotations: Quotations, and any alternatives if allowed as per Item 11 WRTI-
PPRM-104-2024-2025 below, should be submitted to the address below, on or before the date and
time indicated in sub-item 4 below. Late quotations will be rejected. Address for Submission of
Quotations;

Wildlife Research and Training Institute

Po Box 842 – 20117 Naivasha Town
Tender/Quotation Box Administration Building or tender box located at the main reception
Closing Date: 16th April 2025 at 11.00AM

6. Opening of Quotations: Quotations will be opened immediately after the closing date and time
specified in item 5 above, by at least three appointed officials of the Procuring Entity.

7. Tenderer Eligibility: Tenderer must submit Documentary evidence to show His/her eligibility to be
awarded a contract to cover each of the following:

• Certificate of Business Registration/ Incorporation

• Valid Tax Compliance Certificate.

• NCA 8 Building works

• Completely filled Confidential Business Questionnaire Form.

8. The Tenderer shall also complete attached forms to confirm eligibility and non-existence of a conflict
of interest in relation to this procurement requirement by signing the attached Forms.

9. Invitation not transferable: This invitation is not transferable to other firms or individuals not so invited.

10. Goods Eligibility: Tenderer must submit as evidence documents to show the country of origin of any
goods to be supplied or incorporated in the work or services

11. Technical Specifications: Documentary evidence to show that the goods meet the technical specifications.

12. Alternative Quotations: Tenderers are not permitted to submit alternative quotations for goods.
Only the alternatives, if any, of the Tenderer with the winning quotation conforming to the basic
technical requirements shall be considered by the Procuring Entity.
13. Currency: Quotations shall be priced in Kenya Shillings. Quotations in other currencies will be
rejected if not allowed. The Procuring Entity Not Allow quotations in foreign currency.
14. Evaluation of Quotations: The evaluation of quotations will be conducted using the procedure set out below:
i) Preliminary examination to determine Tenderer eligibility:
a. Certificate of Business Registration/ Incorporation
b. Valid Tax Compliance Certificate.
c. NCA 8 Building works
d. Completely filled Confidential Business Questionnaire Form.
ii) Technical examination to determine goods eligibility, compliance with technical specifications
and commercial responsiveness. The Bidder shall;
• Compliance to the technical specifications as stipulated in this tender document.
• Checking of errors in the BOQ
• Tenderers must quote the whole schedule with completeness in order to qualify as
responsive. Bids not meeting the technical specifications will be declared as non-
responsive and will not be evaluated further
iii) Financial comparison of quotations to determine the lowest evaluated quotation. The lowest
bidder shall be awarded the items on lot basis.

15. Lowest Evaluated Quotation: The lowest evaluated quotation shall be recommended for award
of contract.

16. Award of contract: Award of contract shall be by placement of a Letter of Acceptance or Local
Purchase Order in accordance with Part 3: Contract. The currency of award and payment shall be
currency in which the quotation was submitted. Unsuccessful tenderers who responded will be notified
of the accepted quotation, indicating the name and the amount of the accepted quotation

17. Right to Reject: The Procuring Entity reserves the right to accept or reject any quotation or to
cancel the quotation process and reject all quotations at any time prior to contract award.

QUOTATION AND QUALIFICATION DOCUMENTS

Instructions to Tenderer. Tenderer must complete and submit as part of the Form
of quotation.

(i) SCHEDULE OF REQUIREMENTS TABLE

(ii) FORM FOR DISCLOSURE OF INTEREST

(iii) CERTIFICATE OF INDEPENDENT QUOTATION DETERMINATION

(iv) SELF-DECLARATION FORM

(v) FOREIGN TENDERER 40% RULE (where provided)

FORM OF QUOTATION [To be completed by Tenderer]

Quotation Addressed to (Procuring

Entity)
Date of Quotation

Quotation Reference Number:

Subject of Quotation

1. We have examined and have no reservations to the Request for Quotation document, and
understand its full content and intent.

2. In compliance with your request for quotations dated , referenced above, we offer to
(specify one of supply goods, complete the works or provide the
services) to cover and conform to our pricing listed in the attached in Table B. Quotation Submission
TABLE at a total price of Kenya Shillings
(in words)

OR in Foreign Currency (if allowed), Currency amount (in words)

3. We confirm that we are eligible to participate in public procurement and meet the eligibility criteria
specified in Part 1: INSTRUCTIONS TO TENDERERS.

