* [For previously imported Goods, the quoted price shall be distinguishable from the original import value of these Goods declared to customs and shall include any rebate or mark-up of the local agent or representative and all local costs except import duties and taxes, which have been and/or have to be paid by the Purchaser. For clarity the bidders are asked to quote the price including import duties, and additionally to provide the import duties and the price net of import duties which is the difference of those values.] Price Schedule: Goods Manufactured in the Country Purchaser’s Date:_________________________ Country (Group A and B bids) ICB No: _____________________ Purchaser’s Alternative No: ________________ ______________________ Page N ______ of ______ Currencies in accordance with ITB 15 1 2 3 4 5 6 7 8 9 10 11 12 13 Product Product Strength Dosage Unit Qty. Unit prices Total Total Sales and Name of Local input in code form pack offered unit price other the cost as % size [a] [b] [c] price per item taxes standard of ex-factory Ex-factory Inland transp., Other [a+b+c] [6 x 8] payable if price in column Ex-warehouse insurance & costs as contract is 7[a] Ex-showroom other local costs defined in the awarded Off the shelf incidental to SCC delivery Total Bid Price: Currency: In figures: In words: Name of Bidder Signature of Bidder Date [insert complete name of Bidder] [signature of person signing the Bid] [insert date] In the capacity of: [ insert: title or other appropriate designation ]
* [For previously imported Goods, the quoted price shall be distinguishable from the original import value of these Goods declared to customs and shall include any rebate or mark-up of the local agent or representative and all local costs except import duties and taxes, which have been and/or have to be paid by the Purchaser. For clarity the bidders are asked to quote the price including import duties, and additionally to provide the import duties and the price net of import duties which is the difference of those values.] Price Schedule: Goods Manufactured in the Purchaser’s Country Purchaser’s Country ______________________ (Group A and B bids) Currencies in accordance with ITB 15 Date:_________________________ ICB No: _____________________ Alternative No: ________________ Page N ______ of ______ 1 2 3 4 5 6 7 8 9 10 11 12 13 Product code Product Strength Dosage form Unit pack Qty. offered Unit prices Total unit Total price Sales and other Name of Local input in the cost as % size [a] Ex-factory Ex-warehouse Ex-showroom Off the shelf [b] Inland transp., insurance & other local costs incidental to delivery [c] Other costs as defined in the SCC price [a+b+c] per item [6 x 8] taxes payable if contract is awarded standard of ex-factory price in column 7[a] Total Bid Price: Currency: In figures: In words: Name of Bidder [insert complete name of Bidder] Signature of Bidder [signature of person signing the Bid] Date [insert date] In the capacity of: [ insert: title or other appropriate designation ]
Health_Sector_Goods-EN-1July14.docx