Appendix 2 to ITT DRF_1015 Miscellaneous materials

Bid Submission Form

Company/Name______

Tender Reference: DRF 1015 Miscellaneous materials

Date: “____” ______2017

Table 1
General Information about Bidder
Company’s address/individual*
Company’s postal address
Phone number*
Fax number
E-mail*
Company’s focal point (full name)
Focal point’s position
Web-site
Number of permanent staff in Sakhalin
Copy of Certificate of Incorporation
Tax Registration Number of Company
Management structure table (showing names of directors and senior positions)
Table 2
Additional information
Specify company’s type:
Consulting company / Research institute / Recruitment Agency / Other (specify)
Specify company’s status (government owned or private)
Company shareholders (if possible)
If Russian content is less than 100%, please name your foreign partners and indicate percentage of their interest

*The individuals to fill up only asterisk marked lines.

Commercial Proposal

№ of Lot / № / DESCRIPTION / QTY / UOM / Offered price, RUR VAT included, per EA / Offered price, RUR VAT included, per Lot
1 / 1 / CEMENT,EUCLID,SPEED CRETE BLUE LINE,BULK / 998.80 / KG
2 / TRANS OIL SAMPLER SET,ELCHROM-GS,VEI / 37.00 / SET
3 / MONO ETELENE GLUCOL / 2,400.00 / L
4 / COOLER,OIL LUBE,92039072,IRTOOLS / 1.00 / EA
2 / 5 / PING-PONG TABLE / 2.00 / EA
6 / NET,VOLLEYBALL,9.5M,5077-06,HUCK / 1.00 / EA
7 / TRIGGER SPRAY BOTTLE 16OZ PLASTIC / 5.00 / EA
8 / PITCHER,GRADUATED,3GAL,4317T6,MCMASTER / 2.00 / EA
9 / BAG,GARBAGE,POLYETHYLENE,8MKM,30L / 39.00 / EA
10 / FUNNEL,PLASTIC,1/2 PINT / 3.00 / EA
11 / FUNNEL,PLASTIC,1 PINT / 3.00 / EA
12 / SUIT,CHEM,XL,FR-00-096,DRAGER / 13.00 / EA
13 / SUIT,CHEM,SIZE M,FR00096,DRAGER / 10.00 / EA
14 / SUIT,CHEM,SIZE L,FR00096,DRAGER / 3.00 / EA
15 / SIGN,NO PARKING,50X70CM / 25.00 / EA
16 / BAG PAPER 230 X 230 X 100 MM SEIC LOGO / 50.00 / EA
17 / BAG PAPER 350 X 450 X 120 MM SEIC LOGO / 50.00 / EA
18 / MARKER RADIUS 100" DIA / 8.00 / EA
19 / LINER,TRASH,CAN,PLASTIC,60L,BLACK / 200.00 / EA
20 / RING WIRE ROPE SLING,ENDLESS,3M,32T / 1.00 / EA
21 / BELT,DRIVE,V,B68 / 2.00 / EA
22 / BELT,DRIVE,V,B68 / 4.00 / EA
23 / STILLING WELL / 1.00 / EA
3 / 24 / CARTRIDGE BLUE,C4911A,HP / 13.00 / EA
25 / SCREEN,PROJ,TRIPOD,178X178CM / 1.00 / EA
26 / CARTRIDGE MAGENTA,C4912A,HP / 13.00 / EA
27 / SHIELD,VUE-GARD SAF,VUE-150-1/2 P+,RAMCO / 135.00 / EA
28 / VSO,G1/8,24VDC,V60A413A-A213J,NORGREN / 198.00 / EA
29 / BOARD,PROCESSOR,79550502,SOLRTRN / 2.00 / EA
30 / INTERFACE UNIT,1115803,AXAIR / 11.00 / EA
31 / SW DP PRESS,DWYER,1950-00 / 20.00 / EA
32 / COM UNIT,REMOTE CTRL,RCCU-3,GE SENS / 2.00 / EA
33 / TRANSMITTER,LEVEL,ICENTA,IC-IML,0TO4BAR / 7.00 / EA
34 / SWITCH,LOUD,194E-A160-1754,ALLENB / 7.00 / EA
35 / POWER SUPPLY UNIT,AC-521,BKVIBRO / 4.00 / EA
36 / BATTERY,RECHARGEABLE,AC-520,BKVIBRO / 4.00 / EA
37 / SINGLE UNIT CHARGER,WPLN4112AR,MOTOROLA / 12.00 / EA
38 / PRINTER,NETWORK,HP,CE528A,128MB,40PPM / 1.00 / EA
39 / INKJET PRINT CARTRIDGE,TRI-COLOR,342,HP / 6.00 / EA
40 / INKJET PRINT CARTRIDGE,BLACK,336,HP / 6.00 / EA
41 / DVD+RW,BLANK DISK / 26.00 / EA
42 / SCREW,611-94020-82,ALFA-LAV / 16.00 / EA
43 / PLUG,102A-0438,AUTOCLAV / 4.00 / EA
44 / CARPHONE,COMPACT,THRANE,TT-3062D / 10.00 / EA
45 / HAND RADIO,PUMA T3EX,774051404,SELEX / 20.00 / EA
46 / KRYDON DOME REFLECTOR,RA70,CR-HINDS / 709.00 / EA
47 / INSUL BLADE TERM,IBL6-18(VG),KOMPRESS / 100.00 / SET
48 / LMP,DISCHRG,70W ,90V ,E27 ,SON-T / 845.00 / EA
49 / SWITCH,ELEC,CEAG,GHG2610005R9048,10A / 67.00 / EA
50 / JUNCTION BOX,GHG6190002R7973,CEAG / 19.00 / EA
51 / SWITCH,ELEC,CEAG,GHG2610005R9049,10A / 27.00 / EA
52 / BALLAST,150W,1.8A,161445,VOSSLOH / 465.00 / EA
53 / ADAPTER,SLIPFITTER,SFA6,CR-HINDS / 53.00 / EA
54 / PLUG,STOPPING,R-STAHL,8290/3-M25,IP66 / 80.00 / EA
55 / SHROUD,M25,PVC09,CMPP / 170.00 / EA
56 / SHROUD,M20,PVC06,CMPP / 80.00 / EA
4 / 57 / TAP,MACHINE,M14,13 054 360,WOLLSCH / 131.00 / EA
58 / SHEET,NON-METALLIC,PTFE,1200X1200MM,2MM / 29.00 / EA
59 / LOCK,MORTISE,DORMITORY,M2413-LE02,THASE / 13.00 / EA
60 / SHEET,NON-METALLIC,PTFE,1200X1200MM,5MM / 4.00 / EA
61 / SHEET,NON-METALLIC,PTFE,1200X1200MM,4MM / 4.00 / EA
62 / SPANNER,RING,9X11MM,6015860,GEDORE / 92.00 / EA
63 / SPANNER,DOUBLE,MIDGET,8MM,6094550,GEDORE / 93.00 / EA
64 / SPANNER,DOUBLE,MIDGET,7MM,6094470,GEDORE / 94.00 / EA
65 / SPANNER,RING,8X9MM,6015510,GEDORE / 105.00 / EA
66 / WRENCH,DOUBLE,GEDORE,6064050,7X8MM / 98.00 / EA
67 / WRENCH,DOUBLE,GEDORE,6064210,8X9MM / 135.00 / EA
68 / WRENCH,DOUBLE,GEDORE,6063830,6X7MM / 142.00 / EA
69 / WHEEL,CUTTING,ALUMINA,CS,180X22.23X3MM / 90.00 / EA
70 / SPANNER,DOUBLE,9X11MM,6584640,GEDORE / 157.00 / EA
71 / HANDLE,DOOR,HALTI,ASSA / 3.00 / EA
72 / SLING,WEBBING,2-PLY,50MMX5.8M,1.6T / 2.00 / EA
73 / SLING,WEBBING,4-PLY,25MMX1770M,2T / 3.00 / EA
74 / SLING,WEBBING,80MMX4250M,8T / 1.00 / EA
75 / SLING,WEBBING,50MMX4000M,2T / 2.00 / EA
76 / SLING,WEBBING,4-PLY,35MMX5.8M,1.6T / 1.00 / EA
77 / RIBBON,GRAPHIC,7433036,BLACK,4.3IN / 10.00 / EA
78 / RIBBON,GRAPHIC,7251540,BLACK,2.5IN / 10.00 / EA
79 / TAPE,VINYL,WHITE,4IN,84-3001,GRAPHIC / 2.00 / EA
80 / TAPE,VINYL,1/2IN,WHITE,2-8053001,GRAPHIC / 4.00 / RO
81 / TAPE,VINYL,1/2IN,RED,2-805-3010,GRAPHIC / 3.00 / RO
82 / TAPE,VINYL,1/2IN,YELLOW,28053008,GRAPHIC / 3.00 / RO
83 / TAPE,VINYL,4IN,140FT,RED,84-3010,GRAPHIC / 1.00 / RO
84 / WHEEL,10X2.3/4IN,2G349,GRAINGER / 9.00 / EA
85 / TAPE,POLYESTER,BLK/WHT,12MM,18764,DYMO / 15.00 / EA
86 / WHEEL,10X2.3/4IN,2G354,GRAINGER / 9.00 / EA
