Nigerian Aviation Handling : 2017 CONTRACTORS REGISTRATION FORM

CONTRACTORS' REGISTRATION FORM NIGERIAN AVIATION HANDLING COMPANY PLC nahco aviance HEADQUARTERS MURTALA MUHAMMED INTERNATIONAL AIRPORT P.M.B. 013, M.M.I.A. IKEJA, LAGOS Form No.

Affix passport photograph with name and signature behind the photograph.

(Director/Owner)

Affix passport photograph with name and signature behind the photograph.

(Representative)

1. REGISTERED BUSINESS NAME: …………..………………………………………………....……………………………….

………………………………………………………………………………………………………………………………………………………….

CURRENT OFFICE ADDRESS (Not P.O.Box): ………...…………………………………………………………………..

……………………………………………………………………………………………………………………………………………………………

POSTAL ADDRESS: …….…………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………….. E-MAIL ADDRESS: …………………………………………………………………..…………………………………………………… TELEPHONE NUMBER(S)...............................………………………………………………………………………….

1. OWNERSHIP STRUCTURE (Plc, Limited liability)………………………………………………..(Please indicate) Directors/Owners

   I) NAME: ………………………………………………………………………………….……………….........................

   RESIDENTIAL ADDRESS: ……………………………………………………………………………………………….

   ……………….……………………..…SPECIMEN SIGNATURE................................................

   NAME: ………………………………………………………………………………......................................... RESIDENTIAL ADDRESS: ……………………………………………………………………………………………..

   ………………………………….………SPECIMEN SIGNATURE……………………………………………………….

   II) NAME OF REPRESENTATIVE: ……………………………………………………………………………………….

   RESIDENTIAL ADDRESS: ……………………………………………………...................................

   ………………………………………… SPECIMEN SIGNATURE…………………………………………..

   • DISCLAIMER: Registration as a contractor does not guarantee the award of contract(s)

2. CONTRACTORS REGISTRATION REQUIREMENTS: (Ensure all documents are bound)

3. Photocopy of Certificate of Incorporation (Original for sighting)

4. 3 (three) years audited financial statements

5. Photocopy of VAT Certificate and Tax Identification Number-TIN (Original for sighting).

6. Business reference letters (minimum of 2).

7. Banker's reference & account statement.

8. Photocopy of 3-years Tax Clearance Certificate (Original for sighting).

9. Documentary profile of organization incorporating physical address, organogram of management, structure and ownership.

10. Legal Search at C.A.C (to be conducted at the expense of the applicant)

11. BANK DETAILS:

    ACCOUNT NUMBER:……………………………………………………………………………………………………………………….. BANK BRANCH:……………………………………………………………………………………………………………………………….. SORT CODE:……………………………………………………………………………………………………………………………………

12. REGISTRATION CATEGORIES AND FEES: (Please Tick) CATEGORY N N FEES (N)

    A	BELOW	- 500,000.00	10,000.00
    B	500,001.00	- 2,500,000.00	25,000.00
    C	2,500,001.00	- 10,000,000.00	100,000.00
    D	10,000,001.00	- 25,000,000.00	150,000.00
    E	25,000,001.00	- ABOVE	250,000.00

13. BUSINESS INTEREST:

14. Please indicate area of business interest based on the specializations attached overleaf:……………......…………………………………………………………………………………

    Note: All information will be treated in the strict confidence.

    Any of the information found to be false would lead to disqualification.

    CODE OF CONDUCT

    Integrity is one of our core values in NAHCO Plc, and it is therefore essential that we restate the position of the Company on issues impacting on integrity.

15. Our employees are not permitted to accept any gift from Suppliers, Contractors and Consultants or their representatives, which is intended to facilitate or give undue advantage to the Supplier/Contractor/Consultant in processing of orders, documents or payments.

16. If at any time, any of our employees is offered an inducement or such a gift, which is, or may be construed as being a bribe, the matter will be reported formally for disciplinary actions.

17. Where an employee demands for inducement or gratification from any Supplier/Contractor/Consultant, such request must be promptly rejected and reported to any Head of Department available at the time of the incident.

