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HEALTHNET ~;·rpo

ANNEX 1-c Quotation Rcque~tForm t.Jl~tl .:....\~.;• r.:J

Deadline: C.;~¢+-' ~L.jJ ~_;.:.

Delivery Date:~\ u-".lL..._p..:; f::'...P Delivery location:~\ t.r".ll..~ J-

Dea r Sir/ Madam,

Alllnterestad Suppliers ..U~ ?'~ tSlA .:...S.r!' t.JA&- ~

Hea\thNet IPU Ulllce Dchburi , Dch Haw,District 3 Street llo.5 House t~o. 144, kabul wttw.hea!thnettpo.org Emai\:Security@hea lthnettpoaf org Ph: 0789880772

RFQ IIo AF197M0-2019-501-KBL

28/Nov/2019, 12: 00 PM, ~jJJ Vf'\f\ r'l!l. .~jl ~ 12:00 U:.l.....

One week Afte r Signing P QJ\JJl..i~ tSL.A.I jl ~ ".lli. ~

Laghman Provincial Hospital, Mehterlam, Afghanistan

Please send/ provide us with your quotation for the following items below;

Item No. Quantity Ul"!lt Pro1=urement Item Company I 4nlt Cost AFN I 350 1iccc Stain less steel scissors strnicht nnd curved I Scm

aoo IJ~ Jlll~t ~ tut ~~jl»lllll~tlliiiiU cut v~u Jijcll t

137 Jicc Uod:v then uomete1

461

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n - """"\,;,:·~ ~· fA:

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Total Cost AFN

1---t-----t='----------1-=========~---------t Please provide the quotation in yo ur company le tterhead, but stamp and sign 1---t----1='--------i-====,..,"'--"==~----------tthis RFQ fo r acceptance the terms and conditions. 1..iW 1---j- --- --j''-""'"--------j-="-"-""'='-""-"-'-"'--------------j li>!" L.o t->' ... I.JI U..I.P. JJ r.J_,; 0!1.» ,.;. Jl-'1 ._,1 Ji.J ( JJ J_,;. ~ u<>.--'-" r . J.t! JJ I J J.? ~ t.>'

kit Clc:m delivery kit (mini delivery )

226 sci ORS mcusuring ·u with lass

2& 1iccc Tn1c measure for ANC

37 ni · Vi ~inn t ~!'\tin J• chnrt jj ieee Dis Jcnsin • cuuniin • tray

48 piece l,cdintric 1111d :1dult scnlcs

10 30 Jiccc l'utclla hmmncr

11 38 1iccc Fhesh li •h i

12 73 kit Mi noe· su•· •er-y kit

13 24 1icce Fo ldinn sh'tlchcr

14 11 (Jicce Vnginnl S}lCculn

15 35 1iccc Stnnd lim 1

16 43 1icc::c Clcc ll'ir s uction mu r hinc with two hnlll c

17 36 kit Midwifcrv kit

18 19 1iccc Autoclnvc medium size

19 21 ~ Euminntion tnhlc

20 10 1iece Ji ei •ht III CHSUI"i ll ' bourd

21 21 ieee Ox • en g:me.c

tt 14 1ierr Nconntnl resuscitati on trolley

23 10 ieee Hearing scrccninl! equipment

•• 12 kit llHSit t:u it! l· li! lii.:Y OIJSll!trl t tUI't: kit

2S 30 kit S terilizntion cau i ment :

26 set Hysterectomy set

27 26 set MVA (manual vacuum aspiration) set

28 47 liccc Ambubag for infant , child , mtd adult

29 1iccc Pedal suction machine

30 2 set Laparatomy set

31 7 ieee Loop retractor

32 7 ieee lid retracto r

GRANO TOTAL AFN

Annex 1:

Re quired docume nts for the supplier q ualificati01

The supplier has to submit the followi ng docume nts a long with the quotation

1. Business Licence fro m Ministry of Commerce or AISA. 2. Copy of t hree year relevant contract. 3. Quality control certificate from Ministry of Public Health. 4. Submission of sample along with quotation is essentiaL 5. GMP and COPP for the quotated medicine items are essentiaL

Prepared by: Phr. Rudaba Faizi

Signature: w~ Date:_24.11.2019 ~

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Approved by:Ghulam Farooq Noorzai

Terms and Condition A.....Ub~ Samples: For medicines and medical supplies samples are required to be submited along with the quotation to Kabul office logistics/procurement department for selection, samples of medical equipment will be inspected By HN TPO technica l Team in Suppliers warehouses or Showrooms .

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Payment: The payment will be done 100% after the goods receipt, inspected, quality checked and accepted.

Tax: 2% tax amount will be deducted from the total cost of the bid price from regist~red suppliers with AISA or MOC & 7% from unregistered suppliers as Afghanistan government tax law.

Delivery Location: All goods to be delivered to HN TPO office in laghman Provincial Hospital no later than spesified period from the date of signing of purchase order.

Delivery Time: If the items are not delivered according to the delivery time, HNTPO has the rights to cancel the purchase order and the company will be black-listed with HNTPO for future business.

EKperience: The company should have at least three years similar experience and the copy of contracts should be submitted.

Warranty: Syppliers has to provide at least one year warranty for all quoted items of medical equipment.

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lnco te rm : The goods will be delivered under ODP lncoterms 2010 to Laghman Provincial Hospital , Mehterlam, Afghanistan.

Inspection: The goods .will be inspected according to the specification by HNTPO technical team.

Bid Valldlty: I he bid must be valid tor JO days from the submtsslon date:

Submission Procedure: Please fill the above RFQ, sign and stamp it for fina l submission to HHTPO office before the deadli ne .

Account,.bll\ty All the bld documPnts must be o;ta mped and signed by the authorlzPd ref res,.ntAtl of the company .

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2 4 NOV !JH ~ Currency: The b1d must be quoted in Afghan Currency.

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Rights: HHTPO has the right to increase , decrease the quantity . · ...

Packing: All goods must be packed for suitable air/sea or road transportation including rough handling to final destination

Marking: All the boxes must be marked with Health Net TPO delivery address

Language:AII documents, markings and labeling should appear in English.

NOTE: This is to certify by the supplier that the above terms and conditions are acceptable to us and we have no objection.

Submitted by: r.sfoY .1U...1 o~.l ~1J1

Name:,...! Position:¥., ________________________ _

Signature: .. ~1 Date:.;;P ________________________ _

Stamp:~W