Annex 2
FORM FOR SUBMITTING SUPPLIER’S QUOTATION1
(This Form must be submitted only using the Supplier’s Official Letterhead/Stationery2)
We, the undersigned, hereby accept in full the UNDP General Terms and Conditions, and hereby offer to
supply the items listed below in conformity with the specification and requirements of UNDP as per RFQ
Reference No. RFQ/UNDP/REDD+/040/2016: Provision of Fire Fighting Equipment (Tools) for
Community Base Forest Fire Management Training in Central Kalimantan June – August 2016:
TABLE 1 : Offer to Supply Goods Compliant with Technical Specifications and Requirements
NO
Items to be
Supplied
Quan
tity
Description / Specifications of
Goods
1.
Fire Hose 2” (4
rolls X @30 M)
48
units
Canvass hose
2.
Spiral Hose 3”
( 5 M)
48
units
Material : PVC
Color : Blue
Size: 3 Inch
3.
Foot Valve
48
pcs
Inlet : 3 inch
Outlet: 5.5 inch
4.
Connection hose
from 3” to 2”
48
pcs
High Quality
Material: Iron
5.
Water Pump
48
units
Equal to Honda WL30XN / XH
Pompa Air Engine 3"
Unit Price
(IDR)
Total
Price
(IDR)
Brand
Offered
 Machine equal to Honda
GP160H 4 stroke 5.5 HP /
1
This serves as a guide to the Supplier in preparing the quotation and price schedule.
Official Letterhead/Stationery must indicate contact details – addresses, email, phone and fax numbers – for
verification purposes
2
1
3600 rpm /163 cc
 Fuel: Gasoline (bensin)
 Fuel Capacity: 3.1 liter
 Oil Capcity: 0.6 Liter
 Hose size (Ukuran Slang):
3”/80 mm
 Suction Power (Daya Hisap):
7.5 meter
 Total Head: 23 Meter
 Suction Capacity (Kapasitas
Penyedotan): 1.100
liter/minute
 Dimensi: 510 mm x 385 mm
x 435 mm
 Guarantee: 1 year
6.
7.
Jet Hose Nozzle
48
units
Material: Copper, Aluminum, Brass
Size : 1, 5 Inch
Finishing : Anodize
Quality: Good quality
Rake and handle
in one 1
(Fire Rake)
96
units
Good quality
Height of the eye: 15 Cm
Handle : Rattan/wood with good
quality
2
8.
Rake and handle
in one 2
(Shovel Rake)
96
units
Good quality
Height of the eye: 20 Cm
Handle : Rattan/wood with good
quality
9.
Fire Shovel taper
96
units
Good Quality
Handle : Rattan/wood with good
quality
High carbon steel blade is 7-1/ 4 "
10 " with taper point.
10.
Axe and grub hoe
combination/Pulas
ki Axe
96
Units
Good quality (Local)
11.
Fire Broom
96
Units
Good quality
Handle : Rattan/wood with good
quality
12.
Fire Flapper
96
Units
Good quality
Handle : Rattan/wood with good
quality
A. Sub Total Prices:
IDR.
B. Transportation cost to Palangkaraya (the excat address will be informed
IDR.
once available but it will be in town of Palangkaraya):
C. Grand Total Final and All-Inclusive Price Quotation (A+B):
IDR.
3
TABLE 3 : Offer to Comply with Other Conditions and Related Requirements
Other Information pertaining to our
Quotation are as follows :
Yes, we will
comply
Your Responses
No, we cannot
If you cannot comply,
comply
pls. indicate counter
proposal
Delivery Lead Time
Estimated weight/volume/dimension of the
Consignment:
Country/ies Of Origin3:
Validity of Quotation
Payment will be conducted upon the
service commpleted and accepted by UNDP
Acceptance UNDP Purhase Order – PO
All Provisions of the UNDP General Terms
and Conditions
All other information that we have not provided automatically implies our full compliance with
the requirements, terms and conditions of the RFQ.
[Name and Signature of the Supplier’s Authorized Person]
[Designation]
[Date]
3
If the country of origin requires Export License for the goods being procured, or other relevant documents that the
country of destination may require, the supplier must submit them to UNDP if awarded the PO/contract.
4