ANNEX 1 to Request for Tender no. 11/03/2017 dated 16.03.2017 – FORM OF TENDER (template) Name and address of tenderer and its registration details, including NIP (tax ID): ………………………………… ………………………………… ………………………………… Name, phone number and e-mail of the contact person: ………………………………………… ……………………………………….. ……………………………………….. Information about status of the methods (considered in evaluation criteria) In-house Qualified / method, validated for analysis will LOD, LLOQ, if Acceptance Method Rituximab [YES / be perform concerns criteria NO] [YES / NO] Information about quality system using in Tenderer’s facility Value of the tender as per the wording of the tender evaluation criterion for price: Net price: [in words: ……………………… ……………………….] Gross price: [in words: ……………………. ……………………….] The date of commencement of work, from the moment of signing the agreement: Execution time of object of the contract ( from analysis performance to final repot considered in evaluation criteria deliver) -
ANNEX 1 – to Request for Tender no. 11/03/2017 dated 16.03.2017 FORM OF TENDER (template) Name and address of tenderer and its registration details, including NIP (tax ID): ………………………………… ………………………………… ………………………………… Name, phone number and e-mail of the contact person: ………………………………………… ……………………………………….. ……………………………………….. Information about status of the methods (considered in evaluation criteria) Method Qualified / validated for Rituximab [YES / NO] In-house method, analysis will be perform [YES / NO] LOD, LLOQ, if concerns Acceptance criteria Information about quality system using in Tenderer’s facility Value of the tender as per the wording of the tender evaluation criterion for price: Net price: ……………………… [in words: ……………………….] Gross price: ……………………. [in words: ……………………….] The date of commencement of work, from the moment of signing the agreement: Execution time of object of the contract ( from analysis performance to final repot deliver) - considered in evaluation criteria
annex_11_03_2017_cd20.docx