STANDARD PREQUALIFICATION DOCUMENT - World...

TRIAL EDITION

STANDARD PREQUALIFICATION DOCUMENT

Procurement of Health Sector Goods

World BankWashington, D.C.

April 2002

1

SPECIFIC PROCUREMENT NOTICEInvitation for Prequalification

[insert country]

[insert project name]

Loan No. [insert loan no.]

This invitation for prequalification follows the general procurement notice for this project that appeared in Development Business No. [insert number] of [insert date].

The Government of [insert country] has received a loan from the International Bank for Reconstruction and Development (IBRD) toward the cost of the [insert name of project], and it intends to apply part of the proceeds of this loan to payments under the contracts for supply of the following Goods:

Lot Ref. No.

Lot Description Dosage/Form

Note: applications may be made for prequalification for one or more of the contracts.

The [insert implementing agency name], implementation agency for the above Project, intends to prequalify suppliers and/or firms for supply of the above said Goods. . It is expected that invitations to bid will be made in [insert month and year].

Prequalification will be conducted through prequalification procedures specified in the current edition of the World Bank’s Guidelines: Procurement under IBRD Loans and IDA Credits, and is open to all bidders from eligible source countries, as defined in the guidelines.

Interested eligible bidders may obtain further information from and inspect the prequalification documents at the [insert name of agency] (address below) from [insert office hours]. A complete set of prequalification documents in [insert language] may be purchased by interested bidders on the submission of a written application to the address below and upon payment of a nonrefundable fee of [insert amount in local currency] or in [insert amount in specified convertible currency]. The method of payment will be [insert payment method]. The document will be sent by [insert delivery procedure]. All banking costs shall be borne by the bidder.

Applications for prequalification should be submitted in sealed envelopes, delivered to the address below by [insert date], and be clearly marked “Application to Prequalify for the [insert number(s) and name(s) of Lots].”

The Purchasers Implementing Agency:

General Instructions to Applicants - GITA 3

GENERAL INSTRUCTIONS TO APPLICANTS (GITA)


1. Source of Funds and Scope of WorksSource of Funds

1.1 The Borrower named in the Particular Instructions to Applicants (PITA) has applied for or received a loan or credit (hereinafter called “loan”) from the International Bank for Reconstruction and Development or from the International Development Association (hereinafter interchangeably called “the Bank”) equivalent to the amount in U.S. dollars indicated in the PITA toward the cost of the Project named in the PITA. The Borrower intends to apply a part of the proceeds of this loan to eligible payments under the con-tract(s) for which this prequalification is issued.

Goods to be supplied

1.2 The Purchaser, as named in the PITA, intends to prequalify suppliers for supply of Goods described in the PITA.

Lot and Package

1.3 If so indicated in the PITA, bids will be invited for one or more items, or for individual Contracts (lots) each comprising at least eighty percent (80%) of the total number of items required under the lot. In both cases, each item offered must comprise the full quantity required under that item.

Bid Invitation

1.4 It is expected that prequalified applicants will be invited to submit bids during the month and year indicated in the PITA.

Type of Contract

1.5 The bidding documents, type of contract and method of payment are indicated in the PITA.

General Information

1.6 General information on the delivery terms, frequency of shipments, Goods’ registration and packaging/marking requirements, expected places of delivery and contract validity period, and other relevant data is attached as an Annex to the PITA.

2. Fraud and Corruption2.1 It is the Bank’s policy to require that Borrowers (including

beneficiaries of Bank loans), as well as bidders/Suppliers/Contractors under Bank-financed contracts, observe the highest standard of ethics during the procurement and execution of such contracts. In pursuance of this policy, the Bank:

(a) defines, for the purposes of this provision, the terms set forth below as follows:

(i) “corrupt practice” means the offering, giving, receiving, or soliciting of anything of value to


influence the action of a public official in the procurement process or in contract execution; and

(ii) “fraudulent practice” means a misrepresentation of facts in order to influence a procurement process or the execution of a contract to the detriment of the Borrower, and includes collusive practices among bidders (prior to or after bid submission) designed to establish bid prices at artificial, noncompetitive levels and to deprive the Borrower of the benefits of free and open competition

(b) will not accept a Borrower’s proposal for award if it determines that the bidder recommended for award has engaged in corrupt or fraudulent practices in competing for the contract in question; and

(c) will declare a firm ineligible, either indefinitely or for a stated period of time, to be awarded a Bank-financed contract if it at any time determines that the firm has engaged in corrupt or fraudulent practices in competing for, or in executing, a Bank-financed contract.

