E-HAILING PLATFORM OPERATOR SUBMISSION [to be completed fully by all interested parties and attached to their submission] Kindly note that the information provided in the form set out below will be kept confidential by ACSA insofar as permitted by law, and will not – other than for purposes of verifying compliance with the Minimum Operating Standards – influence the decision by ACSA as to the allocation of the opportunity to make use of ACSA’s proposed e-hailing service facility. 1. Company Details Company registration name Trading name [t/a if applicable] Company registration number Physical address Website (if applicable) Details of e-hailing app Name and surname of contact person Telephone number Email address Postal address 2. Operational information (in each case as applicable to South Africa only) Number of years in operation Number of active vehicles in circulation Number of active drivers on database Number of app downloads Average number of transactions or trips [Indicate number of trips per month taken per month in each of the municipal below] areas listed below: Johannesburg Cape Town 1 SCM Reference Number:COR 6254/2019/RFI Durban Bloemfontein Port Elizabeth Upington East London George Kimberley 3. Kindly indicate which airports you currently operate at: Name of airport Average number of transactions or trips concluded per month per airport (including pick-ups and drop-offs) O.R. Tambo International Airport Cape Town International Airport King Shaka International Airport Bram Fischer International Airport Port Elizabeth International Airport Upington International Airport East London Airport George Airport Kimberley Airport 4. Kindly indicate which airport/s you would prefer to operate at in the future, using ACSA’s proposed e-hailing service facility: O.R. Tambo International Airport Cape Town International Airport King Shaka International Airport Bram Fischer International Airport Port Elizabeth International Airport Upington International Airport East London Airport George Airport Kimberley Airport 5. Do you require space for a seating facility for your passengers? If yes, kindly provide a mock-up of this facility in your submission (per airport as applicable). _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 2 SCM Reference Number:COR 6254/2019/RFI 6. Do you require a staging facility? If yes kindly indicate the number of bays you require (per airport as applicable). _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 7. Please submit the following documents with this Platform Operator Submission • A copy of the Company’s valid tax clearance certificate • A copy of the Company’s valid B-BBEE Certificate • A copy of the Company’s Bank Account Confirmation Letter • Companies and Intellectual Property Commission (CIPC) Documents for the e-hailing platform operator entity Thus, done and signed at ____________________ on the ________ day of____________ 20_______ Name and designation: ________________________________________ Duly authorised signatory: ________________________________________ 3 SCM Reference Number:COR 6254/2019/RFI .