A Bidder shall not have a conflict of interest. Any Bidder found to have a conflict of interest shall be disqualified. A Bidder may be considered to have a conflict of interest for the purpose of this bidding process, if the Bidder: directly or indirectly controls, is controlled by or is under common control with another Bidder; or receives or has received any direct or indirect subsidy from another Bidder; or has the same legal representative as another Bidder; or has a relationship with another Bidder, directly or through common third parties, that puts it in a position to influence the bid of another Bidder, or influence the decisions of the Purchaser regarding this bidding process; or participates in more than one bid in this bidding process. Participation by a Bidder in more than one Bid will result in the disqualification of all Bids in which such Bidder is involved. However, this does not limit the inclusion of the same subcontractor in more than one bid; or any of its affiliates participated as a consultant in the preparation of the design or technical specifications of the goods that are the subject of the bid; or any of its affiliates has been hired (or is proposed to be hired) by the Purchaser or Borrower for the Contract implementation; or would be providing goods, works, or non-consulting services resulting from or directly related to consulting services for the preparation or implementation of the project specified in the BDS ITB 2.1 that it provided or were provided by any affiliate that directly or indirectly controls, is controlled by, or is under common control with that firm; or has a close business or family relationship with a professional staff of the Borrower (or of the project implementing agency, or of a recipient of a part of the loan) who: (i) are directly or indirectly involved in the preparation of the bidding documents or specifications of the contract, and/or the bid evaluation process of such contract; or (ii) would be involved in the implementation or supervision of such contract unless the conflict stemming from such relationship has been resolved in a manner acceptable to the
6. Bidder’s Authorized Representative Information Name: [insert Authorized Representative’s name] Address: [insert Authorized Representative’s Address] Telephone/Fax numbers: [insert Authorized Representative’s telephone/fax numbers] Email Address: [insert Authorized Representative’s email address] 7. Attached are copies of original documents of [check the box(es) of the attached original documents] Articles of Incorporation (or equivalent documents of constitution or association), and/or documents of registration of the legal entity named above, in accordance with ITB 4.3. In case of JV, letter of intent to form JV or JV agreement, in accordance with ITB 4.1. In case of Government-owned enterprise or institution, in accordance with ITB 4.5 documents establishing: Legal and financial autonomy Operation under commercial law Establishing that the Bidder is not dependent agency of the Purchaser 2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership. Bidder’s JV Members Information Form [The Bidder shall fill in this Form in accordance with the instructions indicated below. The following table shall be filled in for the Bidder and for each member of a Joint Venture]]. Date: [insert date (as day, month and year) of Bid Submission] ICB No.: [insert number of bidding process] Alternative No.: [insert identification No if this is a Bid for an alternative] Page ________ of_ ______ pages 1. Bidder’s Name: [insert Bidder’s legal name] 2. Bidder’s JV Member’s name: [insert JV’s Member legal name] 3. Bidder’s JV Member’s country of registration: [insert JV’s Member country of registration] 4. Bidder’s JV Member’s year of registration: [insert JV’s Member year of registration]
Price Schedule: Goods Manufactured Outside the Purchaser’s Country, already imported* (Group C bids, Goods already imported) Currencies in accordance with ITB 15 Date:_________________________ ICB No: _____________________ Alternative No: ________________ Page N ______ of ______ 1 2 3 4 5 6 7 8 9 10 11 12 13 Product code Product Strength Dosage form Unit pack size Qty. offered Unit prices Total Unit price [c+d+e] Total price per line item [6x8] Sales and other taxes payable per item if Contract is awarded Name of Ctry. of origin standard [a] Unit price Custom Duties and Import Taxes paid and payable [b] Custom Duties and Import Taxes paid and unit [c]=a-b Unit Price net of custom duties and import taxes [d] Inland transp., & other local costs to delivery [e] Other costs as defined in the SCC Note: (i) Column 7[b] Custom Duties and Import Taxes paid should be supported by documentary evidence.. Total Bid Price: Currency: In figures: In words:
1. List of Goods and Delivery Schedule [The Purchaser shall fill in this table, with the exception of the column “Bidder’s offered Delivery date” to be filled by the Bidder] Line Item N Description of Goods Quantity unit Final (Project Site) Destination as specified in BDS Delivery (as per Incoterms) Date Earliest Delivery Date Latest Delivery Date Bidder’s offered Delivery date [to be provided by the bidder] [insert item No] [insert description of Goods] [insert quantity of item to be supplied] [insert physical unit for the [insert place of Delivery] [insert the number of days following the date of effectiveness the Contract] [insert the number of days following the date of effectiveness the Contract] [insert the number of days following the date of effectiveness the Contract]
3. Case Identification 3.1 All cases should prominently indicate the following: Purchaser’s line and code numbers; the generic name of the product; the dosage form (tablet, ampoule, syrup); date of manufacture and expiry (in clear language not code); batch number; quantity per case; special instructions for storage; name and address of manufacture; any additional cautionary statements. 3.2 No case should contain pharmaceutical products from more than one batch. 4. Unique Identifiers 4.1 The Purchaser shall have the right to request the Supplier to imprint a logo, if the quantity so justifies it, on the labels of the containers used for packaging and in certain dosage forms, such as tablets, and ampoules and this will be in the Technical Specifications. The design and detail will be clearly indicated at the time of bidding, and confirmation of the design of such logo shall be provided to the Supplier at the time of contract award. 5. Standards of Quality Control for Supply 5.1 The successful Supplier will be required to furnish to the Purchaser: With each consignment, and for each item a WHO certificate of quality control test results concerning quantitative assay, chemical analysis, sterility, pyrogen content uniformity, microbial limit, and other tests, as applicable to the Goods being supplied and the manufacturer’s certificate of analysis. Assay methodology of any or all tests if requested. Evidence of bio-availability and/or bio-equivalence for certain critical Goods upon request. This information would be supplied on a strictly confidential basis only.
“Goods” means all of the pharmaceuticals including nutritional supplement and oral and injectable forms of contraception, vaccines, and condoms Supplier is required to supply to the Purchaser under the Contract. “Purchaser’s Country” is the country specified in the Special Conditions of Contract (SCC). “Purchaser” means the entity purchasing the Goods and Related Services, as specified in the SCC. “Registration Certificate” means the certificate of registration or other documents in lieu thereof establishing that the Goods supplied under the Contract are registered for use in the Purchaser’s country in accordance with the Applicable Law. “Related Services” means the services incidental to the supply of the goods, such as insurance, installation, training and initial maintenance and other such obligations of the Supplier under the Contract. “SCC” means the Special Conditions of Contract. “Supplier” means the person, private or government entity, or a combination of the above, whose bid to perform the Contract has been accepted by the Purchaser and is named as such in the Contract Agreement. “The Project Site,” where applicable, means the place named in the SCC. 2. Contract Documents Subject to the order of precedence set forth in the Contract Agreement, all documents forming the Contract (and all parts thereof) are intended to be correlative, complementary, and mutually explanatory. The Contract Agreement shall be read as a whole. 3. Corrupt and Fraudulent Practices 3.1 The Bank requires compliance with its policy in regard to corrupt and fraudulent practices as set forth in Appendix to the GCC. 3.2 The Purchaser requires the Supplier to disclose any commissions or fees that may have been paid or are to be paid to agents or any other party with respect to the bidding process or execution of the Contract. The information disclosed must include at least the name and address of the agent or other party, the amount and currency, and the purpose of the commission, gratuity or fee.