87 / TAPE,LABEL,DYMO,45804,19MM,7M,BLUE+WHITE / 5.00 / EA
88 / TAPE,DYMO,53713,1IN,7M,BLACK+WHITE / 5.00 / EA
89 / TAPE,DYMO,53710,1IN,7M,BLACK / 5.00 / EA
90 / TAP,MACHINE,M16,13 054 410,WOLLSCH / 40.00 / EA
91 / SPANNER,SLOGGING,RING,GEDORE,64+,1.13/16 / 61.00 / EA
92 / WRENCH,OPEN END,GEDORE,VSM5224B,24MM / 40.00 / EA
93 / ALLOY,BRAZING,PHOS-COPPER,A41T1,UNIWELD / 10.00 / PK
94 / SPANNER,RING,34X36MM,6026040,GEDORE / 65.00 / EA
95 / SPANNER,COMB,1B-38MM,6003500,GEDORE / 45.00 / EA
96 / SPANNER,RING,27X30MM,6018960,GEDORE / 99.00 / EA
97 / TAP,MACHINE,M12,13 054 330,WOLLSCH / 40.00 / EA
98 / SPANNER,COMB,1B-33MM,6003340,GEDORE / 73.00 / EA
99 / SHACKLE,CRBYGRP,S-2150,17T,1.1/2IN,CS / 20.00 / EA
100 / ALLOY,BRAZING,BRONZE,C4BF5,UNIWELD / 10.00 / PK
101 / ALLOY,BRAZING,BRONZE,C4BH5,UNIWELD / 10.00 / PK
102 / ALLOY,BRAZING,BRONZE,C4BK5,UNIWELD / 10.00 / PK
103 / SPANNER,STRIKING,GEDORE,6476590,85MM / 9.00 / EA
104 / SPANNER,COMB,1B-34MM,6004150,GEDORE / 55.00 / EA
105 / BRUSH,FLAT,70MM,99994D,CLEMCO / 80.00 / EA
106 / SOCKET,1/2INDR,6POINT,27MM / 100.00 / EA
107 / SPANNER,COMB,GEDORE,6002880,28MM / 50.00 / EA
108 / REPL STUDS KIT,ICE CREEPERS,SR201,SERVUS / 320.00 / KIT
109 / OUTLET VALVE,1116962,AXAIR / 12.00 / EA
110 / FLANGE,WN,RF,CL600,25.3MM,48IN,LNG JETTY / 6.00 / EA
111 / STUDBOLT,2.3/4IN,LNG JETTY / 192.00 / EA
112 / NUT,HEAVY HEX,2.3/4IN,LNG JETTY / 384.00 / EA
113 / BRG BALL MTR,6324,120MM,260MM / 4.00 / EA
114 / INS ST FLG CL150 PRESIN CTD DN15 / 10.00 / SET
115 / INS ST FLG CL150 PRESIN CTD DN600 / 6.00 / SET
116 / GSKT RJ,SFIR,OCTAL,R56 / 10.00 / EA
117 / GSKT RJ,SFIR,OVAL,R79 / 10.00 / EA
118 / GSKT RJ,SFIR,OCTAL,R79 / 10.00 / EA
119 / GSKT RJ,SFIR,OCTAL,R93 / 10.00 / EA
120 / GSKT RJ,SFIR,OCTAL,R94 / 10.00 / EA
121 / GSKT RJ,SFIR,OCTAL,R95 / 10.00 / EA
122 / GSKT RJ,SFIR,OCTAL,R96 / 10.00 / EA
123 / GSKT RJ,SFIR,OCTAL,R97 / 10.00 / EA
124 / GSKT RJ,SFIR,OCTAL,R98 / 10.00 / EA
125 / GSKT RJ,SFIR,OVAL,R20 / 10.00 / EA
126 / GSKT RJ,SS316,OCTAL,R34 / 10.00 / EA
127 / GSKT RJ,SFIR,OCTAL,R50 / 10.00 / EA
128 / INS ST FLG CL150 PRESIN CTD DN450 / 6.00 / SET
129 / GSKT RJ SFIR OCTAL R102 / 10.00 / EA
130 / GSKT RJ SFIR OCTAL R105 / 10.00 / EA
131 / SCHAT: LIFEBOAT SHEAVE ASSY 14MM / 7.00 / EA
132 / WELLER: SOLDERING IRON ELEMENT 1237S / 2.00 / EA
133 / MATCO: BUSHING MI 150# 4X3 MBBU1110 / 1.00 / EA
134 / KPC: BALL FOR 40MM VALVE CL1500 / 10.00 / EA
135 / EXP JOINT ASSY NEOPRENE 3" X 6" / 3.00 / EA
136 / EXP JOINT ASSY SS 3" X 11.13/16" / 1.00 / EA
137 / DIFFUSER TUBE,48326029,HAMKSE / 3.00 / EA
138 / CARRIER: COMPRESSOR PO31-3153 / 2.00 / EA
139 / ALEXANDRAR: AIR HOSE SET CKIT002 / 1.00 / EA
140 / GOODWAY: SPIN GRIT BRUSH 1" SGB-125 / 3.00 / EA
141 / GOODWAY: SPIN GRIT BRUSH 1" SGB-125 / 3.00 / EA
