ANNEX
RFQ-Quotation form
ANNEX A
Requirements
The following documents form part of this RFQ and must be completed and returned with your offer:
The supply of the below equipment is required within the emergency operations in Mali.
Item 1: 396 pcs Hub Tents 24m²
Our minimum requirements:
Info on product:
Hub tent 24 m²
Specific technical requirements:
(6 x 4 x 1.75 m)
Light weight, rectangular, frame type
Water, wind, UV and FR resistant
With groundsheets, access and openings,
window transparent, no logos
Pictures attached to the offer:
Color:
Name of manufacturer:
Country of origin:
Packing:
Warranty period:
Your offer (Please fill in):
Yes/No
Item 2: 396 pcs Shade Nets
Our minimum requirements:
Info on product:
Basic shade net for hub tent 24 m²
Specific technical requirements:
Made of white UV block out and UV resistant;
2 horizontal side poles, hot dip painted or
galvanized;
6 V pegs 50 cm galvanized or hot dip painted;
6 black UV resistant ropes with runners and
shock absorbers
Pictures attached to the offer:
Name of manufacturer:
Country of origin:
Packing:
Warranty period:
Your offer (Please fill in):
Yes/No
Yes/No
Item 3: 396 pcs V pegs
Our minimum requirements:
Your offer (Please fill in):
Info on product:
V pegs set of 12 pcs
Specific technical requirements:
Extra-long, 50 cm
Pictures attached to the offer:
Name of manufacturer:
Country of origin:
Packing:
Warranty period:
Yes/No
UNOPS v2014.2
Yes/No
4 of 12
ANNEX
RFQ-Quotation form
THE PROSUCTS OFFERED ARE IN ACCORDANCE WITH THE SPECIFICATION AND REQUIREMENTS
____ YES
____ NO
ANY DEVIATION MUST BE LISTED BELOW:
_____________
Date
UNOPS v2014.2
______________________________________________________
Authorized Signature
5 of 12
ANNEX
RFQ-Quotation form
Price List, Option 1 – Air shipment
Note: All delivery terms refer to Incoterms 2010.
QUOTATION
BIDDER’S TOTAL PRICES (Price & Currency to be entered by Bidder):
TOTAL FIRM FCA PRICE (Port of Departure: City, Country)
TOTAL FIRM DAP PRICE – Airport Bamako, Mali
REQUESTED OFFER VALIDITY PERIOD FROM DATE OF OFFER SUBMISSION: 30 Days
BIDDER’S UNIT PRICES (Price & Currency to be entered by Bidder):
Item
DESCRIPTION
QTY
CURRENCY:
Unit Price
Total Price
Unit Price
FCA
FCA
DAP
1.
Hub tent 24 m²
396
2.
396
Shade net for hub tent 24 m²
3.
396
V peg
Total Price
DAP
BIDDER’S DISCOUNT FOR ACCELERATED PAYMENT
____% of total firm price for each calendar day less than thirty (30) days
BIDDER’S DELIVERY DATA
FCA POINT(S) OF DELIVERY FOR OFFERED
PRODUCTS:
DELIVERY TIME (FCA FROM DATE OF ORDER):
DELIVERY TIME (DAP FROM DATE OF ORDER):
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
SHIPMENT DIMENSIONS OF OFFERED PRODUCTS
(INCLUDING PACKAGE):
TOTAL
VOLUME
CONTAINERS
(if applicable):
Number
Size
Item 1
Item 2
Item 3
TOTAL
____________
Date
UNOPS v2014.2
_______________________________________________________________
Authorized Signature
6 of 12
ANNEX
RFQ-Quotation form
Price List, Option 2 – Ocean shipment
Note: All delivery terms refer to Incoterms 2010.
QUOTATION
BIDDER’S TOTAL PRICES (Price & Currency to be entered by Bidder):
TOTAL FIRM FOB PRICE (Port of Departure: City, Country)
TOTAL FIRM CFR PRICE – Sea Port of Dakar, Senegal
REQUESTED OFFER VALIDITY PERIOD FROM DATE OF OFFER SUBMISSION: 30 Days
BIDDER’S UNIT PRICES (Price & Currency to be entered by Bidder):
Item
DESCRIPTION
QTY
CURRENCY:
Unit Price
Total Price
Unit Price
FOB
FOB
CFR
1.
Hub tent 24 m²
396
2.
396
Shade net for hub tent 24 m²
3.
396
V peg
Total Price
CFR
BIDDER’S DISCOUNT FOR ACCELERATED PAYMENT
____% of total firm price for each calendar day less than thirty (30) days
BIDDER’S DELIVERY DATA
FCA POINT(S) OF DELIVERY FOR OFFERED
PRODUCTS:
DELIVERY TIME (FOB FROM DATE OF ORDER):
DELIVERY TIME (CFR FROM DATE OF ORDER):
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
SHIPMENT DIMENSIONS OF OFFERED PRODUCTS
(INCLUDING PACKAGE):
TOTAL
VOLUME
CONTAINERS
(if applicable):
Number
Size
Item 1
Item 2
Item 3
TOTAL
____________
Date
UNOPS v2014.2
_______________________________________________________________
Authorized Signature
9 of 12
ANNEX
RFQ-Quotation form
Price List, Option 3 – Combined (ocean/road) shipment
Note: All delivery terms refer to Incoterms 2010.
