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:

Raw materials for tests – bases

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 valueof the parametr for the offeredrawmaterial. Do not fill the darkenedfields.)
Task 1 Raw materials for tests–BASE 1 quantity 2300 kg
TECHNICAL REQUIREMENTS:
Base for ceramicpasteused in glazed gres floorceramictilesproduction
Temperaturerange - 1175 – 1220oC
Firingcycle – 40-70 min
DELIVERY TERMS
I confirmterms of delivery: EXW
Task 2 Raw materials for tests–BASE 2 quantity 250 kg
TECHNICAL REQUIREMENTS:
Base for ceramicpastesused in glazed gres floorceramictilesproduction
Particle’ssize d(50): 5-7 microns
DELIVERY TERMS
I confirmterms of delivery: EXW
  1. Tender selectioncriteria

a)Price of the order

Task 1 Raw materials for tests:BASE 1 quantity 2300 kg
Net price for 1 kilogram of rawmaterial in Task 1 (BASE 1):
Total net price for Task1:
VATrate ………... %,
VATamount:
Total grossprice for Task 1:
Task 2 Raw materials for tests:BASE 2 quantity 250 kg
Net price for 1 kilogram of rawmaterial in Task 2 (BASE 2):
Total net price for Task 2:
VATrate ………... %,
VATamount:
Total grossprice for Task 2:

Deadline for realization of the order:

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

Task1–Raw materials for tests:BASE 1quantity 2300 kg………………………………………..……………………

Task2–Raw materials for tests: BASE 2 quantity 250 kg………………………………………..…………………

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