ANNEX V – FINANCIAL OFFER Page No […of…] PUBLICATION REFERENCE: 14.OP.OS.001 NAME OF TENDERER: [……………………………] BASIC PERIOD (01 Jan 2015 31 Dec 2015 ) “A” Table – – BASIC PERIOD (2015) No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) TOTAL PRICE (EUR) 1. Provision of AGSR service, as Month 12 per Annex II, TOR 2. Mobilization period*, (if any) Lump Sum 1 N/A SUB-TOTAL (1 + 2): 3. Demobilizations cost** Lump Sum 1 N/A GRAND TOTAL (1+2+3): *mobilization period (01 November 2014 31 December 2015) valid only for basic period – – ** Eligible only in case that the contract would not be extended beyond 2015. No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) 1. Additional flight hour*** Hour 1 *** Additional flight hours beyond base hours specified in Annex II point 4.3., not taken into consideration during the evaluation. No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) 1. Additional Crew **** Hour 1 Additional crew engagement specified in Annex II point 4.2.1, not taken into consideration during the evaluation. **** [../../..] by [name] Done at:[………………………], On behalf of […………………………] [Tenderers' stamp and signature]
ANNEX V – FINANCIAL OFFER Page No […of…] PUBLICATION REFERENCE: 14.OP.OS.001 NAME OF TENDERER: [……………………………] “A” Table – BASIC PERIOD (01 Jan 2015 – 31 Dec 2015 ) BASIC PERIOD (2015) No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) TOTAL PRICE (EUR) 1. Provision of AGSR service, as per Annex II, TOR Month 12 2. Mobilization period*, (if any) Lump Sum 1 N/A SUB-TOTAL (1 + 2): 3. Demobilizations cost** Lump Sum 1 N/A GRAND TOTAL (1+2+3): *mobilization period (01 November 2014 – 31 December 2015) – valid only for basic period ** Eligible only in case that the contract would not be extended beyond 2015. No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) 1. Additional flight hour*** Hour 1 *** Additional flight hours beyond base hours specified in Annex II point 4.3., not taken into consideration during the evaluation. No. DESCRIPTION UNIT QUANTITY UNIT PRICE (EUR) 1. Additional Crew **** Hour 1 **** Additional crew engagement specified in Annex II point 4.2.1, not taken into consideration during the evaluation. Done at:[………………………], [../../..] by [name] On behalf of […………………………] [Tenderers' stamp and signature]
14-op-os-001-annexes-iii-xiii.docx