18. The issuance and acceptance of Order for service constitutes a legal contract, and as such, any inability to service or incomplete deliveries of orders must be declared in writing within at least three (3) days from expected date of delivery. Unserviced and/or incomplete service of orders without notification as stipulated above attracts three (3) months suspension or outright loss of registration status.

19. Multiple registrations are not permitted. That is, registration with two (2) or more different names, or by the use of proxy by the same Supplier/Contractor/Consultant. When detected such defaulters will lose their registration status with the Company.

It is important to note that we expect full compliance with this policy by all Suppliers, Contractors and Consultants as well as their Representatives.

Acknowledgement by Suppliers, Contractors or Consultants

I confirm that I have read and understood the contents of this Form. I hereby declare the information given herein is true and made in good faith with all due care. I also consent that all the information given can be verified by NAHCO Plc.

Name of Company: ………………………………………………………………………….………………………………………………… Name of Person Signing: …………………………………………………………………………………………………………………… Position: …………………………………………………………………………………………………………………………………………….. Date: ………………………..…………………………….. Signature: ………………………………………………..

FOR OFFICIAL USE ONLY

NOTE: All references (Business and Banker's) must be sent with Referee's letterhead containing assessment of the company/supplier's previous relationships particulars as to suitability or otherwise of the applicant for business purposes. This should be sent under confidential cover to: THE PROCUREMENT MANAGER, nahco aviance Hqtrs

PROCUREMENT MANAGER

NIGERIAN AVIATION HANDLING COMPANY Plc. MURTALA MUHAMMED INTERNATIONAL AIRPORT, P.M.B. 013, M.M.I.A

IKEJA, LAGOS

CHECKED BY:…………………………………………. SIGNATURE/DATE:……………….………………………… REQUIREMENTS: COMPLETE ……… INCOMPLETE ……… RECOMMENDATION FROM DEPARTMENTS OTHER THAN PROCUREMENT DEPARTMENT DEPARTMENT:……………………............. SIGN/DATE:………………………………………….. COMMENTS:…………………………………………………………………………………………………………………………….. APPROVAL: (To be completed by the Procurement Manager)COMMENTS:…………………………………………………………………………………..………………………………………..NAME:……………………………………………………………………………………………………………………………………….. SIGNATURE:……………………………………………………….. DATE……………………………………………. HEAD, CORPORATE SERVICES SIGNATURE:……………………………………………………….. DATE:……………………………………………

Closing date for submission: 31stMarch, 2017.

S/N	CLASSIFICATION				DESCRIPTION OF ITEMS
1.	Spare tubes	parts,	tyres	&	All spare parts tyres and tubes	and	GSE	accessories	like	batteries,
2.	GSEs - Foreign & Local				FMCs, Pushbacks, Pax steps, Conveyor belt, tractors, toilet and water bowsers, hand trucks etc.
3.	Oil and Lubricants				AGO, PMS (fueling of operational/official other lubricants.					cars) and
4.	Motor vehicles & Forklifts				Official/operational vehicles and forklifts
5.	ICT equipments accessories			&	Computers, laptops, photocophiers, printers, scanners, telephone boxes, handheld, radios, toners and inks
6.	Office/household equipment				Airconditioners, fridges, televisions, washing machines, cookers, water dispensers, microwave etc.
7.	PPEs				Safety boots, hand gloves, ear muffs, raincoats, fire extinguishers etc
8.	Construction, Civil Carpentary works			&	Civil works and construction/carpentary works including plumbing and electrical consumables such as taps, lightings, bulbs etc
9.	Furnitures & fittings				Tables, chairs, file cabinets, safe etc
10.	Printing & Stationeries - General Printing & Creative designs (agencies)				Printing paper, letterhead, call cards, printed items etc.
11.	Drugs & medical supplies				Drugs supplies for clinic use.
12.	Miscellaneous				All other supplies not classified in any of the eleven (11) groups. Such items as cleaning items, nylon and trash bags, corporate gifts and branded items.