Vendor Master Application - Mozambique

CBRE I EXCELLERATE I ATTERBURY PROPERTIES
Incorporating:
Facility Management, Utilities Management, Property Management, Global
Occupier Services Africa, CBRE Excellerate MEP Services

Payment Terms: Strictly 30 Days from Receipt of Invoice.
No Payments Will Be Made Unless the Official Order Number and Other
Mandatory Requirements Are Displayed on The Invoice
Section A - Supplier Details

Supplier Legal Name
Supplier Trading Name
Registration Date
Registration Type
Company Registration Number (Alvara)
ID or Passport Number if Sole Proprietor
NUIT Registration Number
Employees Social Security number (Workers
Compensation fund)
Public Liability & Public Indemnity Insurance Cover
Total Staff Compliment
Business Telephone No
Emergency after hours call out telephone number
Contact Person
Mobile Phone No
Email - Accounts and Statutory Documents
Email - Emergency call outs
Physical Address

Postal Code
Postal Address

Postal Code

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Section B - Banking Details

Please note that incorrect bank details will lead to incorrect bank deposits/transfers. Applications
will only be accepted on an original form and if the bank details are completed and certified as
correct by the bank.
Account Number
Branch Code
Account Type
Bank Name
Branch Name
Account Holder Name
Swift Code/ IBAN No (mandatory)
(Please attach copy of current bank letter (including SWIFT Code and IBAN No)

Section C - Liability Insurance

What Public Liability Insurance do you hold?
Insurance Company:
Total Claim Value Amount covered for
Policy Number
Do you hold Professional Indemnity Cover?

Yes/ No

Total Claim Value Amount covered for
Insurance Company
Policy Number
(Please attach copy of current certificates / cover)

Section D - Area of Representation / Please Indicate Region(s)
Cabo Delgado

Gaza

lnambane

Manica

Maputo

Maputo (city)

Niassa

Sofala

Tete

Zambezia

Nampula

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Section E - Services and Products Offered

1
C1

Construction
Air-Conditioning
(HVAC)

C2
C3
C4
C5
C6

Aluminium windows
Building Construction
Carpets & Flooring
Tenant Install. Offices
Electrical Maintenance

C7
C8
C9
C10
C11
C12
C13
C14

Electronic Security
Fire Equipment
Engineers
Generators
Glass
HT Maintenance
Lift/Escalators
Locksmith

C23
C99

Waterproofing
Other

2

Services

S1
S2
S3
S4
S5
S6
S7

Handyman Services
Human Resources
Hygiene
Infrared
Insurance
I.T.

S17
S18

Garden Maintenance
Travel Agents

S19
S20
S21
S22

Valuations
Window Cleaning
Cleaning Manpower
Garden Maintenance

S99

Other

3
W1
W2
W99

Wholesale Supplies
Diesel/Petrol
Stationery
Other

Legal - Attorney/
Consulting

C15
C16
C17
C17
C18
C19
C20
C21
C22

LT Maintenance
Painting
Plumbing
Pumps
Road Maintenance
Roof Maintenance
Security Systems
Shopfitters
Sprinklers

S8
S9
S10
S11
S12
S13
S14
S15
S16

Marketing/Promotions
Motor Vehicle Maint.
Office Equipment
Pest Control
Security
Security Manpower
Space Planning
Telecommunication
Training

Services and Products Offered

List up to a maximum of five services/products offered by your enterprise. Refer to
service/product list above.
No
1

Code

Description of Services/Product

2
3
4
5

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Section F - Client/Vendor References
Company Name

Contact
Person

Tel.No

Type of Work Done

Section G - Declaration of Interest

In the interest of fairness and transparency, disclosure is required if a person wanting to register
on the CBRE I Excellerate I Atterbury Properties database is having a kinship with employees
in the service of CBRE I Excellerate I Atterbury Properties.
No
Yes

a. Are you or any person connected with the entity applying
for database registration employed by CBRE I Excellerate I
Atterbury Properties?
b. Have you been in the service of CBRE I Excellerate I
Atterbury Properties or any other associated entity for the
past six months?
c. Do you, or any person connected with the entity applying for
database registration have any relationship (family, friend, or
other) with a person employed by the principal and who may
be involved with the evaluation on this application?
d. Are you, or any person connected with the entity for
database registration, aware of any relationship (family, friend,
other) between the entity applying for database registration and
any person involved in the evaluation of this application?

□
□
□
□

□
□
□
□

If you have answered yes in any of the above, please furnish particulars in a separate page.

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Section H - Third-Party Anti Bribery and Corruption Declaration
Anti-Corruption
We represent and agree that we, our affiliates, owners, directors, officers,
employees, agents, intermediaries, subcontractors and service providers
shall be bound by and abide with all applicable local and international
anticorruption laws and regulations, including but not limited to strictly
complying with the letter and spirit of the Prevention and Combating of
Corrupt Activities Act, OECD Convention on Combating Bribery of Foreign
Public Officials, the UK Bribery Act and the US Foreign Corrupt Practices
Act.

