Name of Bidder Signature of Bidder Date [insert complete name of Bidder] [signature of person signing the Bid] [insert date] Note to the Purchaser: Information for columns 1, 2, 3, 4, and 6 to be inserted by the Purchaser If the items comprise of sub-items, insert the corresponding sub-item information and ensure that the range of quantities for sub-items is the same as the range of quantities for items otherwise evaluation becomes difficult. If there is a necessity to have different range of quantities, treat them as separate items. Indicate multiple ranges for each item as applicable The estimated quantities or range of quantities of the items in this table shall be the same as the those specified for the supply portion in the preceding tables. Multi-Supplier FA- Price Schedule Summary Date: _________________________ RFB No: _____________________ Page N ______ of ______ 1 2 3 4 5 6 Item No Description of Indicative Quantity and physical Bid Unit Price Bid Unit Price Related Bid Unit Price unit Supply portion Services (4+5) Minimum Maximum [insert [insert name of Good] [insert [insert number [insert unit [insert unit price] [insert total bid unit Item No.] number of of units to be price] price] units to be supplied and supplied and name of the name of the physical unit] physical unit] Name of Bidder Signature of Bidder [insert complete name of Bidder] [signature of person signing Date the Bid] [insert date]
Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [insert date] Note to the Purchaser: Information for columns 1, 2, 3, 4, and 6 to be inserted by the Purchaser If the items comprise of sub-items, insert the corresponding sub-item information and ensure that the range of quantities for sub-items is the same as the range of quantities for items otherwise evaluation becomes difficult. If there is a necessity to have different range of quantities, treat them as separate items. Indicate multiple ranges for each item as applicable The estimated quantities or range of quantities of the items in this table shall be the same as the those specified for the supply portion in the preceding tables. Multi-Supplier FA- Price Schedule Summary Date: _________________________ RFB No: _____________________ Page N ______ of ______ 1 2 3 4 5 6 Item No Description of Indicative Quantity and physical unit Bid Unit Price Supply portion Bid Unit Price Related Services Bid Unit Price (4+5) Minimum Maximum [insert Item No.] [insert name of Good] [insert number of units to be supplied and name of the physical unit] [insert number of units to be supplied and name of the physical unit] [insert unit price] [insert unit price] [insert total bid unit price] Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [insert date]