4. We also confirm that the (goods to be supplied) conform to the SCHEDULE OF

REQUIREMENTS TABLE below and in conformity with technical specifications listed in PART 2:
SCHEDULE OF REQUIREMENTS of this RFQ Document.

5. We undertake to adhere by the Code of Ethical Conduct for Suppliers, Contractors and Service
Providers, copy available from www.ppra.co.ke during the procurement process and the execution
of any resulting contract.

6. We confirm that the prices quoted are fixed and firm for the duration of the validity period and
performance of the contract and will not be subject to revision or variation.

7. The validity period of our quotation is: One Hundred and Twenty-Six Days (126days) from
the time and date of the submission deadline (number to be same as in the instructions to Tenderers).

8. We confirm we are not submitting any other Quotation as an individual or firm, and we are not
participating in any other Quotation as a Joint Venture member or as a subcontractor.
9. We, along with any of our subcontractors, suppliers, Engineer, 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 or a debarment imposed by the Public Procurement Regulatory
Authority or any other entity of the Government of Kenya, or any international organization.

10. 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.
11. We hereby certify and confirm that the Quotation is genuine, non-collusive and made with the
intention of accepting the contract if awarded. To this effect we have signed the “Certificate of
Independent Quotation Determination” attached below.

12. We, the Tenderer, have completed fully and signed the FORM FOR DISCLOSURE OF INTEREST-
interest of the firm in the Procuring Entity, attached below.

The Delivery/Completion period offered is: days from date of acceptance of

Quotation. The warranty period offered is weeks.

Quotation Authorized by:

Name and designation

Signature:

i) SCHEDULE OF REQUIREMENTS TABLE

 (Procuring Entity will complete the list of items to be same as those on Part 2 Table A. Schedule of
Requirements and Technical Specifications and tenderer should complete columns E and F).

Item Description of Unit of Quantity Unit price Total Price

Goods/works/services Issue
(Procuring Entity to select
one)
A B C D E F
1. Construction of ablution Block NO 1
with 2No toilets and 2No
Showers

Signature:

And seal/Stamp
Position:………………………………………………………………………..
Name:
Authorized for and on behalf of (specify name of tenderer)

Date

ii) FORM FOR DISCLOSURE OF INTEREST - Interest of the Firm in the Procuring Entity.
i) Are there any person/persons in …………… ……… (Name of Procuring Entity) who has/have an interest or
relationship in this firm? Yes/No……………………… If yes, provide details as follows.
Names of Person Designation in the Interest or Relationship
Procuring Entity with Tenderer
1
2

ii) Conflict of Interest Disclosure

Type of Conflict Disclosure If YES provide
YES OR NO details of the
relationship with
Tenderer
1 Tenderer is directly or indirectly controls, is
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 Quotation has a relationship with another
tenderer, directly or through common third
parties, that puts it in a position to influence the
quotation of another tenderer, or influence the
decisions of the Procuring Entity regarding this
quotation process.
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 quotation.
6 Tenderer would be providing goods, works, non-
consulting services or consulting services during
implementation of the contract specified in this
Quotation Document.
7 Tenderer has a close business or family
relationship with a professional staff of the
Procuring Entity who are directly or indirectly
involved in the preparation of the Quotation
document or specifications of the Contract,
and/or the Quotation evaluation process of such
contract.
8 Tenderer has a close business or family
relationship with a professional staff of the
Procuring Entity who would be involved in the
implementation or supervision of the Contract.
9 Has the conflict stemming from such
relationship stated in item 7 and 8 above been
resolved in a manner acceptable to the
Procuring Entity throughout the quotation
process and execution of the Contract?

iii) Certification

On behalf of the Tenderer, I certify that the information given above is complete, current and accurate as at the

date of submission.

Full Name

Title or Designation
(Signature)…………………………………………..(Date)…………………………………………………
iv) CERTIFICATE OF INDEPENDENT QUOTATION DETERMINATION

I, the undersigned, in submitting the accompanying Letter of quotation to the

___________________________________ [Name of Procuring Entity] for: __________________________
[Name and number of quotations] in response to the request for tenders
made by: [Name of Tenderer] do hereby make the following
statements that I certify to be true and complete in every respect:

I certify, on behalf of [Name of Tenderer] that:

1. I have read and I understand the contents of this Certificate;

2. I understand that the Tenderer will be disqualified if this Certificate is found not to be true and complete
in every respect;

