MSH REQUEST FOR QUOTES Commercial Goods and/or Commercial Services from $3,001 up to $100,000 US or Local Currency Equivalent I. BACKGROUND Management Sciences for Health (MSH) is a non-profit organization that works in developing countries world-wide to strengthen the organization, management, and delivery of health services. II. REQUEST FOR QUOTES (RFQ) RFQ#: 002 RFQ Name: Diesel Fuel, Turkmenistan RFQ Issue Date: 23, Jan, 2017 RFQ Due Date: 9, Feb, 2017 Specifications/Statement of Work (Complete Description of Commercial Goods/Commercial Services Needed):

The quotation should be provided in sealed envelope to MSH, procurement department (should be dropped in Procurement Drop box), before of due date and time; bids will be opened by MSH bid opening committee, and selection will be also done by MSH Procurement committee based on criteria mentioned in the RFQ

Tax will be deducted according to the Afghanistan tax law, and payment will be transferred to the company bank account.

Period of Performance: (for services) Work will begin on and must be completed by (for goods) Items must be delivered by : 19, Feb, 2017 TO BE COMPLETED BY VENDOR Item # Quantity Description Country Country Shipped Nationality of Unit Price Total Price Manufactured In From Supplier

1 24000 Diesel fuel for operations ( Resistant to Freeze and high quality Turkmenistan (or equivalent) Liters

III. SOURCE, ORIGIN AND NATIONALITY REQUIREMENTS Any goods quoted in response to this RFQ must be produced in, shipped from, and provided by a company with the nationality of a country or countries in the authorized geographic code specified below. The authorized geographic code for this purchase is checked below: Request for Quote Page 1 of 5 REV. 07-28-2010

1 935 – Special Free World – Commercial Goods and Commercial Services may be Local Procurement clause authorizes purchases as indicated below: procured from any country in the Free World, including the cooperating country. Goods produced in the United States are available locally and the total (excluding foreign policy restricted countries)* value of the transaction is estimated not to exceed $100,000 or local 941-- Commercial Goods and Commercial Services may be procured from the currency equivalent. United States and any independent country (excluding foreign policy restricted countries)*, except the cooperating country Goods from any country in the Free World are available locally and the itself and the following: Albania, Andorra, Angola, Armenia, Austria, value of the transaction is estimated not to exceed $5,000 or local currency Australia, Azerbaijan, Bahamas, Bahrain, Belgium, Bosnia and equivalent. Herzegovina, Bulgaria, Belarus, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Gabon, Georgia, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Italy, Japan, Kazakhstan, Kuwait, Professional services provided by firms operating in the host country are Kyrgyzstan, Latvia, Liechtenstein, Lithuania, Luxembourg, Macedonia,* estimated not to exceed $250,000 per contract Malta, Moldova, Monaco, Mongolia, Montenegro,* Netherlands, New Zealand, Norway, Poland, Portugal, Qatar, Romania, Russia, San Marino, Saudi Arabia, Serbia,* Singapore, Slovak Republic, Slovenia, South Africa, Spain, Sweden, Switzerland, Taiwan,* Tajikistan, Turkmenistan, Ukraine, United Arab Emirates, United Kingdom, Uzbekistan, and Vatican City. 899 – Commercial Goods and Commercial Services may be procured from any The following commodities and services which are only available area or country, except the cooperating country (excluding foreign policy locally: restricted countries)* (1) Utilities, including fuel for heating and cooking, waste disposal and 000--The United States: Commercial Goods and Commercial Services may be trash collection; procured from the United States of America, any State(s) of the United States, the (2) Communications--telephone, telex, facsimile, postal and courier District of Columbia, and areas of U.S.-associated sovereignty, including services; commonwealths, territories and possessions.(excluding foreign policy restricted (3) Rental costs for housing and office space; countries)* (4) Petroleum, oils and lubricants for operating vehicles and equipment; (5) Newspapers, periodicals and books published in the cooperating country (6) Other commodities and services (and related expenses) that, by their nature or as a practical matter, can only be acquired, performed, or incurred in the cooperating country, e.g., vehicle maintenance, hotel accommodations, etc. * Goods from any of the following foreign policy restricted countries are ineligible regardless of the geo code specified above: Balkans, Belarus, Berma, Cote D’Ivoire, Cuba, Democratic Republic of Congo, Iran, Iraq, Laos, Lebanon, Liberia, Libya, North Korea, Somalia, Sudan, Syria, Zimbabwe A complete and updated list of restricted countries can be found at : http://www.ustreas.gov/offices/enforcement/ofac/programs/index.shtml IV. DELIVERY INSTRUCTIONS Item # DELIVERY ADDRESS(ES)

MSH Request for Quotes - $3,001 up to $100,000 Page 2 of 5 REV. 07-28-2010

2 1 House# 24, Darulaman Road Ayub Khan Mina, K3 Seh, close to Ayoub Khana Mosque, Kabul-Afghanistan

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V. EVALUATION CRITERIA Quotes will be evaluated based on the criteria checked below: Quotes will be evaluated using the method checked below:

1. Specifications/Statement of Work Lowest price meeting Specifications/Statement of Work 2. Price Best Value Trade Off – the relative importance of the evaluation criteria is explained below: 3. Past Performance Criteria # when combined, are more important than 4.Other Factor(s): a. Quality If criteria are very close will be the determining factor. b. On time delivery

c. VI. INSTRUCTIONS FOR SUBMITTING QUOTES Quotes must be received no later than a.m. Pm. 3:00 9, Feb, 2017

***Quotes received after the deadline will NOT be considered*** Quotes must be submitted by email to: NO

Quotes may be delivered by mail or hand-delivered to In Sealed envelope to MSH procurement drop box, Inside of reception room, House No# 24 Darulam the following address: Road Ayub khan Mina-Kabul-Afghanistan,

Quotes must be submitted in the following currency: AFN

Quotes must be submitted in the following language: English

VII. QUESTIONS Questions must be received no later than a.m. 3:30 PM 6, Feb, 2017

MSH Request for Quotes - $3,001 up to $100,000 Page 3 of 5 REV. 07-28-2010

3 Vendors may submit questions in writing via [email protected] email to:

VIII. CERTIFICATION TO BE COMPLETED BY VENDOR I certify that the information provided is true and correct. The Offer is valid for a minimum of ( 30 ) days. Vendor Name: Name/Title of Authorized Official:

Contact Number:

Email: Address:

Address:

Signature: Date:

NOTE: MSH reserves the right to purchase any or all of the requested items/services, to adjust quantities if needed, or to make no purchase. MSH will not pay for quote preparation costs. For MSH Use Only

Account Code: CORPORAT/COR-OFFICE Project Name: COMU

TO BE COMPLETED BY VENDOR

IX. PAST PERFORMANCE REFERENCES

Vendors must submit a list of at least three past customers as references. List customers that have purchased goods/services similar to those for which MSH is requesting quotes within the past 3 years.

MSH Request for Quotes - $3,001 up to $100,000 Page 4 of 5 REV. 07-28-2010

4 Vendor Name:

Contact Person Customer Complete Address Type of Work Performed Name and Title Name:

Reference#1 Phone:

E-mail:

Name:

Reference#2 Phone:

E-mail:

Name:

Reference#3 Phone:

E-mail:

MSH Request for Quotes - $3,001 up to $100,000 Page 5 of 5 REV. 07-28-2010

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