ANEXO A. TABULATION OF BIDS(REVISION No.      )

Req. No.       Sup. No.      

GUIDE No. XIV SHEET OF Dated       Acct. Code      

TECHNICAL BIO EVALUATION Client      

NAME OF PROJECT       COMMODITY / EQUIPMENT       PAGE       OF      

SELLERS PROVES No.                                                      

Quote reference and date                                                      

Item or description Quantity Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total Unit pr. Total                                                                                                                       

                                                                                                                       

                                                                                                                       

                                                                                                                       

                                                                                                                       

Total Price in: (*)                                                      

Rate of exchange                                                      

                                                           

Freight Inland                                                      

Ocean                                                      

Packing Domestic                                                      

Export                                                      

Insurance                                                      

Duties & Taxes                                                      

                                                     

Grand Total (US$)                                                      

Currency Quoted                                                      

Weight                                                      

Shipping Terms (**)                                                      

Delivery Promised                                                      

Terms of Payment                                                      

Bid Valid to                                                      

Firm or Escal.                                                      

Delivery Required Control Estimate Best Combined Total Proyected Total Cost Over (Under) Budget Approved by Date                             

Recommended seller       Cost Engineer             P.E.M. / Orig. Engineer            

Reason       Project Manager            

Procurement Mgmt.            

Manager Ops. (if req.)             (     ) Indicate currency

General Mgr. (if req.)             (     ) Indicate if ew,fas, fob, cif, etc.

Vice President (if req.)            

Client             by       Date      

MID Vol. 04-II 90619.1.063 “Evaluación Técnica de Ofertas de Equipos Eléctricos” Rev.0, Ago. 93