INVITATION FOR PRE-QUALIFICATION OF SUPPLIERS FOR THE YEARS NOVEMBER 2021 – SEPTEMBER 2023

Zim-TTECH, a non-profit making, locally registered health trust focusing on improving clinical services and revitalizing health systems invites applications from interested firms, for prequalification / registration of suppliers of goods, works and services as per the below categories:

    Company Contact

    Company Overview

    Banking Information

    Certification

    I hereby affirm that all information supplied is true and accurate to the best of my knowledge and belief, and I understand that this information will be considered material in the evaluation of quotations, bids, and proposals. Notice must be given of any change in status impacting the information provided within ten (10) days of said change.

    Supplier Conflict Of Interest Declaration

    All suppliers interested in conducting business with ZIM-TTECH must complete and return the Supplier Conflict of Interest Disclosure Form in order to be eligible to be awarded a contract. Please note that all suppliers are subject to comply with ZIM-TTECH conflict interest policies as stated within the certification section below.

    If a supplier has a relationship with a ZIM-TTECH official or employee or an immediate family member of ZIM-TTECH official or employee, the supplier shall disclose the information required below.

    Declaration: I hereby certify that to my knowledge, there is no conflict of interest involving the supplier named below:

    Disclosure for Conflict of Interest – Explain all YES answers in the section below.

    Company Documents

    I certify that the information provided is true and correct: