Technical and Financial Offer. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. Name of Bidder: Click or tap here to enter text. RFQ reference: Click or tap here to enter text. Date: Click or tap to enter a date. Company Profile Item Description Detail Legal name of bidder or Lead entity for JVs Click or tap here to enter text. Legal Address, City, Country Click or tap here to enter text. Website Click or tap here to enter text. Year of Registration Click or tap here to enter text. Legal structure Choose an item. Are you a UNGM registered vendor? ☐ Yes ☐ No If yes, insert UNGM Vendor Number Quality Assurance Certification (e.g. ISO 9000 or Equivalent) (If yes, provide a Copy of the valid Certificate): ☒ Yes ☐ No Does your Company hold any accreditation such as ISO 14001 or ISO 14064 or equivalent related to the environment? (If yes, provide a Copy of the valid Certificate): ☒ Yes ☐ No Does your Company have a written Statement of its Environmental Policy? (If yes, provide a Copy) ☒ Yes ☐ No Does your organization demonstrate significant commitment to sustainability through some other means, for example internal company policy documents on women empowerment, renewable energies or membership of trade institutions promoting such issues (If yes, provide a Copy) ☒ Yes ☐ No Is your company a member of the UN Global Compact ☒ Yes ☐ No Bank Information Bank Name: Click or tap here to enter text. Bank Address: Click or tap here to enter text. IBAN: Click or tap here to enter text. SWIFT/BIC: Click or tap here to enter text. Account Currency: Click or tap here to enter text. Bank Account Number: Click or tap here to enter text. Previous relevant experience: 3 contracts Name of previous contracts Client & Reference Contact Details including e-mail Contract Value Period of activity Types of activities undertaken Bidder’s Declaration Yes No ☐ ☐ Requirements and Terms and Conditions: I/We have read and fully understand the RFQ, including the RFQ Information and Data, Schedule of Requirements, the General Conditions of Contract, and any Special Conditions of Contract. I/we confirm that the Bidder agrees to be bound by them. ☐ ☐ I/We confirm that the Bidder has the necessary capacity, capability, and necessary licenses to fully meet or exceed the Requirements and will be available to deliver throughout the relevant Contract period. ☐ ☐ Ethics: In submitting this Quote I/we warrant th...
Technical and Financial Offer. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. / Учасники повинні заповнити цю форму, включаючи Профіль компанії та Декларацію учасника, підписати їх та направити як частину своєї пропозиції разом з Додатком 3: Технічною та Фінансовою пропозицією. Учасник повинен заповнити цю форму відповідно до зазначених інструкцій. Зміни до формату форми не допускаються, а будь-які заміни не будуть прийняті. Name of Bidder / Найменування учасника: Click or tap here to enter text. RFQ reference / Номер ЗП: Click or tap here to enter text. Date/ Дата: Click or tap to enter a date. BIDDER’S DECLARATION OF CONFORMITY / ДЕКЛАРАЦІЯ ВІДПОВІДНОСТІ УЧАСНИКА1 Yes / Так No / Ні ☐ ☐ On behalf of the Supplier, I hereby represent and warrant that neither the Supplier, nor any person having powers of representation, decision-making or control over it or any member of its administrative, management or supervisory body, has been the subject of a final judgement or final administrative decision for one of the following reasons: bankruptcy, insolvency or winding-up procedures; breach of obligations relating to the payment of taxes or social security contributions; grave professional misconduct, including misrepresentation, fraud; corruption; conduct related to a criminal organisation; money laundering or terrorist financing; terrorist offences or offences linked to terrorist activities; child labour and other trafficking in human beings, any discriminatory or exploitative practice, or any practice that is inconsistent with the rights set forth in the Convention on the Rights of the Child or other prohibited practices; irregularity; creating or being a shell company. / Від імені Постачальника я цим заявляю та гарантую, що ні Постачальник, ні будь-яка особа, яка має повноваження щодо представництва, прийняття рішень або контролю над ним, або будь-який член його адміністративного, управлінського чи наглядового органу не були об’єктом остаточного рішення або остаточного адміністративного рішення з однієї з таких причин: процедура банкрутства, неплатоспроможності або ліквідації; порушення зобов'язань щодо сплати податків або внесків до фонду соціального страхування; серйозний професійний проступок, у тому числі надання неправдивої інформації; шахрайство; корупція; поведінка, пов'язана зі злочинною організацією; відмивання коштів або фінансування тероризму; терористичні ...
