Annex No. 1 TENDER FORM …………………………………………………………………………………………………………………………………………………………… Name of contractor …………………………………………………………………………………………………………………………………………………………….. Address of company seat …………………………………………………………………………………………………………………………………………………………… phone / fax number …………………………………………………………………………………………………………………………………………………………… NIP, REGON Participating in the proceedings conducted in the mode of inquiry for: Raw materials for tests – Pigments for ceramic body I/we offer the realization of the delivery specified in this inquiry under the terms and conditions specified therein. Technical parameters required for the order We offer execution of the order with the following parameters, as described below: YES / NO (Note: Parameter You must fill in (Note: You must fill in every field and every field) enter the value of the parametr for the offered product. Do not fill the darkened fields.) Parameter name and requirements Task 1 Raw materials for tests – Pigment 1 for ceramic body quantity 5 ton Technical Specification Name of the parameter Minimal requirements Colour black Chemical composition Cr-Fe-Si Sieve residue 45µ [%] ≤1 DELIVERY TERMS I confirm terms of delivery: EXW Task 2 Raw materials for tests – Pigment 2 for ceramic body quantity 2 ton Technical Specification Name of the parameter Name of parameter Colour black Chemical composition Fe-Cr Specific gravity [g/cm3] 4,5 the Sieve residue 40µ [%] < 1,0 DELIVERY TERMS I confirm terms of delivery: EXW Task 3 Raw materials for tests – Pigment 3 for ceramic body quantity 1 ton Technical Specification Name of the parameter Name of parameter Colour the blue Chemical composition Co-Zn-Al Size of grains D50 [µm] 2,0 DELIVERY TERMS I confirm terms of delivery: EXW Task 4 Raw materials for tests – Pigment 4 for ceramic body quantity 4 ton Technical Specification Name of the parameter Name of parameter Colour the grey Chemical composition Co-Zn-Al-Zr-Fe-Si Size of grains D50 [µm] 4,0 DELIVERY TERMS I confirm terms of delivery: EXW Task 5 Raw materials for tests – Pigment 5 for ceramic body quantity 5 ton Technical Specification Name of the parameter Name of parameter Colour the grey Chemical composition Cr-Fe-Co-Zn-AlZr-Si Size of grains D50 [µm] 4,0 DELIVERY TERMS I confirm terms of delivery: EXW Task 6 Raw materials for tests – Pigment 6 for ceramic body quantity 3 ton Technical Specification Name of the parameter Colour Name of parameter the brown Chemical composition Fe-Cr-Al Specific gravity [g/cm3] 4,2 Sieve residue 40µ [%] < 1,0 DELIVERY TERMS I confirm terms of delivery: EXW Task 7 Raw materials for tests – Pigment 7 for ceramic body quantity 2 ton Technical Specification Name of the parameter Name of parameter Colour green Chemical composition Al-Cr the Specific gravity [g/cm3] Sieve residue 40µ [%] 4,1 < 1,0 DELIVERY TERMS I confirm terms of delivery: EXW 1. Tender selection criteria a) Price of the order Task 1 Raw materials for tests – Pigment 1 for ceramic body quantity 5 ton Net price for 1 ton of raw material in Task 1 (Pigment 1 for ceramic body): Total net price for Task 1: VAT rate ............% VAT amount: The total gross price for Task 1: Task 2 Raw materials for tests – Pigment 2 for ceramic body quantity 2 ton Net price for 1 ton of raw material in Task 2 (Pigment 2 for ceramic body): Total net price for Task 2: VAT rate ............% VAT amount: The total gross price for Task 2: Task 3 Raw materials for tests – Pigment 3 for ceramic body quantity 1 ton Net price for 1 ton of raw material in Task 3 (Pigment 3 for ceramic body): Total net price for Task 3: VAT rate ............% VAT amount: The total gross price for Task 3: Task 4 Raw materials for tests – Pigment 4 for ceramic body quantity 4 ton Net price for 1 ton of raw material in Task 4 (Pigment 4 for ceramic body): Total net price for Task 4: VAT rate ............% VAT amount: The total gross price for Task 4: Task 5 Raw materials for tests – Pigment 5 for ceramic body quantity 5 ton Net price for 1 ton of raw material in Task 5 (Pigment 5 for ceramic body): Total net price for Task 5: VAT rate ............% VAT amount: The total gross price for Task 5: Task 6 Raw materials for tests – Pigment 6 for ceramic body quantity 3 ton Net price for 1 ton of raw material in Task 6 (Pigment 6 for ceramic body): Total net price for Task 6: VAT rate ............% VAT amount: The total gross price for Task 6: Task 7 Raw materials for tests – Pigment 7 for ceramic body quantity 2 ton Net price for 1 ton of raw material in Task 7 (Pigment 7 for ceramic body): Total net price for Task 7: VAT rate ............% VAT amount: The total gross price for Task 7: Deadline for realization of the order (in case of tasks not included in the bid please write „not applicable”): Task 1 Raw materials for tests: Pigment 1 for ceramic body …………………………….. Task 2 Raw materials for tests: Pigment 2 for ceramic body .……………………………. Task 3 Raw materials for tests: Pigment 3 for ceramic body .……………………………. Task 4 Raw materials for tests: Pigment 4 for ceramic body .……………………………. Task 5 Raw materials for tests: Pigment 5 for ceramic body .……………………………. Task 6 Raw materials for tests: Pigment 6 for ceramic body .……………………………. Task 7 Raw materials for tests: Pigment 7 for ceramic body .……………………………. I /we declare that we are acquainted with the contents of the inquiry and I / we have no objection to it and I /we accept the terms contained therein. In case our bid is selected as the best I / we undertake to conclude a written contract in place and time specified by the Ordering Party. We declare that the offered subject of the contract meets all the requirements of the Ordering Party. Tender validity……………………………………….. ……………………………………………….…. place, date ………………………………………………………… signature of the person/persons autorized to represent the Contractor
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