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:
Raw materials for tests – pigments (inks)
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 information about the offered
every field)
raw material for each requirement. Do
not fill the darkened fields.)
Raw materials for tests – pigments (inks): PIGMENT 1 quantity 500 kg
TECHNICAL REQUIREMENTS:

Yellow ceramic ink used in the
digital printing in glazed gres floor
ceramic
tiles
production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party

Density at 20 oC – 1,42 – 1,48
g/cm3

Viscosity at 40oC, 15 rpm – 18,0 –
22,0 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
Raw materials for tests – pigments (inks): PIGMENT 2 quantity 350 kg
TECHNICAL REQUIREMENTS:

Blue ceramic ink used in the digital
printing in glazed gres floor
ceramic
tiles
production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party.

Density at 20 oC – 1,25 – 1,28
g/cm3

Viscosity at 40oC, 15 rpm – 16,0 –
20,0 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
Raw materials for tests – pigments (inks): PIGMENT 3 quantity 350 kg
TECHNICAL REQUIREMENTS:WYMAGANIA TECHNICZNE:

Beige ceramic ink used in the
digital printing in glazed gres floor
ceramic
tiles
production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party.

Density at 20 oC – 1,16 – 1,19
g/cm3

Viscosity at 40oC, 15 rpm – 17,5 –
21,5 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
Raw materials for tests – pigments (inks): PIGMENT 4 quantity 700 kg
TECHNICAL REQUIREMENTS:

Brown ceramic ink used in the
digital printing in glazed gres floor
ceramic tiles production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party.

Density at 20 oC – 1,37 – 1,40
g/cm3

Viscosity at 40oC, 15 rpm – 16,0 –
21,0 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
Raw materials for tests – pigments (inks): PIGMENT 5 quantity 300 kg
TECHNICAL REQUIREMENTS:

Black ceramic ink used in the
digital printing in glazed gres floor
ceramic tiles production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party.

Density at 20 oC – 1,30– 1,34 g/cm3

Viscosity at 40oC, 15 rpm – 18,0 –
22,0 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
Raw materials for tests – pigments (inks): PIGMENT 6 quantity 400 kg
TECHNICAL REQUIREMENTS:

Pink ceramic ink used in the digital
printing in glazed gres floor
ceramic tiles production
compatible with Dimatix head type
Star Fire SG1024/MC owned by
the Ordering Party.

Density at 20 oC – 1,33 – 1,38
g/cm3

Viscosity at 40oC, 15 rpm – 19,5 –
24,5 cP
DELIVERY TERMS
I confirm terms of delivery: EXW
1. Tender selection criteria
a) Price of the order
Raw materials for tests – pigments (inks): PIGMENT 1 quantity 500 kg
Net price for 1 kilogram of raw material (PIGMENT 1):
Total net price for raw material (PIGMENT 1):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 1):
Raw materials for tests – pigments (inks): PIGMENT 2 quantity 350 kg
Net price for 1 kilogram of raw material (PIGMENT 2):
Total net price for raw material (PIGMENT 2):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 2):
Raw materials for tests – pigments (inks): PIGMENT 3 quantity 350 kg
Net price for 1 kilogram of raw material (PIGMENT 3):
Total net price for raw material (PIGMENT 3):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 3):
Raw materials for tests – pigments (inks): PIGMENT 4 quantity 700 kg
Net price for 1 kilogram of raw material (PIGMENT 4):
Total net price for raw material (PIGMENT 4):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 4):
Raw materials for tests – pigments (inks): PIGMENT 5 quantity 300 kg
Net price for 1 kilogram of raw material (PIGMENT 5):
Total net price for raw material (PIGMENT 5):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 5):
Raw materials for tests – pigments (inks): PIGMENT 6 quantity 400 kg
Net price for 1 kilogram of raw material (PIGMENT 6):
Total net price for raw material (PIGMENT 6):
VAT rate ………... %,
VAT amount:
Total gross price for raw material (PIGMENT 6):
TOTAL PRICE FOR REALIZATION OF THE ORDER
Total net price of the order (Raw materials for tests – pigments (inks): PIGMENT 1, PIGMENT 2,
PIGMENT 3, PIGMENT 4, PIGMENT 5, PIGMENT 6):
VAT rate .........%
Total amount of VAT:
Total gross price of the order (Raw materials for tests – pigments (inks): PIGMENT 1, PIGMENT 2,
PIGMENT 3, PIGMENT 4, PIGMENT 5, PIGMENT 6):
Deadline for realization of the order (Raw materials for tests – pigments (inks): PIGMENT 1, PIGMENT
2, PIGMENT 3, PIGMENT 4, PIGMENT 5, PIGMENT 6): ………………………………………………………………………….
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