3. Eligibility of Countries and BiddersEligible Countries

3.1 Except as provided in Sub-Clauses 3.2 and 3.3, this Invitation for Prequalification is open to all eligible firms from eligible source countries. The Bank maintains a list of countries from which bidders, goods, and services are not eligible to participate in procurement financed by the Bank. The list is regularly updated and can be obtained from the Bank’s InfoShop in Washington, D.C., and the Public Information Centers of the Bank in Paris and Tokyo. The list can also be obtained from the Bank’s Web site: http://www.worldbank.org.html/pic/PROCURE.html.

3.2 Firms of a member country may be excluded if, (i) as a matter of law or official regulation, the Borrower’s country prohibits commercial relations with that country, provided that the Bank is satisfied that such exclusion does not preclude effective competition for the supply of goods or services required, or (ii) by an act of compliance with a decision of the United Nations Security Council taken under Chapter VII of the Charter of the United Nations, the Borrower’s country prohibits any import of goods from that country or any payments to persons or entities in that country.

Eligible 3.3 Government-owned enterprises in the Borrower’s country may

http://www.worldbank.org.html/pic/PROCURE.html

6 General Instructions to Applicants - GITA

Bidders participate only if they can establish that they (i) are legally and financially autonomous, and (ii) operate under commercial law. No dependent agency of the Borrower or Sub-Borrower under a Bank-financed project shall be permitted to bid or submit a proposal for the procurement of goods or works under the project.

3.4 A firm declared ineligible by the Bank in accordance with Sub-Clause 2.1 (c) above shall be ineligible to bid for a Bank-financed contract during the period of time determined by the Bank.

4. Qualification CriteriaGeneral 4.1 Prequalification will be based on Applicants meeting all of the

following minimum pass–fail criteria regarding their general and particular production and distribution experience and capacities, quality assurance, and other relevant information as demonstrated by the Applicant’s responses in the Information Forms attached to the Letter of Application.

Required Quality Assurance

4.2 The Applicant shall provide evidence that it meets the qualification criteria specified in PITA, and has a successful performance history in accordance with criteria specified in PITA

Particular Experience

4.3 The Applicant shall provide evidence that it has the financial, technical, and production capability necessary to perform the Contract,

(a) that it has successfully completed or substantially completed at least the number of similar contracts for supply of the goods and within the period stated in the PITA. The goods may have been supplied by the Applicant as a manufacturer or by its agent, with references being submitted to confirm satisfactory performance,

(b) that it has achieved an annual production rate during the above period as specified in the PITA; and

(c) that it has generated an average annual turnover during the above period as specified in PITA.

Manufacturing Experience

4.4 The applicant should have manufactured and marketed

(a) the specific goods subject of bidding specified in the PITA for at least the number of years stated in the PITA, and

(b) similar goods for at least the number of years stated in the PITA.


Applicants wishing to prequalify for products that they do not manufacture must submit the information corresponding to the primary manufacturer of the goods who shall comply with the above manufacturing requirements. In addition, the Applicant shall submit a notarized letter of authority prepared in accordance with the Manufacturer’s Authorization Form, Annex 1 to the Letter of Application, from the primary manufacturer designating the agent for and on behalf of the primary manufacturer.

Experience on Packaging, Distribution and Transportation

4.5 The Applicant should provide proof of experience with and knowledge of modes of packing, distribution, and transportation of pharmaceuticals similar to those subject to bidding under logistical and climatic conditions similar to the ones in the purchaser’s country. It should provide names of countries to which the Applicant has supplied (including packaged, distributed, and transported) products worth at least the amount specified in the PITA within the past three years.

Registration Requirements

4.6 Unless PITA stipulates otherwise, the Goods to be supplied under the Contract shall be registered with the relevant authority in the Purchaser’s country. An Applicant who has already registered its Goods by the time of prequalification should submit a copy of the Registration Certificate with its application (subject to subsequent confirmation at bid submission). An Applicant who has not registered its goods subject of bidding and wishes to commence the process of registration, should refer to the agency and contact person identified in the PITA.

