EXPRESION OF INTEREST: ESD PROGRAMME – SPORT CENTRE, GYM, AND FACILITIES COMPLEX: A REQUEST FOR PROPOSALS ON THE FACILITY MANAGEMENT AND PROVISION OF RECREATIONAL AND ARTISTIC ACTIVITIES This is a request for SMMEs/NPOs within Cullinan Diamond Mine’s Host communities interested in participating in the ESD Programme through Cullinan Sports Centre. The initiative has three key objectives highlighted below. Firstly, the Expression of Interest is for entities to propose detailed programmes covering the following key areas for maximum community benefit: Sports Health Recreation Arts Secondly, it offers an opportunity for entities to provide proposals on how they intend to manage the facilities. Lastly, is for entities to provide their sustainable model on how the centre will generate revenue to fund and sustain the programmes and the Facilities. Applicants that are shortlisted following this Expression of Interest will be invited to submit formal proposals on a competitive basis. Please note that it is a requirement that the owner of the entity be directly and fully involved for a minimum of three consecutive months. PLEASE COMPLETE ALL FIELDS AND ATTACH REQUIRED DOCUMENTS: Please note that the information requested is not for qualifying or disqualifying companies but will be used to assist in evaluating submissions. Company / Entity / NPO or NGO Name *Registration Number *Contact Person *Email Address *Contact Number *RegionRegionRegion 5Region 7Township (Community) * DESCRIPTION OF THE CULLINAN COMMUNITY SPORTS CENTRE The Sports Centre is located at Cullinan and has the following facilities: 1. Multipurpose building with Gym equipment, combi-courts and ablution facilities. 2. 3 Sports fields with rugby and soccer poles. 3. Sports bar Currently, the gym functions on a membership fee basis and the Sports Grounds are accessed through bookings. REQUIRED DOCUMENTS Please attach the following required documents and tick the appropriate box below. Where documents are not compulsory, they are identified as optional and may be submitted if available. You can access and download the Scope of Works at the following link: Scope of Works - Cullinan Sports Centre Company Registration Documents (CIPC / NPO or NGO Certificate) *Choose FileNo file chosenDelete uploaded fileProof of (Host community) address *Choose FileNo file chosenDelete uploaded fileTax Clearance Certificate *Choose FileNo file chosenDelete uploaded fileCOMPANY SHAREHOLDING STRUCTURE AND MANAGEMENT STRUCTURE Please complete the following details relating to shareholding. Please insert a Y for Yes and N for No as applicableName and Surname of Shareholder *ID No.% ShareholdingYouth *YouthYesNoGender *GenderMaleFemaleDisabledDisabledYesNoHighest QualificationName and Surname of ShareholderID No.% ShareholdingYouthYouthYesNoGenderGenderMaleFemaleDisabled *DisabledYesNoHighest QualificationName and Surname of ShareholderID No.% ShareholdingYouthYouthYesNoGenderGenderMaleFemaleDisabledDisabledYesNoHighest QualificationAdditional InformationCOMPANY EXPERIENCE AND CAPABILITIES Provide a brief description of what your company does and how many years of experience does it have.Company Introduction *Years of Experience *Please provide details about your company’s or Director’s experience and references. If the space is not enough, please attach your list.Project NameContract ValueZARClient NameContact Person & DesignationContact No.Email AddressProject NameContract ValueZARClient NameContact Person & DesignationContact No.Email AddressProject NameContract ValueZARClient NameContact Person & DesignationContact No.Email AddressAdditional InformationManagement Capabilities on any aspect of the programmes or the Facilities.YesNoDoes your entity or Directors have any previous experience in managing similar facilities or programmes?YesNoIf yes, please provide a brief description of your previous experience with your projects or programmes.PROGRAMME PROPOSAL - OVERVIEWA) PROGRAMME PROPOSALWhat programmes do you propose to promote health, arts, sports, and recreational activities for the maximum benefit of the communities? (Please use the space provided below to summarise your proposals and add attachments for further details if available. )Add attachments for further details if available.Choose FileNo file chosenDelete uploaded fileB) FACILITY MANAGEMENT PROPOSALPlease provide proposals on how you intend to manage the Facilities (Sports Centre Hall, Gym, Sports Fields, and Sports Bar). Please use the space provided below to summarise your proposals and add attachments for further details if available.Add attachments for further details if available.Choose FileNo file chosenDelete uploaded fileC)SUSTAINABILITY MODEL What is your plan for generating the funds for the day-to-day running of the facilities? (Please use the space provided below to summarise your proposals and add attachments for further details if available)Add attachments for further details if available.Choose FileNo file chosenDelete uploaded fileHow do you plan on generating revenue to sustain the programmes proposed on a self-sustaining basis? (Please use the space provided below to summarise your proposals and add attachments for further details if available)Please provide information concerning your company’s financial capabilities: Highest Annual Turnover Ever achievedZARLatest Annual Turn-OverZARDISCLAIMER I, the undersigned, herewith confirm that the information provided is true and correct to the best of my knowledge, the accuracy of which can be verified by means of certified copies of supporting documentation. PRINT NAMEIMPORTANT NOTICE Completing this form does NOT make your company a Registered Vendor or a Contracted / Preferred Supplier. This is NOT an invitation to tender / quote – the information provided will be used for the identification of potential candidates for invitation in a formal tender process, however, Cullinan Diamond Mine reserves the right to not enrol any of the candidates on the programme. Forms may be submitted in the following ways: o Directly complete online at https/:www.sedgeimpact.com and select the Cullinan Diamond Mine Sports Centre form. Submitted via email to CDM-ESD@sedgeimpact.com Submissions may be made at any time but not later than 23 July 2024. Submit