Page N ______ of ______ 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 the code form pack offered unit price other manufacturer cost as % of [a] [b] [c] size price taxes standard factory price in Ex-factory Inland Other transp., [a+b+c] payable if column 7[a] warehouse insurance costs as contract & other defined in is local costs the SCC awarded Off the incidental shelf to 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 ]
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 [a+b+c] Total price Sales and other taxes payable if contract is awarded Name of manufacturer standard Local input in the cost as % of price in column 7[a] [a] Ex-factory Off the shelf [b] Inland transp., insurance & other local costs incidental to delivery [c] Other costs as defined in the SCC 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 ] factory warehouse
SPD-Request-for-Bids-HEALTH-SECTOR-GOODS-OCT-2017.docx