3. I am the authorized representative of the Tenderer with authority to sign this Certificate, and to
submit the quotation on behalf of the Tenderer;

4. For the purposes of this Certificate and the quotation, I understand that the word “competitor” shall
include any individual or organization, other than the Tenderer, whether or not affiliated with the
Tenderer, who:

a) has been requested to submit a quotation in response to this request for quotations;
b) could potentially submit a quotation in response to this request for quotations based on their
qualifications, abilities or experience;

5. The Tenderer discloses that [check one of the following, as applicable]:

a) The Tenderer has arrived at the quotation independently from, and without consultation,
communication, agreement or arrangement with, any competitor;
b) the Tenderer has entered into consultations, communications, agreements or arrangements
with one or more competitors regarding this request for quotations, and the Tenderer discloses,
in the attached document(s), complete details thereof, including the names of the competitors
and the nature of, and reasons for, such consultations, communications, agreements or
arrangements;
6. In particular, without limiting the generality of paragraphs (5)(a) or (5)(b) above, there has been no
consultation, communication, agreement or arrangement with any competitor regarding:
a) prices;
b) methods, factors or formulas used to calculate prices;
c) the intention or decision to submit, or not to submit, a quotation; or
d) the submission of a quotation which does not meet the specifications of the request for quotations;
except as specifically disclosed pursuant to paragraph (5) (b) above;
7. In addition, there has been no consultation, communication, agreement or arrangement with any
competitor regarding the quality, quantity, specifications or delivery particulars of the works or services
to which this request for tenders relates, except as specifically authorized by the procuring authority
or as specifically disclosed pursuant to paragraph (5)(b) above;

8. the terms of the quotation 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 quotation opening, or
of the awarding of the Contract, whichever comes first, unless otherwise required by law or as
specifically disclosed pursuant to paragraph (5)(b) above.

Name
Title
Date
[Name, title and signature of authorized agent of Tenderer and Date]
v) SELF-DECLARATION FORM

We, the Tenderer (insert name) submitting our Quotation in respect of

Quotation No for (insert
quotation Title Description) for (insert Name of Procuring Entity)

DECLARE AS FOLLOWS:

That, We the Tenderer including any entity or individual that directly or indirectly controls, is controlled by
or is under common control with us, and any subcontractors, suppliers, project managers, consultants,
manufacturers, service providers, agents, individuals, or any other party involved or to be involved for any
part of the processes of procurement and contract execution related to the above quotation:

a) have not engaged/will not engage in any corrupt or fraudulent practices in the processes of
procurement and contract execution related to the above quotation as defined and/or described in the
following:

i) The RFQ for the above Quotation;

ii) Kenya's Public Procurement and Asset Disposal Act, 2015) and its attendant Regulations;

iii) Kenya's Anti-Corruption and Economic Crimes Act, 2013; and

iv) any such other Acts or Regulations of Government of Kenya;

b) have not offered/will not offer any inducement to any member of the board, management, staff and/or
employees and/or agents of ……………………. (Name of the procuring entity);

c) have not engaged/will not engage in any collusive or corrosive practice with other tenderers
participating in the subject quotation;

d) have not been sanctioned or debarred by any entity from participation in public procurement
proceedings of Kenya.

That, what is deponed to herein above is true to the best of our knowledge, information and belief.

Name of the Tenderer: .................... [Insert complete name of tenderer signing the quotation]

Name of the person duly authorized to sign the quotation on behalf of the Tenderer:
.................... [Insert complete name of person duly authorized to sign the quotation]

Title of the person signing the Quotation: .................... [Insert complete title of the person signing the
quotation]

Signature of the person named above: .................... [Insert signature of person whose name and
capacity are shown above]
 vi) CONFIDENTIAL BUSINESS QUESTIONNAIRE
You are requested to give the particulars indicated in Part 1 and either Part 2 (a), 2(b) or2(c)
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 ........................................................................................................
Plot No, .........................................................................Street/Road ..........................................
Postal address ...........................Official Mobile Tel No. ..........................................................
Alternative Tel No…………………………………. Email....................................................................
Contact person Name………………………………………………………………………………………
Nature of Business ...........................................................................................................................
Registration Certificate No................................................................................................................
Maximum value of business which you can handle at any one time – Ksh...........................
Name of your bankers ......................................................................................
Branch .............................................................................................................................................