If Registration is a requirement in the country of the Purchaser, the Standard Bidding Documents for the Procurement of Health Sector Goods stipulates that:

A Bidder who has already registered the goods by the time of bidding should submit a copy of the Registration Certificate with its bid.

Otherwise, the successful Bidder, by the time of Contract signing, shall submit to the Purchaser either: (a) a copy of the Registration Certificate of the Goods for use in the Purchaser’s country, or, if such Registration Certificate has not been obtained, (b) evidence establishing to the Purchaser’s satisfaction that the Bidder has complied with all the documentary requirements for registration as specified in the Bid Data Sheet.

If the Goods of the successful Bidder have not been registered in the Purchaser’s country at the time of contract signing, then the Contract shall become effective upon such date as the


Certificate of Registration is obtained.

The Purchaser shall not annul award of a Contract on the basis of a Bidder’s failure to successfully register the Goods, without first seeking and obtaining the World Bank’s no objection.

Lot and Package

4.7 When applying for prequalification on more than one contract under the lot and package arrangements, the Applicant must provide evidence that it meets or exceeds the sum of all the individual requirements for the lots or package being applied for in regard to:

(a) Average annual turnover (Sub-Clause 4.3 [c]); and

(b) Particular experience including key production rates (Sub-Clause 4.3 [b]).

In case the Applicant fails to fully meet any of these criteria, it may be qualified only for those lots for which the Applicant meets the above requirement.

Right to Waive

4.8 The Purchaser reserves the right to waive minor deviations in the qualification criteria if they do not materially affect the capability of an Applicant to perform the contract.

5. Domestic PreferenceEligibility 5.1 If so indicated in the PITA, and for the purpose of bid comparison,

the Purchaser will grant a margin of preference to goods manufactured in the Purchaser’s country. On the basis of information submitted by Applicants and available at the time of notification, the Purchaser will inform prequalified Applicants of their apparent eligibility to qualify for the domestic bidder price preference (subject to subsequent confirmation at bid evaluation). Domestic preference may be provided in the evaluation of bids for bids offering goods manufactured in the country of the Borrower if the bidder establishes to the satisfaction of the Borrower and the Bank that:

(a) labor, raw material and components from within the country of the Borrower will account for more than 30 percent of the EXW price of the product offered, and

(b) the production facility in which those goods will be manufactured or assembled has been engage in manufacturing/assembling such goods at least since the time of bid submission.

6. Requests for ClarificationNotificatio 6.1 Applicants are responsible for requesting any clarification of the


n and Response

prequalification documents. A request for clarification shall be made in writing to the Purchaser’s address indicated in the PITA. The Purchaser will respond to any request for clarification that it receives earlier than 14 days prior to the deadline for submission of applications. Copies of the Purchaser’s response, including a description of the inquiry but without identifying its source, will be forwarded to all purchasers of the prequalification documents.

7. Submission of ApplicationsDelivery 7.1 Submission of applications for prequalification must be received in

sealed envelopes either delivered by hand or by registered mail to the address, and not later than the date stated in the PITA. The name and mailing address of the Applicant shall be indicated on the envelope, which shall be clearly marked as indicated in the PITA. A receipt will be given for all applications submitted.

Late Applications

7.2 The Purchaser reserves the right to accept or reject late applications.

Language 7.3 All information requested for prequalification shall be provided by Applicants in the language indicated in the PITA. Information may be provided in another language, but it shall be accompanied by an accurate translation of its relevant passages into the language indicated in the PITA. This translation will govern and will be used for interpreting the information.

Lack of Information

7.4 Failure of an Applicant to provide comprehensive and accurate information that is essential for the Purchaser’s evaluation of the Applicant’s qualifications, or to provide timely clarification or substantiation of the information supplied, may result in disqualification of the Applicant.

Material Changes

7.5 Applicants, and those subsequently prequalified or conditionally prequalified, shall inform the Purchaser of any material change in information that might affect their qualification status. Bidders shall be required to update key prequalification information at the time of bidding. Prior to award of contract, the lowest evaluated bidder will be required to confirm its continued qualified status in a postqualification review process.

