ANNEX 1 – to Request for Tender no. 3/04/2017/CD20 dated 18.04.2017
FORM OF TENDER
(template)
I.
Name and address of tenderer and its registration details, including NIP (tax ID):
…………………………………
…………………………………
…………………………………
II.
Name, phone number and e-mail of the contact person:
…………………………………………
………………………………………..
………………………………………..
III.
Value of the tender as per the wording of the tender evaluation criterion for price:
Group 1
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 2
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 3
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 4
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 5
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 6
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 7
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 8
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 9
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 10
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
Group 11
a. Net price : ……………………… [in words: ……………………….]
b. Gross price : ……………………. [in words: ……………………….]
IV.
Delivery time (criterion,, the term ") -the number of working days from order
Group 1
a. Delivery time from the date of the order: ………………………… days
Group 2
a. Delivery time from the date of the order: ………………………… days
Group 3
a.Delivery time from the date of the order: ………………………… days
Group 4
a. Delivery time from the date of the order: ………………………… days
Group 5
a.Delivery time from the date of the order: ………………………… days
Group 6
a.Delivery time from the date of the order: ………………………… days
Group 7
a.Delivery time from the date of the order: ………………………… days
Group 8
a. Delivery time from the date of the order: ………………………… days
Group 9
a.Delivery time from the date of the order: ………………………… days
Group 10
a. Delivery time from the date of the order: ………………………… days
Group 11
a. Delivery time from the date of the order: ………………………… days
V.
Terms of delivery
a) the possibility of creating inventory: YES / NO (choose the appropriate answer)
b) the possibility of successive orders: YES / NO (choose the appropriate answer)
c) the producer compatible with prerequisites specified by the Purchaser: YES / NO (choose
the appropriate answer)
VI.
Form and date of payment: ……………………………….
VII.
Validity of the offer::
I/ we declare that I am /we are bound with this offer for a period of 90 days from the
submission deadline.
I/ we declare that I/ we accept the substantial provisions of the agreement, constituting
Annex 5 to the inquiry.
Place and date: ………………………..
…..………………………………………………………………….…..
Signature of Tenderer or Tenderer's authorised representative
and company seal (if Tenderer is an entity that runs business activity)
ANNEX 2 – to Request for Tender no. 3/04/2017/CD20 dated 18.04.2017
The Form of range and prices
Name of material
The unit
The unit
Weight
net price
gross
The required
packaging/ of 1 g/ml price of 1
quantity
volume of reagent g/ml of
reagent
Group 1
Rat anti-Rituximab
4
1ml
1
1ml
Sheep Anti-Human C1qHRP
1
1ml
Goat Anti- Human IgG
(Fc)
15
1ml
Goat-anti-human
(overcaldding antibody)
4
1ml
Sheep-anti-human
(detection antibody)
4
1ml
Native human C1q
Group 2
Anti-human IgG FITC
FITC labeled anti-human
CD20
Mouse IgG2b, k FITC
Rabbit A-active Caspase3
5
1ml
2
1ml
1
1ml
6
1ml
Group 3
The net The gross
price of 1 price of 1
(one)
(one)
package package
RPMI-1640/ w stable
glutamine Medium
55
500ml
Sodium pyruvate
(C3H3NaO3)
4
100mg
4
100ml
4-(2-hydroxyethyl)-1piperazineethanesulfonic
acid (Hepes ;
C8H18N2O4S)
Group 4
Surowica - FBS(Fetal
Bovine Serum)
Glucose (C6H12O6)
Trypan Blue Solution
Triton X 100
Skim milk
8
500ml
6
100ml
5
100ml
2
100
1
500g
Group 5
7-Aminoactinomycin D
(7AAD; C62H87N13O16)
25
2ml
Group 6
Pooled human
complement serum
9
100ml
Group 7
LightCycler 480 SYBR
Green I Master
6
5ml
GeneJET Genomic DNA
Purification Kit
2
50 reakcji
MagJET Genomic DNA
4
4x96 reakcji
Kit
Group 8
Polyethylene glycol 300
(PEG)
1
1000g
Group 9
ADCC Reporter Bioassay
, 5x Core Kit
10
5x4 – 96
well plates
ADCC Reporter Bioassay
F Variant, 5x Core Kit
10
5x4 – 96
well plates
10
5x4 – 96
well plates
2
100ml
Fc gamma RIIa-H ADCP
Reporter Bioassay, Core
Kit 5x
Bio-Glo™ Luciferase
Assay System
Group 10
Dilution buffer
Biotynylation kit
10
500ml
5
1
Group 11
Protein A ELISA Kit
18
12 strip
Place and date: ………………………..