Technical and Financial Offer. GOODS Bidders are requested to complete this form, sign it and return it as part of their bid along with Annex 2: Quotation Submission Form. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. Name of Bidder: Click or tap here to enter text. RFQ reference: Click or tap here to enter text. Date: Click or tap to enter a date. Currency of the Quotation: Click or tap here to enter text. INCOTERMS: Click or tap here to enter text. Item No Description UOM Qty Unit price Total price Office Rolling Chair 1 pcs Total: 25 pcs Absheron – 4 pcs Barda – 2 pcs Binagadi – 2 pcs Fizuli – 1 pcs Ganja – 2 pcs Goychay – 2 pcs Mingechevir – 1 pcs Sabunchu – 8 pcs Shamakhi – 2 pcs Shamkir – 1 pcs Office Rolling Chair 2 pcs Mingechevir – 1 pcs Office table 1 pcs Total: 6 pcs Absheron – 2 pcs Mingechevir – 2 pcs Sabunchu – 1 pcs Sumgayit – 1 pcs Office table 2 pcs Total: 18 19 pcs Absheron – 4 pcs Barda – 1 pcs Binagadi – 1 pcs Fizuli – 1 pcs Ganja – 2 pcs Goychay – 1 pcs Mingechevir – 2 pcs Sabunchu – 6 pcs Sumgayit – 1 pcs Table for courses pcs Total: 10 pcs Sumgayit – 10 pcs Safe for keys pcs Total: 2 pcs Absheron – 1 pcs Shamakhi – 1 pcs Sofa (3-seater) pcs Total: 25 pcs Absheron – 6 pcs Barda – 4 pcs Binagadi – 3 pcs Fizuli – 1 pcs Mingechevir – 7 pcs Sabunchu – 1 pcs Sumgayit – 3 2 pcs Shamakhi – 1 pcs Sofa set set Total: 1 set Sumgayit – 1set Xxxxxx Chair for Xxxxxx Shops and Beauty Parlors pcs Total: 82 pcs Absheron – 22 pcs Barda – 5 pcs Binagadi – 13 pcs Fizuli – 5 pcs Ganja – 4 pcs Goychay – 3 pcs Mingechevir – 10 pcs Sabunchu – 2 pcs Sumgayit – 11 pcs Shamakhi – 4 pcs Shamkir – 3 pcs Head Washing Station pcs Total: 29 pcs Absheron – 6 pcs Barda – 2 pcs Binagadi – 5 pcs Fizuli – 3 pcs Ganja – 2 pcs Goychay – 1 pcs Mingechevir – 6 pcs Sumgayit – 2 pcs Shamakhi – 1 pcs Shamkir – 1 pcs Xxxxxx Station pcs Total: 22 21 pcs Absheron – 5 pcs Barda – 2 pcs Binagadi – 1 pcs Fizuli – 2 pcs Ganja – 1 pcs Goychay – 3 pcs Mingechevir – 3 pcs Sabunchu – 2 pcs Shamakhi – 1 pcs Shamkir – 1 pcs Xxxxxx Station pcs Mingechevir – 1 pcs Hairdresser Station for Beauty Parlor – Type 1 pcs Total: 39 pcs Absheron – 11 pcs Barda – 2 pcs Binagadi – 10 pcs Fizuli – 2 pcs Ganja – 2 pcs Mingechevir – 3 pcs Shamakhi – 1 pcs Shamkir – 2 pcs Sumgayit – 6 pcs Hairdresser Station for Beauty Parlor – Type 2 pcs Sumgayit – 2 pcs Hairdresser Station for Beauty Parlor – Type 3 pcs Mingec...
Technical and Financial Offer. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. Name of Bidder: Click or tap here to enter text. RFQ reference: NG10-24-237 Date: Click or tap to enter a date. VENDOR INFORMATION SHEET1 XXXXXX’S DECLARATION OF CONFORMITY2 Yes No ☐ ☐ On behalf of the Supplier, I hereby represent and warrant that neither the Supplier, nor any person having powers of representation, decision-making or control over it or any member of its administrative, management or supervisory body, has been the subject of a final judgement or final administrative decision for one of the following reasons: bankruptcy, insolvency or winding-up procedures; breach of obligations relating to the payment of taxes or social security contributions; grave professional misconduct, including misrepresentation, fraud; corruption; conduct related to a criminal organisation; money laundering or terrorist financing; terrorist offences or offences linked to terrorist activities; child labour and other trafficking in human beings, any discriminatory or exploitative practice, or any practice that is inconsistent with the rights set forth in the Convention on the Rights of the Child or other prohibited practices; irregularity; creating or being a shell company. ☐ ☐ On behalf of the Supplier, I further represent and warrant that the Supplier is financially sound and duly licensed. ☐ ☐ On behalf of the Supplier, I further represent and warrant that the Supplier has adequate human resources, equipment, competence, expertise and skills necessary to complete the contract fully and satisfactorily, within the stipulated completion period and in accordance with the relevant terms and conditions. ☐ ☐ On behalf of the Supplier, I further represent and warrant that the Supplier complies with all applicable laws, ordinances, rules and regulations. ☐ ☐ On behalf of the Supplier, I further represent and warrant that the Supplier will in all circumstances act in the best interests of IOM. ☐ ☐ On behalf of the Supplier, I further represent and warrant that no official of IOM or any third party has received from, will be offered by, or will receive from the Supplier any direct or indirect benefit arising from the contract. ☐ ☐ On behalf of the Supplier, I further represent and warrant that the Supplier has not misrepresented or concealed any material facts during the contracting process. ☐ ☐ On behalf of ...