Part 2 (a) – Sole Proprietor

Your name in full………………………. Age………………………………………….
Nationality……………………………Country of Origin…………………………….
Citizenship details…………………………………………………………………

Part 2 (b) – Partnership

Given details of partners as follows
Name Nationality Citizenship Details Shares
1. …………………………………………………………………………………………
2. …………………………………………………………………………………………
3. …………………………………………………………………………………………
Part 2 (c) – Registered Company
Private or Public
State the nominal and issued capital of company Nominal
Ksh.
Issued Ksh.
Given details of all directors as follows
Name Nationality Citizenship Details Shares
1. …………………………………………………………………………………………
2. …………………………………………………………………………………………
3. …………………………………………………………………………………………
4. …………………………………………………………………………………………
Date………………………………………. Signature of Candidate……………………….
 PART 2: SCHEDULE OF REQUIREMENTS

TABLE A. SCHEDULE OF REQUIREMENTS, TECHNICAL SPECIFICATIONS

Table A. SCHEDULE OF REQUIREMENTS AND TECHNICAL SPECIFICATIONS

[Tenderer to complete Column Indicating YES or No and if NO indicate the specification of the
offered item]

Item Description of Quantity Technical Conformity with

No Goods Specifications the Technical
(Completed by the Specifications (to
Procuring Entity be completed by
the Tenderer
1. Construction of 1NO As per the attached BOQ
ablution Block with
2No toilets and 2No
Showers
TECHNICAL SPECIFICATIONS FOR WORKS/SERICES

(a) A preliminary description of the proposed works/services and work method and schedule,
including drawings and charts, as necessary, containing all required information by which the
proposed works may be evaluated (e.g. technical characteristics, operational capacities,
maintenance, environmental effect, etc.) together with manuals or instructions for use or any
other relevant information and documentation, delivery/installation schedules, etc.;

(b) A detailed statement of how the tenderer will carry out the works/services that will form
an integral part of the Contract.

(c) DRAWINGS

(Procuring Entity to attach Drawings (if any)

 TABLE B. SCHEDULE OF REQUIREMENTS TABLE

(Procuring Entity will complete the list of items to be same as those on Table A. Schedule of
Requirements and Technical Specifications and tenderer should complete columns c-f)

Item Description of Quantity Unit price Total Price

Goods/works/services
(Procuring Entity to select one)
A B D E F
1. Construction of ablution Block with 1NO
2No toilets and 2No Showers
TOTAL

Signature………………………………………………………………………
And seal/Stamp

Name:………………………………………………………………………..

Position:……………………………………………………………….

Authorised for and on behalf of (specify name of tenderer) ________________ Date

_________________
PART 3: CONTRACT

i) CONTRACT AGREEMENT
(1) This Contract Agreement is made on ……………………………………… (specify date).

Between …………………………………………………………..[Insert complete name of Procuring Entity],

and having its principal place of Business at …………………………………………………………………[Insert
address of Procuring Entity] and …………………………………………………………………[Insert name of
Supplier, or contractor or service provider], and having its principal place of business
at…………………………………………...[Insert address of Supplier, contractor or service provider].

(2) WHEREAS the Procuring Entity invited quotations for the Supply of Goods/works/services
(select one) described in Table B, i.e.
_____________________________________________________________________________
_[insert brief description of Goods, works and Services] and has accepted a Quotation by the
Tenderer in the sum of
_______________________________________________________________[insert Contract
Price in words and figures] (hereinafter called “the Contract Price”).

(3) NOW THIS AGREEMENT WITNESSED AS FOLLOWS:

1. This Contract Agreement includes the following documents:

a) Table A. SCHEDULE OF REQUIREMENTS AND TECHNICAL SPECIFICATIONS

b) Table B. QUOTATIONSUBMISSION TABLE
c) FORM OF QUOTATION
d) Conditions of Contract

2. In consideration of the payments to be made by the Procuring Entity to the

Supplier/contractor/service provider as hereinafter mentioned, the Supplier/contractor/service
provider hereby covenants with the Procuring Entity to provide the Goods/works/services and to
remedy defects therein in conformity in all respects with the provisions of the Contract.

3. The Procuring Entity hereby covenants to pay the Supplier/Contractor/service provider

(select one) in consideration of the provision of the Goods/works/services (select one) and the
remedying of defects therein, the Contract Price or such other sum as may become payable under
the provisions of the Contract at the times and in the manner prescribed by the Contract.

