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TENDER EVALUATION REPORT

[Restricted] [Negotiated] Procedure

According to Article 59 of Law No.04/L-042, Law on Public Procurement in Kosovo

Preparation date of the Evaluation Report: "[insert date]"

Procurement No 1

Title: "[insert title of the procurement activity]"

1 To be reported in every document or request in relation to the procurement activity. Standard form “Tender Evaluation Report – restricted/negotiated procedure” 1 COMPLETE STANDARD LIST FOR ADMINISTRATIVE CONFORMITY of TENDERS For the requirements that are in this list but are not determined in the Tender Dossier and in the Contract Notice, write “N/A” (Non Applicable)

Requirements met: YES/ NO

Formal/administrative requirements specified in the tender dossier TENDER RESPONSIVE Tender Original Tender validity WITH Any other Submission Tender and Tender Security [specified ADMINISTRATI formal/administ Tenderers Form filled and [specified in compliance number of days VE rative duly signed number ] with from deadline for REQUIREMENT requirements copies requirements of submission of S tender dossier (specified) tenders] YES/NO 1 2 3 4 5 6

2 COMPLETE STANDARD LIST FOR EVALUATION OF TECHNICAL CONFORMITY OF TENDERS

Requirements meet: YES/ NO

RESPONSIVE TENDER (in accordance with all requirements Technical requirements specified in the tender dossier specified in the Tender Dossier)

YES/NO Tenderers TENDER [insert RESPONSIVE [insert requirement] [insert requirement] [insert requirement] WITH TECHNICAL requirement REQUIREMENTS ] YES/NO 1. 2. 3. 4. 5. 6. COMPLETE STANDARD LIST FOR CONDUCT OF NEGOTIATIONS2 According to Article 34.4 of the Law No. 04/L-042

This list shall be filled for EACH PHASE of negotiations and for each QUALIFIED CANDIDATE invited to participate in negotiations

No of candidate [No] [ NEGOTIATION PHASE [NO] N a m e ]

Proposal from Candidate Weight given to To participate in the Object of Information provided to the object of Score next stage of negotiations candidate Worth negotiation (weighted) negotiation Short description (sub-criteria) Yes/No

Outcome of Deadline for submission of amended or completed proposal negotiations

2 To be used only in case of negotiated procedure 4 COMPLETE STANDARD LIST FOR COMPLETION OF NEGOTIATIONS3 According to Article 34.4 of the Law No. 04/L-042

This list shall be filled in the FINAL STAGE of negotiations for EACH CANDIDATE participating in final negotiation stage

Candidate No [No] [Name] FINAL NEGOTIATION STAGE [No] Score Proposals from Candidates (weighted) To be invited to Object of the Information provided to submit final tender negotiations candidate W Short description or Yes/No th [Prices] [Delivery conditions] [Quantities] [Technical Characteristics] [Guarantees] […]

Outcome of Deadline for submission of final negotiations tender

3 To be used only in case of negotiated procedure COMPLETE STANDARD LIST FOR RANKING OF TENDERS ACCORDING TO THE AWARD CRITERIA “LOWEST PRICE” According to Article 60.1 of Law No. 04/L-042

This list should be removed from the report, if the criteria for contract award has been determined “Most economically advantageous tender”

Name of economic operators that have Ranked Tenderers Address Offered price submitted responsive Tenders

1. € 2. € 3. € 4. € 5. € 6. €

6 COMPLETE STANDARD RANKING LIST OF QUOTATIONS ACCORDING TO THE AWARD CRITERIA “MOST ECONOMICALLY ADVANTAGEOUS TENDER” According to Article 52.3 and 60.3 of Law No. 04/L-042

This list should be removed from the report, if the criterion for contract award has been determined “The lowest price tender”

Functional, Operating, technical, After sale maintenan Quality environmental, services, Name of Offered price ce, other character aesthetic or technical life-time istics Ranked economic similar assistance costs Tenderers operators characteristics having submitted Weight [insert %] [insert %] [insert %] [insert %] responsive S S tenders We c Weig c Weigh Score ight Score Weighted o Score o € hted Weighted ted ed r r e e 1. 2. 3. 4. 5. Identification of recommended tenderer for contract award

Tenderer Name of successful tenderer Address Offered price

1. € 2. 3. 4. 5.

DECLARATION

[The evaluation commission should declare the reasons that support this recommendation]

8 MINUTES OF EXAMINATION, EVALUATION AND COMPARISON OF TENDERS

In the minutes, the evaluating commission should inform in detail regarding the content of each tender according to the requirements presented in the tender Dossier and in the Contract Notice.

Examination, assessment and comparison of tenders concerning administrative conformity:

Examination, assessment and comparison of tenders concerning the technical conformity:

Concluding remarks concerning the evaluation of the responsive tenders:

Tender evaluation committee

1. Head 2. Member 3. Member 4. Member 5. Member Name:

Surname:

Profession

Signature:

Date:

Name and surname of the Procurement Officer: ______

Signature: ______Date: ______

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