8. Sample Forms - Esteri

1 8. Sample Forms SUMMARY. Sample form No. 1: 1. TECHNICAL OFFER SUBMISSION 3. Sample form No. 2: 2. PRICE OFFER SUBMISSION SHEET .. 5. Sample form No. 3: 3. BID SECURITY .. 6. Sample form No. 4: 4. POWER OF ATTORNEY .. 8. Sample form No. 5: 5. CONTRACT AGREEMENT .. 9. Sample form No. 6: 6. PERFORMANCE SECURITY .. 11. Sample form No. 7: 7. BANK GUARANTEE FOR ADVANCE 12. Sample form No. 8: 8. MANUFACTURER'S AUTHORIZATION .. 13. Sample form No. 9: 9. QUALIFICATION STATEMENTS .. 14. Sample form No. 10: 10. TECHNICAL SPECIFICATION DEVIATION form .. 21. Sample form No. 11: 11. COMMERCIAL TERMS DEVIATION 22. 2. 1. Technical Offer Submission Sheet Date: [dd/mm/yyyy]. Bid No.: To: [name and address of Procurement Agent]. We, the undersigned, declare that: (a) We have examined and have no reservations to the Bidding Documents, including Addenda No.

2 : [insert numbers]. (b) We offer to supply in conformity with the Bidding Documents the following Goods and Related Services: [description of Goods and Related Services]. (c) We undertake, if our Bid is accepted, to deliver the Goods in accordance with the delivery schedule specified in the Schedule of Requirements. (d) Our Bid shall be valid for a period of [number of days] days from the date fixed for the bid submission deadline in accordance with the Bidding Documents, and it shall remain binding upon us and may be accepted at any time before the expiration of that period;. (e) If our Bid is accepted, we commit to obtain a Performance Security in the amount of 10% (ten percent). of the Contract Price for the due performance of the Contract. We commit to provide the Performance Security to the Procurement Agent within 30 (thirty) calendar days after Procurement Agent's notification of DGCS and Jordanian Authorities no-objection.

3 (f) Our company/ies has/have the following nationality: [insert nationality]. (g) We are not in any of the excluding situations listed in ITB Sub-Clause In the event that our Bid is successful, we undertake, if required, to provide the proof usual under the law of the country in which we are established that we do not fall into the exclusion situations listed in ITB Sub-Clause We also understand that if the information provided is proved false, the award will be considered null and void. (h) We agree to abide by the Ethics Clauses in ITB Clause 36 and, in particular, have no potential conflict of interests or any equivalent relation in that respect with other bidders or other parties in the Bidding procedure at the time of the submission of this application. (i) We are not participating, as Bidders, in more than one Bid in this bidding process.

4 (j) [Only in case of consortium] We confirm, as a partner in the consortium, that all partners are jointly and severally liable by law for the Bid and the execution of the Contract, that the partner in charge is authorised to bind, and receive instructions for and on behalf of, each member, that the execution of the Contract, including payments, is the responsibility of the partner in charge, and that all partners in the consortium are bound to remain in the consortium for the entire period of the contract's execution. 3. (k) We understand that this Bid, together with your written acceptance thereof included in your notification of award, shall constitute a binding contract between us, until a formal Contract is prepared and executed;. (l) We understand that you are not bound to accept the lowest evaluated bid or any other bid that you may receive.

5 [In case of consortium to be constituted after the contract award, the following information must be filled in by each partner]. Printed Name: In the capacity of: [Insert title or other appropriate designation]. Signature: Duly authorized to sign bid for and on behalf of: Company's seal: Dated on _____ day of _____, _____ [date of signing]. 4. 2. Price Offer Submission Sheet Date: [dd/mm/yyyy]. Bid No.: To: [name and address of Procurement Agent]. We, the undersigned, declare that: (a) We have examined and have no reservations to the Bidding Documents, including Addenda No.: [insert numbers]. (b) We offer to supply in conformity with the Bidding Documents the following Goods and Related Services: [description of Goods and Related Services]. (c) In accordance with the Price Schedule attached herewith and made part of this bid, the total DDU.