(4) In WITNESS whereof the parties hereto have caused this Agreement to be executed in
accordance with the laws of Kenya.
For and on behalf of the Procuring Entity

Signed: [insert signature]

in the capacity of [insert title or other appropriate designation]

in the presence of [insert identification of official witness]

For and on behalf of the Supplier/Contractor/Service Provider (select one)

Signed: [insert signature of authorized representative(s) of the Supplier]
in the capacity of [insert title or other appropriate designation]
in the presence of [insert identification of official witness]

CONDITIONS OF CONTRACT

1. Language

The Contract as well as all correspondence and documents relating to the Contract exchanged by
the Supplier/Contractor/Service Provider (select one) Provider and the Procuring Entity, shall be
written in the English Language.

2. Eligibility

The goods shall have the nationality of an eligible country. All Goods and Related Services to be
supplied under the Contract shall have their origin in Eligible Countries.

3. Notices

Any notice given by one party to the other pursuant to the Contract shall be in writing.

4. Governing Law

The Contract shall be governed by and interpreted in accordance with the Laws of Kenya, unless
otherwise specified hereunder.

5. Settlement of Disputes

The Procuring Entity and the Supplier/Contractor/Service (select one) shall make every effort to
resolve amicably by direct informal negotiation any disagreement or dispute arising between them
under or in connection with the Contract. If the parties have failed to resolve their dispute or
difference by such mutual consultation, either the Procuring Entity or the
Supplier/Contractor/Service (select one) may give notice to the other party of its intention to
commence arbitration. The dispute shall be referred to adjudication or arbitration in accordance
with the laws of Kenya.

6. Supplier/Contractor/Service Provider Responsibilities

The Supplier/Contractor/Service Provider (select one) shall supply all the Goods included in the
Schedule of Requirements.

7. Contract Price

Prices charged by the Supplier/Contractor/Service Provider (select one) under the Contract shall
not vary from the prices quoted by the Supplier/Contractor/Service Provider (select one) in its
quotation.

8. Terms of Payment
The Contract Price shall be paid One hundred (100) percent of the Contract Price as follows
(select one):

(i) For Goods, price of goods received upon submission of a claim/invoice

supported by the acceptance certificate issued by the Procuring Entity.

(ii) For Works, upon valuation by the Contractor of the portion of the works
completed, such valuation to be accepted by the Procuring Entity,
payments up to final completion certificate.

(iii) For Services, upon valuation by the Service Provider of the services
completed, such valuation to be accepted by the Procuring Entity,
payments up to final completion certificate

9. Inspections and Tests

The Supplier/Contractor/Service Provider (select one) shall at its own expense and at no cost to
the Procuring Entity carry out all such tests and/or inspections of the Goods, works or Services to
confirm their conformity to technical specifications.

10. Warranty
The Supplier warrants that all the Goods are new, unused, and of the most recent or current
models, and that they incorporate all recent improvements in design and materials, unless
provided otherwise in the contract. Website: www.ppra.go.ke
ii) FORM NO 8 – BENEFICIAL OWNERSHIP DISCLOSURE FORM

INSTRUCTIONS TO TENDERERS: DELETE THIS BOX ONCE YOU HAVE COMPLETED THE
FORM
This Beneficial Ownership Disclosure Form (“Form”) is to be completed by the successful tenderer
pursuant to Regulation 13 (2A) and 13 (6) of the Companies (Beneficial Ownership Information)
Regulations, 2020. In case of joint venture, the tenderer must submit a separate Form for each
member. The beneficial ownership information to be submitted in this Form shall be current as of
the date of its submission.
For the purposes of this Form, a Beneficial Owner of a Tenderer is any natural person who ultimately
owns or controls the legal person (tenderer) or arrangements or a natural person on whose behalf
a transaction is conducted, and includes those persons who exercise ultimate effective control over
a legal person (Tenderer) or arrangement.

(Amended and issued pursuant to PPRA CIRCULAR No. 02/2022)

Tender Reference No.………………………………………………. [insert identification no]

Name of the Tender Title/Description…………………………….[insert name of the assignment]

to:……………………………………………………………insert complete name of Procuring Entity]

In response to the requirement in your notification of award dated…………….[insert date of

notification of award] to furnish additional information on beneficial ownership: [select one
option as applicable and delete the options that are not applicable]

I) We here by provide the following beneficial ownership information.