Technical and Financial Offer. GOODS Bidders are requested to complete this form, sign it and return it as part of their bid along with Annex 2: Quotation Submission Form. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. Name of Bidder: Click or tap here to enter text. RFQ reference: Click or tap here to enter text. Date: Click or tap to enter a date. List of parts that may be required during the maintenance services (all parts must be genuine): 2010 TOYOTA CAMRY (SEDAN) 2.5 V In-line 4 Gasoline Engine PARTICULARS UOM / QTY PRICING Preventive Maintenance Service Engine Lubricant, Regular, 4.5 litres 1 set Engine Lubricant, Semi Synthetic, 4.5 litres 1 set Engine Lubricant, Fully Synthetic, 4.5 Litters 1 Set Oil Filter, Original Toyota 1 pc Oil Filter, OEM Replacement 1 pc Fuel Filter, Original Toyota 1 pc Fuel Filter OEM Replacement 1 pc Air Filter, Original Toyota 1 pc Air Filter, OEM Replacement 1 pc Spark plugs, 4pcs, Original Toyota 1 set Spark plugs, 4pcs, OEM Replacement 1 set Valve Cover Gasket, Original Toyota 1 pc Valve Cover Gasket, OEM Replacement 1 pc Oil pan gasket, Original Toyota 1 pc Oil pan gasket, OEM Replacement 1 pc Tune-up: Throttle body and intake manifold cleaning 1 set Labor: Change-oil work, and engine detailing 1 set Under chassis Maintenance Brake pads, front, original Toyota 2 set Brake pads, rear, original Toyota 2 set Rack-end, pair, Original Toyota/ OEM 1 pair Tie-rod, pair, Original Toyota/ OEM 1 pair Control arm assembly, pair, original Toyota/ OEM 1 pair Control arm ball joints, pair, original Toyota/ OEM 1 pair Front stabilizer, pair, original Toyota/ OEM 1 pair Rear stabilizer, pair, original Toyota/ OEM 1 pair Strut/ Shock absorber assembly, front, pair, original Toyota/ OEM 1 pair Strut/ Shock Absorber assembly, rear, pair, original Toyota/ OEM 1 pair Center Link, original Toyota/ OEM 1 set Xxxxxx Arm, original Toyota/ OEM 1 set Idler Arm, original Toyota/ OEM 1 set Rotor disk, front, pair, original Toyota/ OEM 1 pair Rotor disk, rear, pair, original Toyota/ OEM 1 pair Hydrovac, original Toyota only, brand new 1 pc Brake Calliper repair kit and calibration job 1 set Bushings and seals 1 set Labor with under-washing 1 set 2011 TOYOTA INNOVA (MPV) 2.0 E In-line 4 Gasoline Engine PARTICULARS UOM / QTY PRICING Preventive Maintenance Service Engine Lubricant, Regular, 4 litres 1 set Engine Lubricant, Semi Synthetic, 4 litres 1 set E...
Technical and Financial Offer. The Bidder shall fill in this form in accordance with the instructions indicated. No alterations to its format shall be permitted and no substitutions shall be accepted. Name of Bidder: Click or tap here to enter text. RFQ reference: UNDP/AFG/RFQ/2021/0000009738 Date: Click or tap to enter a date. Company Profile Item Description Detail Legal name of bidder or Lead entity for JVs Click or tap here to enter text. Legal Address, City, Country Click or tap here to enter text. Website Click or tap here to enter text. Year of Registration Click or tap here to enter text. Legal structure Choose an item. Are you a UNGM registered vendor? ☐ Yes ☐ No If yes, insert UNGM Vendor Number Quality Assurance Certification (e.g. ISO 9000 or Equivalent) (If yes, provide a Copy of the valid Certificate): ☐ Yes ☐ No Does your Company hold any accreditation such as ISO 14001 or ISO 14064 or equivalent related to the environment? (If yes, provide a Copy of the valid Certificate): ☐ Yes ☐ No Does your Company have a written Statement of its Environmental Policy? (If yes, provide a Copy) ☐ Yes ☐ No Does your organization demonstrate significant commitment to sustainability through some other means, for example internal company policy documents on women empowerment, renewable energies or membership of trade institutions promoting such issues (If yes, provide a Copy) ☐ Yes ☐ No Is your company a member of the UN Global Compact ☐ Yes ☐ No Previous relevant experience: list your contracts Name of previous contracts Client & Reference Contact Details including e-mail Contract Value Period of activity Types of activities undertaken Bidder’s Declaration Yes No ☐ ☐ Requirements and Terms and Conditions: I/We have read and fully understand the RFQ, including the RFQ Information and Data, Schedule of Requirements, the General Conditions of Contract, and any Special Conditions of Contract. I/we confirm that the Bidder agrees to be bound by them. ☐ ☐ I/We confirm that the Bidder has the necessary capacity, capability, and necessary licenses to fully meet or exceed the Requirements and will be available to deliver throughout the relevant Contract period. ☐ ☐ Ethics: In submitting this Quote I/we warrant that the bidder: has not entered into any improper, illegal, collusive or anti-competitive arrangements with any Competitor; has not directly or indirectly approached any representative of the Buyer (other than the Point of Contact) to lobby or solicit information in relation to the RFQ ;ha...