6 Project Site price of our Bid is: [total bid amount in words and figures]. [In case of consortium to be constituted after the contract award, the following information must be filled in by each partner]. Printed Name: In the capacity of: [Insert title or other appropriate designation]. Signature: Duly authorized to sign bid for and on behalf of: Company's seal: Dated on _____ day of _____, _____ [date of signing]. 5. 3. Bid Security Date: [dd/mm/yyyy]. Bid No.: To: [name and address of Procurement Agent]. Whereas [name of the Bidder] (hereinafter called the Bidder ) has submitted its Bid dated [date of submission of Bid] for the supply of [name and/or description of the Goods and Related Services]. (hereinafter called the Bid ). KNOW ALL PEOPLE by these presents that WE [name of bank] of [name of country], having our registered office at [address of bank] (hereinafter called the Bank ), are bound unto [name of Procurement Agent] (hereinafter called Procurement Agent ) in the sum equal to 5% of the Financial Offer for which payment well and truly to be made to the said Procurement Agent, the Bank binds itself, its successors, and assignees by these presents.

7 Sealed with the Common Seal of the said Bank this day [insert day] of [insert month] [insert year]. THE CONDITIONS of this obligation are: 1. If the Bidder withdraws its Bid during the period of Bid validity specified by the Bidder on the Technical Offer Submission Sheet, except as provided in ITB Sub-Clause ; or 2. If the Bidder does not accept the correction of errors pursuant to ITB Sub-Clauses and ; or 3. If the Bidder, having been notified of the acceptance of its Bid by the Procurement Agent during the period of bid validity: (a) fails or refuses to execute the Contract Agreement; or (b) fails or refuses to furnish the Performance Security, in accordance with ITB Clause 35;. We undertake to pay to the Procurement Agent up to the above amount upon receipt of its first written demand, without the Procurement Agent having to substantiate its demand, provided that in its demand the Procurement Agent will note that the amount claimed by it is due to it, owing to the occurrence of one or all of the three conditions, specifying the occurred condition or conditions.

8 This guarantee shall be governed by the Uniform Rules for Demand Guarantees (ICC Publication No. 458, 1992) and remain valid and in full force up to and including 30 (thirty) days after the period of bid validity, and any demand in respect thereof should reach the Bank not later than the above date. Notwithstanding anything to the contrary, if the Bidder is awarded the Contract, this guarantee shall remain in full force and effect after expiration of the above mentioned period until the Bidder has furnished the Performance Security to you. Name of issuing Bank: 6. Printed Name of the Signatory: In the capacity of: [Insert title or other appropriate designation]. Signature: Bank's seal: Dated on _____ day of _____, _____ [date of signing]. 7. 4. Power of Attorney Bid No.: KNOW ALL MEN BY THESE PRESENTS that the undersigned [name], [title] of [name of Company].

9 (hereinafter called the Company ), is lawfully authorised to represent and act on behalf of the Company, whose registered address is [Company's address], and does hereby appoint [name], [title], of [firm] of ___, whose signature appears below, to be the true and lawful attorney, and authorised the said attorney to sign the bids, conduct negotiations, sign a Contract and execute all the necessary matters related thereto, in the name and on behalf of the Company in connection with the execution, completion and maintenance of the Contract for [description of Goods and Related Services] of the [name of the project] Project, Bid No.. OFFICIAL SEAL AND SIGNATURE OF THE COMPANY: _____. Printed Name of the Legal Representative: Signature of the Legal Representative: Printed Name of the Attorney: In the capacity of: [Insert title or other appropriate designation].

10 Signature of the Attorney: Company's seal: Printed Name of the Witness: In the capacity of: [Insert title or other appropriate designation]. Signature of the Witness: Address of Witness Dated on _____ day of _____, _____ [date of signing]. Note: The Bidder should include such Power of Attorney in its bid in original. 8. 5. Contract Agreement THIS CONTRACT AGREEMENT made between [name of Purchaser and Procurement Agent] of [Purchaser's country] (hereinafter called the Purchaser and CITC ) of the one part and [name of Supplier] of [city and country of Supplier] (hereinafter called the Supplier ) of the other part: WHEREAS the Purchaser and CITC invited Bids for certain Goods and Related Services, viz., [brief description of Goods and Related Services] and has accepted a Bid by the Supplier for the supply of those Goods and Related Services in the sum of [contract price in words and figures] (hereinafter called the Contract Price ).