…..………………………………………………………………….…..
Signature of Tenderer or Tenderer's authorised representative
and company seal (if Tenderer is an entity that runs business activity)
ANNEX 3 – to Request for Tender no. 3/04/2017/CD20 dated 18.04.2017
STATEMENT ON THE ABSENCE OF PERSONAL OR CAPITAL LINKS
I, the undersigned …………………………………………………………………………………………………………….....,
[name and surname of Tenderer or its authorised representative], declare that
…………………………………. [name of tenderer] has / I have no personal or capital links with
Contracting Entity.
Capital or personal links are understood as mutual ties between Contracting Entity
or persons authorised to bind Contracting Entity or persons who act on behalf of Contracting
Entity in connection with preparing and conducting the procedure for selection
of a contractor, and the contractor, which are in particular the following:
1.
participation in a partnership as a partner of a civil law partnership or general
partnership,
2.
holding a least 10% of shares,
2.
serving as a member of a supervisory body or a managing body, acting as a registered
representative (prokurent) or an attorney,
3.
being a spouse, a relative by lineal consanguinity or affinity, by collateral
consanguinity to the 2nd degree or affinity to the 2nd degree, or a person linked by way
of adoption, custody or legal guardianship.
Place and date: ………………………..
…..………………………………………………………………….…..
Signature of Tenderer or Tenderer's authorised representative
and company seal (if Tenderer is an entity that runs business activity)
ANNEX 4 – to Request for Tender no. 3/04/2017/CD20 dated 18.04.2017
STATEMENT ON FULFILLING THE FORMAL REQUIREMENTS FOR PARTICIPATION IN THE
PROCEDURE
I, the undersigned …………………………………………………………………………………………………………….....,
[name and surname of Tenderer or its authorised representative], declare that
…………………………………. [name of tenderer]
1) have/ has the appropriate knowledge and experience to perform the contract
in the highest standards
2) have/ has a financial situation that guarantees the performance of the whole order
Place and date: ………………………..
…..………………………………………………………………….…..
Signature of Tenderer or Tenderer's authorised representative
and company seal (if Tenderer is an entity that runs business activity)
Attachment no. 5 to the Request for Proposal no. 3/04/2017/CD20 dated 18.04.2017
SUBSTANTATIVE PROVISIONS OF THE AGREEMENT
§ 1.
1. This Agreement is concluded as a result of the Provider’s Tender being selected
in the Request for Proposal no. 3/04/2017/CD20.
2. The subject of the agreement is a successive delivery of the reagents covered under the
Tender and ordered by the Ordering Party to the number and assortment indicated
in the orders. The Provider’s Tender together with the attachments submitted with the
Request for Proposal no. 3/04/2017/CD20 (Attachment no. 1) are an integral part of this
Agreement.
3. The Provider declares that the assortment constituting the subject of this agreement
complies with the tender submitted
as part of the Request for Proposal
no. 3/04/2017/CD20.
4. The Provider is obliged to provide the Ordering Party with individual orders on the terms
specified in this agreement.
5. The prices indicated in the Tender are final and may not be changed until the subject
of the agreement has been executed.
6. The amounts indicated in the Tender may be changed depending on the Ordering Party’s
needs.
§ 2.
1. The reagents covered under the Tender shall be delivered to the Ordering Party by the
Provider to the number and in the assortment specified in the orders made individually
by the Ordering Party.
2. The Ordering Party has the right to make orders with any frequency and to any content
of the assortment.
3. Under this agreement, the Ordering Party has the right to purchase the assortment
in a total amount less than that indicated in the Request for Proposal and the Tender,
and the Provider shall have no right of claim against the Ordering Party.
4. The Provider ensures that orders can be made 8 hours a day, Monday through Friday,
between ……… and ………. in the following ways:
-
by phone at the number ____________________,
-
by fax at the number ____________________,
-
by e-mail at the e-mail address ____________________,
-
in writing at the address ___________________________________.
§ 3.
1. The subject of the order shall be delivered and unloaded within 10 working days from the
date when the Ordering Party made the order via phone, e-mail or fax. The delivery
of goods shall take place after the specific delivery date has been arranged via phone,
e-mail or fax.
2. The subject of the agreement shall be delivered to the Ordering Party at the expense and
risk of the Provider.