Details of all Beneficial % of % of Whether a Whether a
Owners shares a voting person directly person
person rights, a or indirectly directly or
holds in person holds a right to indirectly
the holds in appoint or exercises
compan the remove a significant
company
y member of the influence or
Directly board of control over
or directors of the the Company
indirectl company or an (tenderer)
y equivalent (Yes / No)
governing body
of the Tenderer
(Yes / No)

1. Full Name Directly-- Directly…… 1. Having the 1. Exercises

--------- % ……….% of right to appoint significant
National identity a majority of the influence or
card number or of shares voting rights
board of the control over the
Passport number directors or an Company body
 Details of all Beneficial % of % of Whether a Whether a
Owners shares a voting person directly person
person rights, a or indirectly directly or
holds in person holds a right to indirectly
the holds in appoint or exercises
compan the remove a significant
company
y member of the influence or
Directly board of control over
or directors of the the Company
indirectl company or an (tenderer)
y equivalent (Yes / No)
governing body
of the Tenderer
(Yes / No)

Personal Indirectly--- equivalent of the Company

Identification Indirectly -------% of governing body (tenderer)
Number (where ---------- voting rights of the Tenderer:
Yes -----No----
applicable) %
2. Is this Yes -----No----
of shares
Nationality right held
directly or
Date of birth indirectly?: 2. Is this
[dd/mm/yyyy] influence or
Postal address control
Direct…………… exercised
Residential …… directly or
address indirectly?
Telephone
Indirect…………
number Direct…………..
……...
Email address
Occupation or Indirect…………
profession

2. Full Name Directly-- Directly…… 1. Having the 1. Exercises

--------- % ……….% of right to appoint significant
National identity a majority of the influence or
card number or of shares voting rights
board of the control over
Passport number directors or an the Company
Personal Indirectly--- equivalent body of the
Identification Indirectly -------% of governing body Company
---------- voting rights of the Tenderer: (tenderer)
Number (where
Yes -----No---- Yes -----No----
applicable)
 Details of all Beneficial % of % of Whether a Whether a
Owners shares a voting person directly person
person rights, a or indirectly directly or
holds in person holds a right to indirectly
the holds in appoint or exercises
compan the remove a significant
company
y member of the influence or
Directly board of control over
or directors of the the Company
indirectl company or an (tenderer)
y equivalent (Yes / No)
governing body
of the Tenderer
(Yes / No)

Nationality(ies) % 2. Is this
of shares right held
Date of birth directly or 2. Is this
[dd/mm/yyyy] indirectly?: influence or
control
Postal address exercised
Residential Direct…………… directly or
address …… indirectly?

Telephone
number Direct…………..
Indirect…………
Email address ……...

Occupation or Indirect…………
profession

3.

e.t
.c

II) Am fully aware that beneficial ownership information above shall be reported to the Public
Procurement Regulatory Authority together with other details in relation to contract awards
and shall be maintained in the Government Portal, published and made publicly available
pursuant to Regulation 13(5) of the Companies (Beneficial Ownership Information)
Regulations, 2020.(Notwithstanding this paragraph Personally Identifiable Information in
line with the Data Protection Act shall not be published or made public). Note that Personally
Identifiable Information (PII) is defined as any information that can be used to distinguish
 one person from another and can be used to deanonymize previously anonymous data. This
information includes National identity card number or Passport number, Personal Identification
Number, Date of birth, Residential address, email address and Telephone number.

III) In determining who meets the threshold of who a beneficial owner is, the Tenderer must
consider a natural person who in relation to the company:

(a) holds at least ten percent of the issued shares in the company either directly or
indirectly;

(b) exercises at least ten percent of the voting rights in the company either directly
or indirectly;

(c) holds a right, directly or indirectly, to appoint or remove a director of the

company; or

(d) Exercises significant influence or control, directly or indirectly, over the

company.

IV) What is stated to herein above is true to the best of my knowledge, information and belief.
Name of the Tenderer: .......................*[insert complete name of the Tenderer]

Name of the person duly authorized to sign the Tender on behalf of the
Tenderer.…………………………………………………………. ** [insert complete name of person duly
authorized to sign the Tender]

Designation of the person signing the Tender: ................................. [Insert complete title
of the person signing the Tender]

Signature of the person named above: .................................. [Insert signature of person

whose name and capacity are shown above]

Date this....................... [Insert date of signing] day of....................... [Insert month],

[insert year]

Bidder Official Stamp

 Wildlife Research and Training Institute
Kenyatta Avenue, Naivasha Town, Nakuru County
Po Box 842 - 20117 Naivasha
Telephone No. +254700000321
Email: wrti@wrti.go.ke Website: www.wrti.go.ke