ITT DRF_679 Appendix 2

Bid Submission Form

Company/Name______

Tender Reference: DRF_679

Date: “____” ______2015

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

No / DESCRIPTION / QTY / UOM / Offered price,
RUR VAT Incl.
per Ea / Offered price,
RUR VAT Incl.
Total / Offered price,
RUR VAT Incl.
per Lot
1 / 4-1/2” LineSlot™ Reslink Premium Shrink Fit Wire Wrap Sand Screen 10 Gauge Range 2 (assuming 9.14 meter Joints) with 825 Incoloy Wire and 1.5m Blank at Box and 1.0m Blank at Pin on 12.6 lbs/ft L80 13Cr Vam Top Connections without Centralizers. / 4 / EA
2 / 5-1/2” LineSlot™ Reslink Premium Shrink Fit Wire Wrap Sand Screen 10 Gauge Range 2 (assuming 9.14 meter Joints) with 825 Incoloy Wire and 1.5m Blank at Box and 1.0m Blank at Pin on 20.0 lbs/ft L80 13Cr Vam Top Connections with 8.285” Centralizers placed at bottom of Joint. / 2 / EA
3 / 4-1/2” Bull Nose 30cm Long 12.6 lbs/ft L80 13Cr Vam Top Connections. / 2 / EA
4 / 5-1/2” Bull Nose 40cm Long 20.0 lbs/ft L80 13Cr Vam Top Connections. / 2 / EA
5 / 5-1/2” LineSlot™ Reslink Premium Shrink Fit Wire Wrap Sand Screen 10 Gauge Range 2 (assuming 9.14 meter Joints) with 825 Incoloy Wire and 1.5m Blank at Box and 1.0m Blank at Pin on 20.0 lbs/ft L80 13Cr Vam Top Connections with no Centralizers. / 2 / EA
6 / 4-1/2” Reslink Supplied Blank Pipe Range 2 (assuming 9.14 meter Joints) 12.6 lbs/ft L80 13Cr Vam Top Connections. / 4 / EA
7 / 5-1/2” Reslink Supplied Blank Pipe Range 2 (assuming 9.14 meter Joints) 20.0 lbs/ft L80 13Cr Vam Top Connections / 4 / EA
8 / 5-1/2” x 8.285” OD Ezee-Glider 2000® Centralizer from Caledus, Thermoplastic Polymer Solid slip on Centralizer / 2 / EA
9 / 5-1/2” Ezee-Glider 2000® Stop Collar from Caledus L80 Material / 4 / EA

* 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_748

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