3. The reagents delivered to the Ordering Party must be packaged in such a way that
guarantees their safe shipping and storage. Reagents shall be packaged in sterile,
individual units. Each series of the given reagents shall bear the manufacturer's quality
certificate.
4. The Ordering Party allows for a delivery of a larger/smaller number of packages (units
per package) if the total number of units of a given reagents is maintained, depending
on the size of the packaging.
§ 4.
1. The Provider shall attach a VAT invoice to each delivery to the value of a given order,
in accordance with the Provider’s Tender.
2. The reagents unit price given in the Tender includes the costs of successive deliveries
of the subject of the order to the Ordering Party’s registered office and the insurance for
the time of delivery.
3. The payment of the price for the delivered goods shall be made in the form of a transfer
to the bank account indicated by the Provider, after the assortment has been delivered
to the Ordering Party’s registered office, in accordance with the order, based on the VAT
invoice issued by the Provider, within 30 days from the date of receiving a correctly
issued invoice. The invoice issue date cannot be earlier than the date of the delivery
to which the invoice relates.
§ 5.
1. Should the Ordering Party find the delivered reagents defective, it shall notify the
Provider about any deficiencies, non-conformities or damages of the delivered
assortment no later than within 14 days from the reagents delivery date (complaint).
2. The Provider is obliged to investigate the complaint immediately and provide the
Ordering Party with the reagents whose number and quality comply with the submitted
order, no later than within 14 days from the date of submitting the complaint by the
Ordering Party. The cost of handling the complaint shall be borne completely by the
Provider.
§ 6.
1. If a significant change in circumstances occurs where the implementation of the
agreement is no longer in the Ordering Party’s interest due to reasons that could not
be foreseen at the moment of concluding the agreement, the Ordering Party may
withdraw from the agreement within 30 days from receiving information of the above
mentioned circumstances. In such an event, the Provider is eligible to claim
remuneration only for the partially executed agreement.
2. The Ordering Party may withdraw from the agreement also if the Provider significantly
breaches the provisions of this agreement, by which the parties consider in particular the
Provider missing the delivery timelines mentioned in § 3 clause 2. The Ordering Party
may exercise its right mentioned in this paragraph to withdraw from the agreement until
the date of the validity of the contract.
3. The Ordering Party allows for changes to this agreement upon its conclusion.
In particular, the Ordering Party allows for changes in the assortment constituting the
subject of this agreement in the situation when the specified assortment is withdrawn
from production and another one, with characteristics no worse than those stipulated
in the agreement, is available. The Provider is obliged to document the assortment
withdrawal in writing.
§ 7.
1. The Ordering Party is eligible to charge a contractual penalty for a delivery delay to the
amount of 5% of the value of the submitted order for each day of delay.
2. Should the Ordering Party withdraw from the agreement by the fault of the Provider, the
Provider is obliged to pay the Ordering Party a contractual penalty of 10% of the
estimated value of the agreement referred to in the Tender as the Total Value of the
Materials.
3. Payment of a contractual penalty does not exclude the Ordering Party’s right to pursue
claims exceeding the amount of the penalty fee.
§ 8.
1. This agreement has been concluded for a definite period and is binding year from the
conclusion.
2. Any changes to the Agreement require written form under pain of invalidity. Any
provisions in the documents, including confirmations of the acceptance of the delivery,
certificates of acceptance or invoices shall not be considered as changes to the
Agreement, unless they clearly state that they are. The parties exclude the possibility
of a tacit acceptance of an offer that would change the provisions of this Agreement
as well as the possibility to accept an offer subject to modifications or supplementations.
3. Rights and obligations as well as claims against the Ordering Party transpiring from the
Agreement may not be transferred by the Provider to third parties without the Ordering
Party’s written consent.
§ 9.
1. Any disputes resulting from the implementation of this agreement are subject to the
Polish law and shall be resolved by the common court of competent jurisdiction in Łódź.
2. The Agreement has been issued in the Polish, in 2 identical copies, i.e. 1 (one) copy for
each Party.
3. If the agreement should be concluded with a foreign contractor, the agreement shall
be issued in two identical copies, each in the Polish and English version, one for each
party. In case of discrepancies between the Polish and English version of the agreement,
the Polish version shall be applicable.
4. Any matters not regulated in this agreement shall be governed by the provisions of the
Civil Code.
5. The Request for Proposal no. 3/04/2017/CD20 and the Tender of the Provider submitted
in the tender procedure constitute an integral part of this agreement.
…..………………………………………………………………….…..
Signature of Tenderer or Tenderer's authorised representative
and company seal (if Tenderer is an entity that runs business activity)