Annex No. 1

TENDER FORM

…………………………………………………………………………………………………………………………………………………………… Name of contractor

……………………………………………………………………………………………………………………………………………………………..Address of company seat

…………………………………………………………………………………………………………………………………………………………… phone / fax number

……………………………………………………………………………………………………………………………………………………………

NIP, REGON

Participating in the proceedingsconducted in the mode of inquiry for:

Costs of materials (tools) used for tests – polishingtools (polishingstones)

I/we offer the realization of the deliveryspecified in thisinquiryunder the terms and conditionsspecifiedtherein.

Technical parametersrequired for the order
Parametername and requirements / We offerexecution of the order with the followingparameters, as describedbelow:
YES / NO (Note: Youmustfill in every field) / Parameter
(Note: Youmustfill in every field and enter the value of the parameter and the description for the offeredtools. Do not fill the darkenedfields.)
Task 1 Polishingtools (polishingstones): POLISHING STONE 1 quantity 54 pieces
TECHNICAL REQUIREMENTS:
STONE GR. 600140 RESIN
Granulation of the stone - 600
Length of the stone (mm) - 140
DELIVERY TERMS
I confirmterms of delivery: DAP Tomaszów Maz.
Task 2 Polishingtools (polishingstones): POLISHING STONE 2 quantity 64 pieces
TECHNICAL REQUIREMENTS:
STONE GR. 800140 RESIN
Granulation of the stone - 800
Length of the stone (mm) - 140
DELIVERY TERMS
I confirmterms of delivery: DAP Tomaszów Maz.
Task 3 Polishingtools (polishingstones): POLISHING STONE 3 quantity 18pieces
TECHNICAL REQUIREMENTS:
STONE GR. 1200140 RESIN
Granulation of the stone - 1000
Length of the stone (mm) - 140
DELIVERY TERMS
I confirmterms of delivery: DAP Tomaszów Maz.
Task 4 Polishingtools (polishingstones): POLISHING STONE 4 quantity 12pieces
TECHNICAL REQUIREMENTS:
STONE GR. 1800140 RESIN
Granulation of the stone - 2000
Length of the stone (mm) - 140
DELIVERY TERMS
I confirmterms of delivery: DAP Tomaszów Maz.
Task 5 Polishingtools (polishingstones): POLISHING STONE 5 quantity 24 pieces
TECHNICAL REQUIREMENTS:
STONE GR. 3500140 RESIN
Granulation of the stone - 3000
Length of the stone (mm) - 140
DELIVERY TERMS
I confirmterms of delivery: DAP Tomaszów Maz.
  1. Tender selectioncriteria

a)Price of the order

Task 1 Polishingtools (polishingstones): POLISHING STONE 1 quantity 54 pieces
Net price for 1 piece of polishingtool in Task 1 (POLISHING STONE 1):
Total net price for Task1:
VATrate ………... %,
VATamount:
Total grossprice for Task 1:
Task 2 Polishingtools (polishingstones): POLISHING STONE 2 quantity 64 pieces
Net price for 1 piece of polishingtool in Task 2 (POLISHING STONE 2):
Total net price for Task 2:
VATrate ………... %,
VATamount:
Total grossprice for Task 2:
Task 3 Polishingtools (polishingstones): POLISHING STONE 3 quantity 18 pieces
Net price for 1 piece of polishingtool in Task3 (POLISHING STONE 3):
Total net price for Task 3:
VATrate ………... %,
VATamount:
Total grossprice for Task 3:
Task 4 Polishingtools (polishingstones): POLISHING STONE 4 quantity 12 pieces
Net price for 1 piece of polishingtool in Task4 (POLISHING STONE 4):
Total net price for Task 4:
VATrate ………... %,
VATamount:
Total grossprice for Task 4:
Task5 Polishingtools (polishingstones): POLISHING STONE 5quantity 24pieces
Net price for 1 piece of polishingtool in Task5 (POLISHING STONE 5):
Total net price for Task 5:
VATrate ………... %,
VATamount:
Total grossprice for Task 5:

Deadline for realization of the order:

(in case oftasks not included in the bidpleasewrite„not applicable”)

Task1Polishingtools (polishingstones): POLISHING STONE 1quantity 54 pieces ………………………………………..…………………

Task2Polishingtools (polishingstones): POLISHING STONE 2quantity 64 pieces ………………………………………..…………………

Task 3 Polishingtools (polishingstones): POLISHING STONE 3quantity 18 pieces ………………………………………..………………

Task 4 Polishingtools (polishingstones): POLISHING STONE 4quantity 12 pieces ………………………………………..………………

Task5Polishingtools (polishingstones): POLISHING STONE 5quantity 24 pieces …………………………………………………………

Guarantee period in calendarmonths:

(in case of tasks not included in the bid pleasewrite„not applicable”)

Task 1 Polishingtools (polishingstones): POLISHING STONE 1quantity 54 pieces ………………………………………..…………………

Task 2 Polishingtools (polishingstones): POLISHING STONE 2quantity 64 pieces ………………………………………..…………………

Task 3 Polishingtools (polishingstones): POLISHING STONE 3quantity 18 pieces ………………………………………..………………

Task 4 Polishingtools (polishingstones): POLISHING STONE 4quantity 12 pieces ………………………………………..………………

Task5Polishingtools (polishingstones): POLISHING STONE 5quantity 24 pieces …………………………………………………………

I /we declarethat we areacquainted with the contents of the inquiry and I / we have no objection to it and I /we accept the termscontainedtherein.

In caseour bid isselected as the best I / we undertake to conclude a writtencontract in place and timespecified by the Ordering Party.

We declarethat the offeredsubject of the contractmeetsall the requirements of the Ordering Party.

Tender validity………………………………………..

……………………………………………….….…………………………………………………………

place, datesignature of the person/persons

autorized to represent the Contractor