Purchase of Raw Materials Grinding Media
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Annex No. 1
TENDER FORM
…………………………………………………………………………………………………………………………………………………………… Name of contractor
……………………………………………………………………………………………………………………………………………………………. . Address of company seat
…………………………………………………………………………………………………………………………………………………………… phone / fax number
……………………………………………………………………………………………………………………………………………………………
NIP, REGON
Participating in the proceedings conducted in the mode of inquiry for:
Purchase of raw materials – Grinding media
I/we offer the realization of the delivery specified in this inquiry under the terms and conditions specified therein.
Technical parameters required for the order We offer execution of the order with the following parameters, as described below:
YES / NO (Note: Parameter Parameter name and requirements You must fill in every field) (Note: You must fill in every field and enter the value of the parametr for the offered product. Do not fill the darkened fields.)
Grinding media 1 – quantity 400 kg
Specification Chemical composition / D22 properties
Diameter [inch] 7/8”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,63 ± 0,07
DELIVERY TERMS I confirm terms of delivery: EXW
Grinding media 2 – quantity 350 kg
Specification Chemical composition / D25 properties
Diameter [inch] 1”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,63 ± 0,07
DELIVERY TERMS I confirm terms of delivery: EXW
Grinding media 3 – quantity 1 425 kg
Specification Chemical composition / D30 properties
Diameter [inch] 1 1/4”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,63 ± 0,07 DELIVERY TERMS I confirm terms of delivery: EXW
Grinding media 4 – quantity 1 175 kg
Specification Chemical composition / D40 properties
Diameter [inch] 1 1/2”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,57 ± 0,07
DELIVERY TERMS I confirm terms of delivery: EXW
Grinding media 5 – quantity 650 kg
Specification Chemical composition / D45 properties
Diameter [inch] 1 3/4”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,57 ± 0,07
DELIVERY TERMS I confirm terms of delivery: EXW
Grinding media 6 – quantity 1 250 kg
Specification Chemical composition / D50 properties
Diameter [inch] 2”
AL2O3 [%] 90,0 ± 0,5
3 Bulk density [g/cm ] 3,57 ± 0,07
DELIVERY TERMS I confirm terms of delivery: EXW
1. Tender selection criteria
a) Price of the order Grinding media 1 – quantity 400 kg
Net price for 1 ton of product Grinding media 1:
Total net price for Grinding media 1: VAT rate ...... %
VAT amount:
The total gross price for Grinding media 1:
Grinding media 2 – quantity 350 kg
Net price for 1 ton of product Grinding media 2:
Total net price for Grinding media 2: VAT rate ...... %
VAT amount:
The total gross price for Grinding media 2:
Grinding media 3 – quantity 1 425 kg
Net price for 1 ton of product Grinding media 3:
Total net price for Grinding media 3: VAT rate ...... %
VAT amount:
The total gross price for Grinding media 3:
Grinding media 4 – quantity 1 175 kg
Net price for 1 ton of product Grinding media 4:
Total net price for Grinding media 4: VAT rate ...... % VAT amount:
The total gross price for Grinding media 4:
Grinding media 5 – quantity 650 kg
Net price for 1 ton of product Grinding media 5:
Total net price for Grinding media 5: VAT rate ...... %
VAT amount:
The total gross price for Grinding media 5:
Grinding media 6 – quantity 1 250 kg
Net price for 1 ton of product Grinding media 6:
Total net price for Grinding media 6: VAT rate ...... %
VAT amount:
The total gross price for Grinding media 6:
TOTAL PRICE FOR REALIZATION OF THE ORDER
Total net price of the order (Grinding media 1, Grinding media 2, Grinding media 3, Grinding media 4, Grinding media 5, Grinding media 6):
VAT rate ...... %
Total amount of VAT:
Total gross price of the order (Grinding media 1, Grinding media 2, Grinding media 3, Grinding media 4, Grinding media 5, Grinding media 6):
Deadline for realization of the order: Grinding media 1, Grinding media 2, Grinding media 3, Grinding media 4, Grinding media 5, Grinding media 6: ….……………………………………..………………………………….………………
I /we declare that we are acquainted with the contents of the inquiry and I / we have no objection to it and I /we accept the terms contained therein.
In case our bid is selected as the best I / we undertake to conclude a written contract in place and time specified by the Ordering Party.
We declare that the offered subject of the contract meets all the requirements of the Ordering Party.
Tender validity………………………………………..
……………………………………………….…. …………………………………………………………
place, date signature of the person/persons autorized to represent the Contractor