Unit Prices / Rates Total Prices Supplied Supplied from outside the Supplied Supplied from outside the Country Purchaser’s Purchaser’s Locally Country Locally Component Country [ insert: [ insert [ insert: [ insert: [ insert: [ insert: [ insert: [ insert: [ insert: [ insert: Description of Origin foreign foreign foreign foreign foreign foreign local local local local No. Code currency currency currency currency currency currency currency] currency] currency] currency] A ] B ] C ] A ] B ] C ] X.1 ____ - - - - - - - - - - - - - - Subtotals (to ] of Supply and Installation Cost Summary Table) [ insert: line item Note: - - indicates not applicable. Name of Bidder: Authorized Signature of Bidder: 3.5 Recurrent Cost Sub-Table [insert: identifying number] -- Warranty Period Lot number: [if a multi-lot procurement, insert: lot number, otherwise state lot “single procurement”] Line item number: relevant line item number from the Recurrent Cost Summary Table [specify: (e.g., y.1)] – Currency: [specify: the currency of the Recurrent Costs in which the costs expressed in this Sub-Table are expressed] [As necessary for operation of the System, specify: the detailed components and quantities in the Sub-Table below for the line item specified above, modifying the sample components and sample table entries as needed. Repeat the Sub-Table as needed to cover each and every line item in the Recurrent Cost Summary Table that requires elaboration. ]
Unit Prices / Rates Total Prices Supplied Locally Supplied from outside the Purchaser’s Country Supplied Locally Supplied from outside the Purchaser’s Country No. Component Description Country of Origin Code [ insert: local currency] [ insert: local currency] [ insert: foreign currency A ] [ insert foreign currency B ] [ insert: foreign currency C ] [ insert: local currency] [ insert: local currency] [ insert: foreign currency A ] [ insert: foreign currency B ] [ insert: foreign currency C ] X.1 ____ - - - - - - - - - - - - - - Subtotals (to [ insert: line item ] of Supply and Installation Cost Summary Table) Note: - - indicates not applicable. Name of Bidder: Authorized Signature of Bidder: 3.5 Recurrent Cost Sub-Table [insert: identifying number] -- Warranty Period Lot number: [if a multi-lot procurement, insert: lot number, otherwise state “single lot procurement”] Line item number: [specify: relevant line item number from the Recurrent Cost Summary Table – (e.g., y.1)] Currency: [specify: the currency of the Recurrent Costs in which the costs expressed in this Sub-Table are expressed] [As necessary for operation of the System, specify: the detailed components and quantities in the Sub-Table below for the line item specified above, modifying the sample components and sample table entries as needed. Repeat the Sub-Table as needed to cover each and every line item in the Recurrent Cost Summary Table that requires elaboration. ]
ICB-2018%20IS%202E%20eGP%20OCT2017.docx