□YES□NO
(please
provide
details)

We, our affiliates, owners, directors, officers, employees, agents,
intermediaries, subcontractors and service providers will not pay money,
promise to pay money, authorise to pay money or offer or promise
anything of value to a person in a position of trust to unduly influence the
judgement or conduct of that person. There are no exceptions for small
amounts or "facilitation" or "grease" payments. A person in a position of
trust includes any public official, political candidate, political party, party
official and private sector employee or individual.
Have any of your employees, directors, officers, shareholders, owners,
affiliates or agents been subject to regulatory sanctions, penalties,

□YES□NO

debarments and/or professional suspensions related to bribery, money
laundering, fraud or other relevant offenses?

(please
provide
details)

Have you, your management, employees, directors, officers, shareholders,

□YES□NO

owners, affiliates or your agents been involved in any investigation related (please
to bribery, money-laundering, fraud or other serious offenses with the past provide
5 years?
details)

□YES□NO

Supplier Conduct

We represent and agree that our owners, directors, officers, employees,
agents, subcontractors and service providers accept and align to the
(please
provide
CBRE Excellerate Supplier Code of Conduct.
details)

Data Protection
We, our employees, directors, officers, shareholders, owners, affiliates or
agents agrees to at all times adhere to any and all applicable data
protection legislation and policies in place.

Page 5 of 9

□
YES□NO
(please

provide
details)

Section I - Indemnity by Contractor

I agree that my Contractor Company or any Sub-Contractor/s (employed by the Contractor), by
signature here under, do unreservedly and irrevocably indemnify CBRE I Excellerate I Atterbury
Properties and its associated companies, and hold CBRE I Excellerate I Atterbury Properties clients
harmless against all the claims, clause demands, actions, dangers, liabilities, costs and expenses,
reasonable attorney's fees and suits of law, which may be made or instituted against CBRE I
Excellerate I Atterbury Properties and /or CBRE I Excellerate I Atterbury Properties clients for:
a. Any death, injury or illness incident to the Contractor, Sub-Contractor, and/or their employees
or any agent, customer, visitor or business invitee of the contractor;
b. Any damage caused to the property of the Contractor, Sub-Contractor, and/or their employees
or any agent, customer, visitor or business invitee of the Contractor, including any loss of such
property from whatsoever, while on CBRE I Excellerate I Atterbury Properties or CBRE I
Excellerate I Atterbury Properties client's premises;
c. Any claims resulting from non-compliance with legislation and CBRE I Excellerate I Atterbury
Properties or CBRE I Excellerate I Atterbury Properties client's health and safety requirements.

Acknowledgement by Contractor Representative

l,

(Full names),

(The Contractor), do hereby acknowledge and

confirm the Indemnity clause as set out above and shall ensure full compliance to the
requirements by the Contractor, Contractor employees and sub-contractors.

Contractor Representative Signature

Date

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Annexure to Terms & Conditions Once Vendor Has Been Approved

•

All verbal approvals must be reduced to writing within 24 hours from obtaining
telephonic approval to proceed with emergency work.

•

All contractors to insist on a system generated order number other than that if it
is an emergency as mentioned above.

•

Invoices received without valid order numbers will not be processed at all, however
contractual invoices does not require order numbers, payments will be made
against pre-loaded agreements.

•

All contractors who continuously accept orders and submit invoices without valid
order numbers and other relevant information will be removed from the
Approved Vendor Database.

•

Goods or Services to be delivered to their respective sites where the GRN's will be
done, All Invoices must be forwarded to the address stipulated at the bottom of the
official order.

•

Payment terms are strictly 30 Days from Receipt of Invoice. Contractual invoices will be
paid according to the agreed terms of the SLA.

•

Amendments to any information supplied during the evaluation of this application
must be brought to the attention of CBRE I Excellerate I Atterbury Properties
immediately. Failure to do so will result in the contractor being removed from the
approved vendor database.

•

The Service provider is required to comply with all terms and conditions as contained
in the purchase order.

•

Supplier Applications and all statutory documentation to be mailed to
creditors@atterbury.co.za and keep in copy business lead you received the
application from.

Page 7 of 9

Document Checklist
Document Type

Comment/Status

Vendor Master Application Form Completed
Company Letterhead
Company Registration (Alvara) Certificate
NUIT Registration Valid Certificate
Banking Details Verification Letter from Bank - (not
older than 3 months)
Employees Social Security Registration Certificate
(Workers Compensation fund)
Public Liability & Public Indemnity Insurance Cover
Certificate
QHSE Supplier Assessment Form
QHSE Contractor Code of Conduct

Additional Certificates / Membership Documents
Required Per Industry Specific
HVAC Service Providers
Fire Detection & Allied Products
Construction/Contractors
Lifts, Escalator, Hoists, Vertical Transportation
Equipment
Landscaping
Electrical/ HVAC /Fire-Technicians certificates
Comments:
PLEASE ENSURE YOU SUBMIT ALL INDUSTRY SPECIFIC CERTIFICATES AND
MEMBERSHIP DOCUMENTS

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Supply Chain Management Use
By Print Name

Received on

Preferential allocation

A,B,C,D,E,F,G,H,1

Risk Factor

Actions and recommendation.

For Official Use - CBRE I Excellerate I Atterbury Properties

Signature of Portfolio Exec:

Name:

Date:

Vendor Statutory Documents Verified by :

Name:

Date

References Verified By:

_

Signature:

Date: -------

Date:

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