Annex_II_Quotation_form-upd.xlsx

	B	C	D	E	F	G	H
1
2	QUOTATION FORM
3
4	PRF Number	PRFMDA2400082
5
6	SUPPLIER DETAILS
7	SUPPLIER DETAILS
8	Name (of shop, company etc.)
9	Address
10	Name of owner
11	Phone No.
12	E-mail
13
14	SUPPLIER DECLARATIONS
15	The supplier agrees and acknowledges that…					Supplier Acceptance	Comments
16	for any future orders placed, the Terms & Conditions shared as part of the contract will apply.
17	to adhere to all the mandatory People in Need policies, see: www.clovekvtisni.cz/policies
18	that all pricing included in the quote will be valid for a minimum of 60 days
19	this request for quotation does not constitute an order.
20
21	TECHNICAL REQUIREMENTS
22	List of requirements (please provide information that support each of the requirements)					YES/NO	Comments
23	Minimum five (5) years of relevant experience in supply of office stationery;
24	Compliance with the minimum technical specifications and functional requirements of the offered goods;
25	Appropriate goods stocks management procedures established;
26	Compliance with minimum environmental requirements of the offered goods;
27	Compliance with warranty requirements;
28	Provision of a dedicated Customer Relations Manager or similar, responsible for the smooth running and execution of orders placed.
29
30	S. No.	Supplies/Services/Works description (specify type, quality, origin, exact size, material, place of delivery etc.)	Unit	Quantity Requested	Estimated unit price (EUR), including VAT	Estimated total price (EUR), including VAT	Comments
31		specify type, quality, origin, exact size, material, place of delivery etc.	e.g. pc, kg, hour, days, man/days, A4 pages, metres3 of digging, contruction etc.
32		Paper – ECOLABEL, ISO 14001, 2470:1999 or equivalent
33	1	A3, White Photocopy Paper, 80g/m2, pack/500 sheets	pack	40		0
34	2	A4, White Photocopy Paper, 80g/m2, pack/500 sheets	pack	200		0
35		Paper products – ECOLABEL, ISO 14001, 2470:1999 or equivalent				0
36	3	Flip Chart Paper, 80g/m2, white both sides, 64x100/20 pack	pack	100		0
37	4	Spiral Notebook, A4, min. 60g/m2, hardcover, min. 40 sheets	item	200		0
38	5	Spiral Notebook, A5, min. 60g/m2, hardcover, min. 36 sheets	item	200		0
39	6	Spiral Notebook, A5, min. 60g/m2, hardcover, min. 48 sheets	item	200		0
40	7	Spiral Notebook, A5, min. 60g/m2, hardcover, min. 96 sheets	item	200		0
41	8	Self-stick Notes, 50 x 50 mm, blister of 100	pack	200		0
42	9	Self-stick Notes, 127 x 75 mm, blister of 100	pack	100		0
43	10	Sign Here stickers, transparent, 12x44mm, 5 colors	pack	100		0
44	11	Cardboard A4, 240g/m2, white, 100 pack	pack	40		0
45	12	Paper pad (for flipcharts, 20 sheets, 84*64 cm)	pack	100		0
46	13	Paper cube (for notebooks, 90x90x90 mm, white)	pack	80		0
47	14	Paper envelope, A4	item	2000		0
48	15	Paper envelope, A5	item	2000		0
49	16	Paper envelope, A6	item	2000		0
50	17	Envelope, white or brown, A3 size, self-adhesive, used for Express Packing	item	1000		0
51		Other products				0
52	18	A4, Plastic Transparent File, upper opening, 40mk, 100/pack	item	200		0
53	19	A4 Plastic Transparent File, L file, thick, 80mk, 12/pack	item	200		0
54	20	A4, Folder, plastic, with transparent cover	item	200		0
55	21	A4, Folder, paper, with elastic band	item	200		0
56	22	Binder 2 rings, opening and closing triggers, 50 mm embossed carton, linen finish, 28.5 x 32 x 7.5cm with RADO	item	200		0
57	23	Binder 2 rings, opening and closing triggers, 50 mm embossed carton, linen finish, 28.5 x 32 x 5cm with RADO	item	200		0
58	24	Two Hole Puncher, heavy duty, 8cm spacing, capacity 2mm punches 25 sheets, removable chip tray, calibrating center guide mid	item	10		0
59		Writing tools – ECOLABEL, ISO 14001, 2470:1999 or equivalent				0
60	25	Gel pen, plastic, thickness of the lines - max. 0.7mm, refillable	item	1000		0
61	26	Ballpoint pen, thickness of the lines - max. 0.7mm, refillable	item	1000		0
62	27	Pencil with rubber, slate hardness HB, thickness 0.5 mm	item	200		0
63	28	Marker erasable for white board, black/blue/green/red, large	item	200		0
64	29	Reserve (for mechanical pencil 0.7mm HB, 20 pcs.)	item	80		0
65	30	Pencil (Mechanical, 0.7mm)	item	200		0
66	31	Marker permanent, black/blue/green/red, medium	item	200		0
67	32	Marker highlighter, max. 5 mm, different colors	item	160		0
68		Other products				0
69	33	Calculator, 15.5x20, Battery & Solar, 12-digital	item	20		0
70	34	Badge with textile lace, plastic, transparent, 60x90mm, horizontal/ vertical	item	200		0
71	35	Binder Clip, metal, 19mm, 12/pack	item	200		0
72	36	Binder Clip, metal, 32mm, 12/pack	item	200		0
73	37	Battery (AA Super Alkaline, foil)	item	600		0
74	38	Battery (AAA Super Alkaline, foil)	item	600		0
75	39	Clips (41 mm)	item	200		0
76	40	Clips (19 mm)	item	600		0
77	41	Clips (25 mm)	item	800		0
78	42	Clips (32 mm)	item	400		0
79	43	Clips (51 mm)	item	400		0
80	44	Ruler (Metal, 30 cm)	item	100		0
81	45	Ruler (Transparent acrylic, 30 cm)	item	100		0
82	46	Staples 24/6	pack	100		0
83	47	Stapler 24/6	item	40		0
84	48	Adhesive Tape (Transparent), width 50 mm	item	40		0
85	49	Adhesive Tape (Brown waterproof), width 50 mm	item	40		0
86	50	Hanging file, A4 for metal cabinet drawers use	item	80		0
87	51	Garbage bin (plastic), 4 or 5 L	item	20		0
88	52	Numbered Partition	pack	40		0
89	53	Alphabetic Partitions	pack	40		0
90
91				Total price, EUR*		0.00
92	* Please note that the quantities outlined are for guidance only and will be procured in batches and may not adhere strictly to the quantities specified in the Quotation Form. *Payments will be made in Lei at the official exchange rate set by the National Bank of Moldova (BNM) at the date of invoicing.
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94	Place			Signature			Stamp
95
96	Date
97
98	Full Name and Position
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100