<div data-bbox="165 103 284 118" data-label="Page-Header"><p>제16160호(그3)</p></div>
<div data-bbox="432 103 454 118" data-label="Page-Header"><p>관</p></div>
<div data-bbox="541 103 563 118" data-label="Page-Header"><p>보</p></div>
<div data-bbox="667 103 831 118" data-label="Page-Header"><p>2005.12.30. (금요일)</p></div>
<div data-bbox="132 400 154 483" data-label="Section-Header"><p>[별지 제2-1호]</p></div>
<div data-bbox="171 616 194 788" data-label="Section-Header"><p>이행능력심사 자기평가 및 심사표</p></div>
<div data-bbox="171 253 193 369" data-label="Section-Header"><p>행무별 평점 세부내역</p></div>
<div data-bbox="209 258 229 363" data-label="Text"><p>(제4조 제1항 제1호)</p></div>
<div data-bbox="226 585 248 681" data-label="Section-Header"><p>2. 심사대상입찰자</p></div>
<div data-bbox="264 517 369 714" data-label="Table">
<table border="1">
<tr>
<td>구체관리번호</td>
<td></td>
<td>업 체 명</td>
<td></td>
<td>(전화)</td>
</tr>
<tr>
<td>입찰 일 시</td>
<td></td>
<td>대 표 자</td>
<td></td>
<td></td>
</tr>
<tr>
<td>불 명</td>
<td></td>
<td>입태구분</td>
<td>제조( )</td>
<td>공급( )</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
<td>기타( )</td>
</tr>
</table>
</div>
<div data-bbox="286 400 310 483" data-label="Text"><p>종합평점 ( )점</p></div>
<div data-bbox="336 373 359 461" data-label="Text"><p>평가대상업종</p></div>
<div data-bbox="382 539 403 710" data-label="Section-Header"><p>3. 회사를 대표하는 연락처입자 인력사항</p></div>
<div data-bbox="410 517 523 714" data-label="Table">
<table border="1">
<tr>
<td>담당부서</td>
<td></td>
<td>연락처</td>
<td></td>
<td>(Fax)</td>
</tr>
<tr>
<td>직 위</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>성 명</td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</table>
</div>
<div data-bbox="417 312 439 487" data-label="Section-Header"><p>I. 양해물품 납품능력 : ( )점</p></div>
<div data-bbox="493 359 516 479" data-label="Section-Header"><p>1. 납품실적 : ( )점</p></div>
<div data-bbox="546 811 567 864" data-label="Section-Header"><p>4. 종합평가</p></div>
<div data-bbox="571 132 630 491" data-label="Text"><p>가. 최근3년내 납품실적(계약목적물과 동등이상물품)(부가가치세 제외)</p></div>
<div data-bbox="600 557 621 700" data-label="Text"><p>(1) 제조로 제작한 제2호에서 정한 일괄</p></div>
<div data-bbox="621 513 643 563" data-label="Text"><p>(단위 : 점)</p></div>
<div data-bbox="643 700 840 872" data-label="Table">
<table border="1">
<tr>
<td>구 분</td>
<td>배점</td>
<td>자기</td>
<td>심사</td>
</tr>
<tr>
<td>계</td>
<td>100</td>
<td>평점</td>
<td>평점</td>
</tr>
<tr>
<td>납품실적</td>
<td>5</td>
<td></td>
<td></td>
</tr>
<tr>
<td>기술능력</td>
<td>10</td>
<td></td>
<td></td>
</tr>
<tr>
<td>경영상태</td>
<td>30</td>
<td></td>
<td></td>
</tr>
<tr>
<td>입찰가격</td>
<td>55</td>
<td></td>
<td></td>
</tr>
<tr>
<td>신 인 도</td>
<td>+3</td>
<td></td>
<td></td>
</tr>
<tr>
<td>결격사유</td>
<td>-30</td>
<td></td>
<td></td>
</tr>
</table>
</div>
<div data-bbox="846 746 866 874" data-label="Text"><p>* 항목별 평점 세부내역(별지 제2호)</p></div>
<div data-bbox="600 513 621 681" data-label="Text"><p>(2) 제조로 제작한 제2호에서 정한 일괄</p></div>
<div data-bbox="621 513 643 563" data-label="Text"><p>(단위 : 점)</p></div>
<div data-bbox="643 513 785 681" data-label="Table">
<table border="1">
<tr>
<td>구 분</td>
<td>배점</td>
<td>자기</td>
<td>심사</td>
</tr>
<tr>
<td>계</td>
<td>100</td>
<td>평점</td>
<td>평점</td>
</tr>
<tr>
<td>경영상태</td>
<td>30</td>
<td></td>
<td></td>
</tr>
<tr>
<td>입찰가격</td>
<td>70</td>
<td></td>
<td></td>
</tr>
<tr>
<td>신 인 도</td>
<td>+3</td>
<td></td>
<td></td>
</tr>
<tr>
<td>결격사유</td>
<td>-30</td>
<td></td>
<td></td>
</tr>
</table>
</div>
<div data-bbox="793 563 813 681" data-label="Text"><p>* 항목별 평점 세부내역(별지 제2호)</p></div>
<div data-bbox="643 130 685 487" data-label="Table">
<table border="1">
<tr>
<td>납품실적(a)</td>
<td>추정가격(b)</td>
<td>계산 : (a/b)x100</td>
<td>등급</td>
<td>평점</td>
</tr>
</table>
</div>
<div data-bbox="705 300 727 325" data-label="Text"><p>또는</p></div>
<div data-bbox="743 130 785 487" data-label="Table">
<table border="1">
<tr>
<td>납품수량(a)</td>
<td>입원수량(b)</td>
<td>계산 : (a/b)x100</td>
<td>등급</td>
<td>평점</td>
</tr>
</table>
</div>
<div data-bbox="841 134 864 470" data-label="Text"><p>나. 최근3년내 납품실적(계약목적물과 유사물품)(부가가치세 제외)</p></div>
<div data-bbox="477 882 518 897" data-label="Page-Footer"><p>1137</p></div>