Price Schedule: Goods Manufactured Outside the Country, already Purchaser’s imported* Date:_________________________ (Group C bids, Goods already imported) ICB No: _____________________ 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 Ctry. code form pack offered Unit price per other of size price line item taxes origin standard [c+d+e] [6x8] payable per item if Contract is awarded [a] [b] [c]=a-b [d] [e] Unit Custom Unit Inland Other price Duties Price net transp., and of costs Import custom & as Custom Taxes duties other defined Duties paid and local in the and and import costs SCC Import taxes Taxes unit to paid delivery and payable Note: Total Bid Price: (i) Column 7[b] Custom Duties and Import Taxes paid should be supported by documentary Currency: evidence.. In figures: In words:
Price Schedule: Goods Manufactured Outside the Purchaser’s Country, already imported* (Group C bids, Goods already imported) 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 size Qty. offered Unit prices Total Unit price [c+d+e] Total price per line item [6x8] Sales and other taxes payable per item if Contract is awarded Name of Ctry. of origin standard [a] Unit price Custom Duties and Import Taxes paid and payable [b] Custom Duties and Import Taxes paid and unit [c]=a-b Unit Price net of custom duties and import taxes [d] Inland transp., & other local costs to delivery [e] Other costs as defined in the SCC Note: (i) Column 7[b] Custom Duties and Import Taxes paid should be supported by documentary evidence.. Total Bid Price: Currency: In figures: In words:
Health_Sector_Goods-EN-1July14.docx