European Funds for the development of Lower Silesia

Appendix no. 1

Reference No.: 8/RPO/2014

………………………., ……………..

(place, date)

SUPPLIER (BIDDER):

Company’s name: …………………………………….

Company’s address: …………………………………

Tax Identification Number: ……………………

TO : ENITRA Spółka z ograniczoną odpowiedzialnością

1 Maja 62, 58-300 Wałbrzych, POLAND

Form of the quotation

in response to the inquiry for selection of the supplier of vulcanizing press for (conveyor) belts

in the project “Production of new types of timing belts and conveyor belts for plotters in new technology through the development of stock of machines of ENITRA Sp. z o.o. company”, realized under

Regional Operational Programme for Lower Silesia Voivodship for years 2007-2013

1.  WE OFFER the delivery of:

a) brand new vulcanizing press for (conveyor) belts – 1 piece. Name/type of offered press:…………………….

2.  WE DECLARE, that the vulcanizing press for (conveyor) belts does fulfil/does not fulfil* the following technical requirements**:

No. / MINIMUM TECHNICAL REQUIREMENTS / DOES FULFIL/ DOES NOT FULFIL / OFFERED
1 / 2 / 3 / 4
1 / Width of vulcanized belts : max. 1200 mm
2 / Length of vulcanized belt joint : 600 mm
3 / The press must offer possibility to make joints at a right angle and diagonally
4 / Ergonomic design of press, consistent with the Directive 2006/42/EC on machinery and parts

3. WE OFFER realization of a subject of the order, described in paragraph 1 of this offer, for the total lump sum of:

a) Net price: ……………………..PLN/ EUR* (in words:…………………………………)

a)  VAT: ……………………..PLN/ EUR* (in words:…………………………………)

b)  Gross price: ……………………..PLN/ EUR* (in words:…………………………………)

4. WE DECLARE, that the sum described in paragraph 3 of this offer includes all costs according to the

information in the inquiry.

5. WE OFFER realization of delivery of 1 pc of vulcanizing press within the time of ¼¼ weeks starting from

the date of signing

of the contract / order.

6. WE PROVIDE ¼¼¼ months of warranty for delivered 1 pc of vulcanizing press.

7. WE DECLARE, that this offer is open and does not include the information being considered as the company’s secret in the meaning of regulations of counteracting unfair competition, except the information in pages ¼¼¼.

8. WE DECLARE, that we consider ourselves to be bound by this offer for the timeline indicated in the inquiry, i.e. 45 days from the deadline for submission of offers.

10. ANY CORRESPONDENCE regarding this offer should be addressed to:

Name, surname: ……………………………….

Address: ………………………………………….

Phone no.: ……………………………………….. Fax no.: …………………………………………….

E-mail address: …………………………………..

______, __ __ 2014 ______

(Contractor’s stamp and signature)

* delete if not applicable

** INFORMATION AND EXPLANATIONS FOR TABLE of par. 2-4

1.  Column no 2 includes the minimum technical requirements specified by the Purchaser.

2.  Column no 3 is filled by the Supplier. In case of fulfilling the requirements, the Supplier writes “does fulfil”. In case of no fulfilling the requirements, the Supplier writes “does not fulfil”.

3.  Column no 4 is filled by the Supplier with the offered values of all technical parameters.

Project co-financed by the European Union from the European Regional Development Fund under

the Regional Operational Programme for the Lower Silesian Voivodship for the years 2007-2013