142 / GOODWAY: SPIN GRIT BRUSH 1" SGB-125 / 2.00 / EA
143 / ROTOR KIT,C53.6828/8,EMU / 1.00 / EA
144 / NORTEC: STEAM HOSE 3/4" 132-8810 / 1.00 / EA
145 / PLATE,INNER,PISTON,V302C,VERSAMAT / 8.00 / EA
146 / CHECK VLV WAFER AL-BRZ CL150 FF 3" / 2.00 / EA
147 / GASKET,150126,BRANLUEB / 4.00 / EA
148 / GASKET,SEALING,150250,BRANLUEB / 4.00 / EA
149 / HOSE,COUPLED,214959,GRACO / 1.00 / EA
150 / HOSE,510511214,LIEBHERR / 80.00 / M
151 / GATE VLV BRZ NPTF LEVER 4IN / 2.00 / EA
152 / GATE VLV BRZ NPTF LEVER 4IN / 8.00 / EA
153 / SPACER,065612004,ANDRS-GR / 1.00 / EA
154 / GSKT RJ SS316 OCTAL R97 / 10.00 / EA
155 / INS ST FLG CL150 PRESIN CTD F DN450 / 6.00 / SET
156 / GASKET SEALING,0303312B,BRANLUEB / 4.00 / EA
157 / HEXHEAD,3IN,WHRSL08H300,SWEENEY / 1.00 / EA
158 / EXP JOINT,SS316/A53B,152PSI,10IN,2083MM / 1.00 / EA
159 / EXP JOINT,SS316/A53B,152PSI,10IN,2083MM / 1.00 / EA
160 / VLV,BTFL,AL-BRZ,CL150,FF,2.1/2IN / 1.00 / EA
161 / VLV,BTFL,AL-BRZ,CL150,FF,2.1/2IN / 2.00 / EA
162 / REPAIR KIT,FILL VLV,KITVC00012,ACMARINE / 2.00 / KIT
163 / BEARING,BALL,7306,30X72MM / 1.00 / EA
164 / NOZZLE&SLEEVE,4IN,8HSFSS45016,HYDRA-ST / 4.00 / EA
165 / NOZZLE&SLEEVE,6IN,8HSFSS66312,HYDRA-ST / 6.00 / EA
166 / NOZZLE&SLEEVE,6IN,8HSFSS66316,HYDRA-ST / 10.00 / EA
167 / NOZZLE&SLEEVE,8IN,8HSFSS86316,HYDRA-ST / 2.00 / EA
168 / PIPE,CU-NI,7060X,20BAR,2.5MM,DN65 / 5.00 / M
169 / VCHDW,A594,ALBRZ,CL150,DN50,52MM / 1.00 / EA
170 / STUB END,WN,BW,CU-NI,20BAR,LONG,DN400 / 2.00 / EA
171 / SLING,WIRE ROPE,SINGLE LEG,23.5MMX2M,5T / 2.00 / EA
172 / FILTER ELEMENT,PCC1001SU,PALL / 15.00 / EA
173 / PIPE SHOE,CLAMPED,BINDER,515004, DN50 / 4.00 / EA
174 / VBAFF,ASME,SFST, CL150,3IN,150UTBZM,KITZ / 2.00 / EA
175 / GEARBOX,ET3250MN,FAVELLE / 2.00 / EA
176 / VBAFF,SFST, CL150,F-14A-EX/S-T+FSM3,KITZ / 3.00 / EA
177 / BEARING,5304SBKFF,NTN / 10.00 / EA
178 / HOLLOW SECT,150X100MM,8MM,RECT,S355J2G3 / 23.00 / M
179 / COUPLER,1/2IN,3/8IN HOSE BARB,4PS3,DIXON / 50.00 / EA
180 / SLEEVE COUPLING,10N TYPE / 2.00 / EA
181 / NIPPLE,PIPE,BUTTWELD,XXS,75MM,DN25 / 2.00 / EA

Offered price for Lot 1 must not be less than RUR 25,000.00 (VAT included).

Offered price for Lot 2 must not be less than RUR 58,000.00 (VAT included).

Offered price for Lot 3 must not be less than RUR 167,000.00 (VAT included).

Offered price for Lot 4 must not be less than RUR 167,000.00 (VAT included).

* In spite of the fact that the assets are being offered for sale as four lots, it is mandatory to point out in commercial proposal offered price for every line in the lot. In the event that unit quantities within the lot are changed, for any reason, by the time of sale, the total price of the lot will be recalculated proportionally.

ITT DRF_1015