8. Purchaser’s Notification and Bidding ProcessInvitation for Bid

8.1 Within the period stated in the PITA from the date for submission of applications, the Purchaser will notify all Applicants in writing of the results of their application and of the names of all prequalified and conditionally prequalified applicants (see Sub-


Clause 8.2 below). At the same time, successful applicants will be invited to submit a bid, in the format of the Invitation for Bids annexed to the PITA.

Conditional Prequalification

8.2 An Applicant may be “conditionally prequalified”, that is, qualified subject to certain specified nonmaterial deficiencies in the prequalification requirements being met by the Applicant to the satisfaction of the Purchaser, before submitting a bid. Upon full compliance with the prequalification requirements, other prequalified applicants will be notified accordingly.

Bid Security 8.4 Bidders will be required to provide bid security in the form and amount indicated in the bidding documents. The successful bidder will be required to provide performance security in the form and amount indicated in the bidding documents.

Purchaser’s Rights

8.5 The Purchaser reserves the right to take the following actions, and shall not be liable for any such actions:

(a) amend the scope and cost of any contract to be bid under this project, in which event bids will be invited only from those applicants who meet the resulting amended prequalification requirements;

(b) reject or accept any prequalification application, and/or any late application; and

(c) cancel the prequalification process and reject all applications.

11

PARTICULAR INSTRUCTIONS TO APPLICANTS (PITA)Part A: General

The PITA below is formatted for prequalification related to either one or more items, or for individual contracts (lots). Part A relates to general matters that are common to both processes. Part B relates to specific requirements for one or more items, or for individual contracts (lots).

GITA Sub-Clause Reference

These particular instructions and related Information Forms (IF) are intended to complement, amend, or supplement the provisions in the GITA. In the event of conflict or ambiguity, the provisions in the PITA shall prevail over those in the GITA.

1.1 Source of Funds

The Borrower: [insert name of Borrower]

Amount of Loan: US$ ______ equivalent [insert loan amount]

Name of Project: [insert project name]

1.2 The Purchaser: [insert name and complete mailing address, telephone and fax numbers, and electronic mail address of Purchaser]

1.3 Bids are being invited for [indicate “one or more items,” or “individual contracts (lots)”]

1.4 Bid InvitationExpected date of Invitation for Bids: [Insert date for Invitation for Bids]

5.1 Domestic Preference: [insert domestic preference “will” or “will not” be applied]

Note: The amount of domestic preference will be equivalent to (i) the amount of duties and other related import charges which a nonexempt importer would have to pay for the importation of the goods offered from abroad and to be directly imported or (ii) 15 percent of the CIF or CIP bid price of such goods if said duties and charges exceed 15 percent of such price.

12

6.1 Requests for Clarification:

Requests for clarification shall be addressed to:

The Purchasers Implementing Agency:

NameAddress Tel.Fax. Email: Contact person:

7.1 Submission of Applications

Address:The Purchasers Implementing Agency:

NameAddress Tel.Fax. Email: Contact person:

Date for Submission:[The time allowed for preparation and submission of the prequalification document should be sufficient for applicants to gather all the information required—preferably eight weeks, but in any case not less than six weeks after the dates when the documents are available for distribution or the date of the advertisement.]

Envelope Marking: [insert project name and no.]

7.3 Language:

All information requested for prequalification shall be provided in the [insert language] language.

8.1 Purchaser’s Notification

Time period from submission of applications: _____ days[Depending on the complexity of the contract(s), and of the evaluation criteria

Particular Instructions to Applicants - PITA 13

(e.g. slice and package), etc., a period between fifty-six to eighty-four (56 to 84) days is considered appropriate, including seeking the Bank’s “no objection.”]


PARTICULAR INSTRUCTIONS TO APPLICANTS (PITA)Part B: Specific Contract Requirements

1.2 The goods to be supplied: [insert need for goods, i.e., 1st line Pharmaceuticals for treatment of Tuberculosis]

1.3 [Insert details of “one or more items” or “individual contract (lots)”]

1.5 Type of Contract

Bidding Documents: [insert name of bidding document]

Method of payment: [insert payment method]

Prices: [insert “Fixed” or “Adjustable”]

1.6 Delivery terms: [insert delivery terms]

Frequency of shipments : [insert frequency of shipments]

Goods registration and packing/marking requirements: [insert registration and packing/marking requirements]

The Borrower may wish to add specific packing/marking requirements, such as special notes on the package marking (e.g., “Not for sale”) and/or others to be advised separately.

