Annex No. 1
TENDER FORM
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Name of contractor
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Address of company seat
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phone / fax number
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NIP, REGON
Participating in the proceedings conducted in the mode of inquiry for:
Costs of materials (tools) used for tests – rectification tools (diamond discs)
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:
Parameter
Parameter name and requirements
YES / NO (Note: (Note: You must fill in every field and
You must fill in enter the value of the parameter and
every field)
the description for the offered tools. Do
not fill the darkened fields.)
Task 1 Rectification tools (diamond discs): DIAMOND DISC 1 quantity 12 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC 300X12X25 D301 FOR
RECTIFICATION
Disc diameter (mm) - 300
Width of the disc working part (mm) - 12
Height of the disc working part (mm) - 25
Granulation of the disc - D 301
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
Task 2 Rectification tools (diamond discs): DIAMOND DISC 2 quantity 64 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC 300X12X25 D252 FOR
RECTIFICATION
Disc diameter (mm) - 300
Width of the disc working part (mm) - 12
Height of the disc working part (mm) - 25
Granulation of the disc – D-252
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
Task 3 Rectification tools (diamond discs): DIAMOND DISC 3 quantity 20 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC 300X12X25 D151 FOR
RECTIFICATION
Disc diameter (mm) - 300
Width of the disc working part (mm) - 12
Height of the disc working part (mm) - 25
Granulation of the disc – D-151
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
Task 4 Rectification tools (diamond discs): DIAMOND DISC 4 quantity 12 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC WITH RESINOID BOND
250X40X10 D-126 FOR RECTIFICATION
Disc diameter (mm) - 250
Width of the disc working part (mm) - 40
Height of the disc working part (mm) - 10
Granulation of the disc – D-126
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
Task 5 Rectification tools (diamond discs): DIAMOND DISC 5 quantity 26 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC WITH RESINOID BOND
130X40X14 FOR BEVELLING
Disc diameter (mm) - 130
Width of the disc working part (mm) - 40
Height of the disc working part (mm) - 14
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
Task 6 Rectification tools (diamond discs): DIAMOND DISC 6 quantity 60 pieces
TECHNICAL REQUIREMENTS:
DIAMOND DISC WITH RESINOID BOND
150X35X14 FOR BEVELLING
Disc diameter (mm) - 150
Width of the disc working part (mm) - 35
Height of the disc working part (mm) - 14
DELIVERY TERMS
I confirm terms of delivery: DAP Tomaszów
Maz.
1. Tender selection criteria
a) Price of the order
Task 1 Rectification tools (diamond discs): DIAMOND DISC 1 quantity 12 pieces
Net price for 1 piece of rectification tool in Task 1 (DIAMOND DISC 1):
Total net price for Task 1:
VAT rate ………... %,
VAT amount:
Total gross price for Task 1:
Task 2 Rectification tools (diamond discs): DIAMOND DISC 2 quantity 64 pieces
Net price for 1 piece of rectification tool in Task 2 (DIAMOND DISC 2):
Total net price for Task 2:
VAT rate ………... %,
VAT amount:
Total gross price for Task 2:
Task 3 Rectification tools (diamond discs): DIAMOND DISC 3 quantity 20 pieces
Net price for 1 piece of rectification tool in Task 3 (DIAMOND DISC 3):
Total net price for Task 3:
VAT rate ………... %,
VAT amount:
Total gross price for Task 3:
Task 4 Rectification tools (diamond discs): DIAMOND DISC 4 quantity 12 pieces
Net price for 1 piece of rectification tool in Task 4 (DIAMOND DISC 4):
Total net price for Task 4:
VAT rate ………... %,
VAT amount:
Total gross price for Task 4:
Task 5 Rectification tools (diamond discs): DIAMOND DISC 5 quantity 26 pieces
Net price for 1 piece of rectification tool in Task 5 (DIAMOND DISC 5):
Total net price for Task 5:
VAT rate ………... %,
VAT amount:
Total gross price for Task 5:
Task 6 Rectification tools (diamond discs): DIAMOND DISC 6 quantity 60 pieces
Net price for 1 piece of rectification tool in Task 6 (DIAMOND DISC 6):
Total net price for Task 6:
VAT rate ………... %,
VAT amount:
Total gross price for Task 6:
Deadline for realization of the order:
(in case of tasks not included in the bid please write „not applicable”)
Task 1 Rectification tools (diamond discs): DIAMOND DISC 1 quantity
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12 pieces
Task 2 Rectification tools (diamond discs): DIAMOND DISC 2 quantity
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64 pieces
Task 3 Rectification tools (diamond discs): DIAMOND DISC 3 quantity
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20 pieces
Task 4 Rectification tools (diamond discs): DIAMOND DISC 4 quantity
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12 pieces
Task 5 Rectification tools (diamond discs): DIAMOND DISC 5 quantity
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26 pieces
Task 6 Rectification tools (diamond discs): DIAMOND DISC 6 quantity
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60 pieces
Guarantee period in calendar months:
(in case of tasks not included in the bid please write „not applicable”)
Task 1 Rectification tools (diamond discs): DIAMOND DISC 1 quantity
………………………………………..…………………
12 pieces
Task 2 Rectification tools (diamond discs): DIAMOND DISC 2 quantity
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64 pieces
Task 3 Rectification tools (diamond discs): DIAMOND DISC 3 quantity
………………………………………..………………
20 pieces
Task 4 Rectification tools (diamond discs): DIAMOND DISC 4 quantity
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12 pieces
Task 5 Rectification tools (diamond discs): DIAMOND DISC 5 quantity
…………………………………………………………
26 pieces
Task 6 Rectification tools (diamond discs): DIAMOND DISC 6 quantity
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60 pieces
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………………………………………..
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place, date
signature of the person/persons
autorized to represent the Contractor