QUOTATION
BIDDER’S TOTAL PRICES (Price & Currency to be entered by Bidder):
TOTAL FIRM FOB/FCA PRICE (Port of Departure: City, Country)
TOTAL FIRM DAT PRICE – Bamako, Mali
REQUESTED OFFER VALIDITY PERIOD FROM DATE OF OFFER SUBMISSION: 30 Days
BIDDER’S UNIT PRICES (Price & Currency to be entered by Bidder):
Item
DESCRIPTION
QTY
CURRENCY:
Unit Price
Total Price
Unit Price
FOB/FCA
FOB/FCA
DAT
1.
Hub tent 24 m²
396
2.
396
Shade net for hub tent 24 m²
3.
396
V peg
Total Price
DAT
BIDDER’S DISCOUNT FOR ACCELERATED PAYMENT
____% of total firm price for each calendar day less than thirty (30) days
BIDDER’S DELIVERY DATA
FCA POINT(S) OF DELIVERY FOR OFFERED
PRODUCTS:
DELIVERY TIME (FOB/FCA FROM DATE OF ORDER):
DELIVERY TIME (DAT FROM DATE OF ORDER):
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
Item 1
Item 2
Item 3
SHIPMENT DIMENSIONS OF OFFERED PRODUCTS
(INCLUDING PACKAGE):
TOTAL
VOLUME
CONTAINERS
(if applicable):
Number
Size
Item 1
Item 2
Item 3
TOTAL
____________
Date
UNOPS v2014.2
_______________________________________________________________
Authorized Signature
10 of 12
ANNEX
RFQ-Quotation form
ANNEX B
Previous Experience Form
Previous Experience
Description
Country
of goods
____________
Date
Total
amount of
contract
Contract Identification and Title and
Contact details of Client:
(Name, Address, telephone, email, fax)
Year
project was
undertaken
_______________________________________________________________
Authorized Signature
List of subcontractors or suppliers:
Bidder must identify the names of all subcontractors/suppliers who will be providing good/services under this
contract and the type of work being subcontracted.
Full legal name and address of subcontractors:
(A) _________________________________________________
(B) _________________________________________________
(C) _________________________________________________
UNOPS v2014.2
11 of 12
ANNEX
RFQ-Quotation form
RFQ - Quotation Form
The Quotation Form must be completed, signed and returned to UNOPS. The quotations must
be made in accordance with the instructions contained in this request.
UNOPS General Conditions of Contract will apply to any resulting purchase order/contract. A
link to the UNOPS General Conditions of Contract is included in the RFQ document.
The undersigned, having read the terms and conditions of Quotation
N°.RFQ/2015/AFR/CIOH/MLI/041 set out in the attached document, hereby offers to supply the
goods specified in the RFQ at the price or prices quoted, in accordance with any
specifications stated, and subject to the terms and conditions set out or specified in the bid
document.
I, the undersigned, declare that:
a) Our firm and our personnel have no conflict of interest in any activity that would put
it, if selected for this assignment, in a conflict of interest with UNOPS.
b) Our firm confirms that the Offeror and sub-contractors have not been associated, or
had been involved in any way, directly or indirectly, with the preparation of the
design, terms of references and/or other documents used as a part of this
solicitation.
c) Our firm, its affiliates or subsidiaries, including any subcontractors or suppliers for
any part of the contract, has not been declared ineligible by UNOPS, in accordance
with clause 2, Eligibility.
d) We have not offered and will not offer fees, gifts and/or favours of kind in exchange
for this RFQ and will not engage in any such activity during the performance of any
contract awarded.
I, ____________(name of signing official)______________________________, certify that I am
___(position)_____________________ of __________(legal name of company)_____________; that by
signing this RFQ bid for and on behalf of __________(legal name of company)___________ I am certifying
that all information contained herein is accurate and truthful and that the signing of this bid is within the scope
of my powers.
____________________
___________________________
____________________
(Signature)
(Name)
(Title)
________________
(Date)
Provide the name and contact information for the primary contact from your company for this quotation:
Name: ________________________________
Title: ________________________________
Mailing address (street name/number/city/town/province/state): __________________________
____________________________________________________________________________
Tel. no: _________________________
Fax no: ___________________________
Email address: _______________________________
Offer valid until: _____(Date)__________
Must be at least 30 days
Currency of offer: ___________________
Payment terms 30 days accepted: □
Are you a UNOPS registered vendor? □ Yes □ No If yes, provide vendor number: _______________
UNOPS v2014.2
12 of 12
ANNEX
RFQ-Quotation form
Quotation to be addressed to:
Reference # RFQ/2015/AFO/CIOH/MLI/041
E-mail: [email protected]
Contact person: Procurement Unit
BIDDERS ARE RESPONSIBLE FOR THE TIMELY DELIVER OF THE QUOTATION.
Quotes are due on 22 January 2016, 12.00 hrs. (noon) (UTC + 1.00 hr).
UNOPS v2014.2
12 of 12
UNOPS Headquarters
Marmorvej 51
P.O. Box 2695
2100 Copenhagen
Denmark
Tel: +45 45 33 75 00
Fax: +45 45 33 75 01