Contract (s) validity period: [insert contract validity period]

Other relevant information: [insert other relevant information]

4.2 Qualification requirements for Applicants are:

Quantifiable qualification criteria for experience and/or financial viability:

The Applicant should provide the following documents with its application:

Documentary evidence of the Applicant’s qualifications to perform the Contract if its bid is accepted:

(i) that, in the case of an Applicant offering to supply Goods under the Contract that the Applicant manufactures or otherwise produces (using ingredients supplied by primary manufacturers) that the Applicant:

(a) is incorporated in the country of manufacture of the Goods;

(b) has been licensed by the regulatory authority in the country


of manufacture to supply the Goods;

(c) has manufactured and marketed the specific goods covered by this Bidding Document, for at least two (2) years, and for similar Goods for at least five (5) years;

(d) has received a satisfactory GMP inspection certificate in line with the WHO certification scheme on pharmaceuticals moving in International Commerce from the regulatory authority (RA) in the country of manufacture of the goods or has been certified by the competent authority of a member country of the Pharmaceuticals Inspection Convention (PIC), and has demonstrated compliance with the quality standards during the past two years prior to bid submission;

(ii) that, in the case of an Applicant offering to supply Goods under the Contract that the Applicant does not manufacture or otherwise produce,

(a) that the Applicant has been duly authorized by a manufacturer of the Goods that meets the criteria under (i) above to supply the Goods in the Purchaser’s country; and

The Applicant shall also submit the following additional information:

(a) a statement of installed manufacturing capacity;

(b) copies of its audited financial statements for the past three fiscal years;

(c) details of on-site quality control laboratory facilities and services and range of tests conducted;

(d) list of major supply contracts conducted within the last five years.

4.3 (a) The range should be not less than three and not more than five (normally four), depending on the size and complexity of the subject contract within the last five years. Similar contracts are those of approximately the same size and that includes comparable products, e.g., capsules, tablets, vaccines.

4.3 (b) The Annual Production required should be at least three times the quantities specified under the contract.

4.3 (c) The amount of Annual Sales Value required should be at least five times the estimated contract value during the last five years.

4.4

4.4 (a) An Applicant should have manufactured and marketed the specific goods

16 Annexes to PITA

subject of bidding for at least two years.

4.4 (b) An Applicant should have manufactured and marketed similar goods subject of bidding for at least five years

4.5 Products supplied equivalent of US$ ______ or more.

4.6 By the time of Contract signing, the successful Bidder shall have complied with the following documentary requirements in order to register the Goods to be supplied under the Contract:

[insert documentary requirements]

For the purpose of obtaining additional information about the requirements for registration, Applicants may contact:

Registration of pharmaceuticals:

[insert name, address, telephone, and contact persons for registration offices, i.e., Pharmaceutical registration, Pharmacological committee of Ministry of Health, Pharmacopoeia committee of Ministry of Health, Department of governmental control for quality, efficiency and safety of pharmaceuticals and medical equipment ]

Invitation for Bids (Sample form) 17

SAMPLE BASIC FORM* INVITATION FOR BIDS [date]

To: [name of Supplier][address]

Reference: [Insert IBRD Loan No. or IDA Credit No.]

Contract Name, and Identification No. ________ / ________

Dear Sirs:

We hereby inform you that you are prequalified for bidding for the above cited contract. A list of prequalified and conditionally prequalified Applicants is attached to this invitation.

On the basis of information submitted in your application, you would [not] (insert if appropriate) appear eligible for application of the domestic bidder price preference in bid evaluation. Eligibility is subject to confirmation at bid evaluation.

We now invite you and other prequalified Applicants to submit sealed bids for the execution and completion of the cited contract.

You may obtain further information from, and inspect and acquire the bidding documents at, our offices at [mailing address, street address, and cable/telex/facsimile numbers].

A complete set of bidding documents may be purchased by you at the above office, on or after [time and date] and upon payment of a nonrefundable fee of [insert amount in local currency], on the day of payment. The method of payment will be [insert payment method].

All bids must be accompanied by a security in the form and amount specified in the bidding documents, and must be delivered to [address and exact location] at or before [time and date]. Bids will be opened immediately thereafter in the presence of bidders’ representatives who choose to attend.

Please confirm receipt of this letter immediately in writing by cable, fax, or telex. If you do not intend to bid, we would appreciate being so notified also in writing at your earliest opportunity.

Yours truly,

Authorized signature Name and title Purchaser

* This basic form may be adapted by the Purchaser to notify conditionally prequalified.

Letter of Application 18

LETTER OF APPLICATION

[letterhead paper of the Applicant including full postal address, and telephone, facsimile and telex numbers, and cable address]

Date: To:

Name of Project:

1. Being duly authorized to represent and act on behalf of __________________ (hereinafter referred to as “the Applicant”), and having reviewed and fully understood all of the prequalification requirements and information provided, the undersigned hereby applies for prequalification to bid on the contract or contracts indicated below:

*Note: If prequalification refers to only one contract, delete the following paragraph and table, and insert the single contract reference and title.

* We have indicated (by signature) in column (3) below our preference for individual contract consideration, or for any combination thereof within our prequalified capacity as assessed by you.

Contract reference*(1)

Contract title*(2)

Preferred individual contract

(3)

1.

2.

3.

4.etc.

2. Attached to this letter are copies of original documents defining:

(a) the Applicant's legal status;

(b) the principal place of business; and


(c) the place of incorporation (for Applicants that are corporations), or the place of registration and the nationality of the owners (for Applicants that are partnerships or individually owned firms).

3. Your Agency and its authorized representatives are hereby authorized to conduct any inquiries or investigations to verify the statements, documents, and information submitted in connection with this application, and to seek clarification from our bankers and clients regarding any financial and technical aspects. This Letter of Application will also serve as authorization to any individual or authorized representative of any institution referred to in the supporting information to provide such information deemed necessary and as requested by yourselves to verify statements and information provided in this application, such as the resources, experience, and competence of the Applicant.

4. Your Agency and its authorized representatives may contact the following persons for further information:

General and managerial inquiries

Contact 1 Address and communication facilities


Personnel inquiries



Technical inquiries



Financial inquiries

20 Letter of Application



5. This application is made with the full understanding that:

(a) bids by prequalified Applicants will be subject to verification of all information submitted for prequalification at the time of bidding;

(b) your Agency reserves the right to:

amend the scope and value of any contracts to be bid under this project; in which event, bids will be invited only from those Applicants who meet the resulting amended prequalification requirements; and

reject or accept any application, cancel the prequalification process, and reject all applications.

(c) your Agency shall not be liable for any such actions under 5 (b) above.

6. The undersigned declare that the statements made and the information provided in the duly completed application are complete, true, and correct in every detail.

Signed Signed

Name Name

For and on behalf of: For and on behalf of:


Section 1: Company Details and General Information

1. Name of Firm:2. Street Address: Postal Code: City: Country:

3. P.O. Box and Mailing Address:

4. Telephone Number:

5. Fax Number:

6. E-mail Address:

7. WWW Address:

8a. Contact Name:

8b. Contact Title:

9. Parent Company, if Any (Full Legal Name):

10. Subsidiaries, Associates, and/or Overseas Representative(s), if Any:

11. Nationality of the Firm

12. Type of Business:

12a. If Other, specify:

13. Nature of Business:

14. Year Established:

15. Key Personnel: [include name of candidate, position, professional qualifications, and experience]

Technical Production Management

16. Dates, Numbers, and Expiration Dates of Current Licenses and Permits:

17. Current health authority registration information:

18. Proof of product and facility registrations with purchaser’s country regulatory authority and international agencies (e.g., WHO Certification Scheme, GMP)

22 Particular Instructions to Applicants - PITA

19. Name of government agency(ies) responsible for inspecting and licensing of facilities in the country of origin of the raw material and or processing of the goods:

Date of last inspection: 20. Quality Assurance Certification (Please include a copy of your latest certificate with the PQ application):

21. Production capacity: [insert peak and average production capacity over the last three years in units/day or units/month, etc.]

22. List of names and addresses of sources of raw material and what products they will be used in:

23. Proof of raw material product and facility registrations with purchaser’s country regulatory authority and international agencies (e.g., WHO Certification Scheme, GMP):

24. Raw materials tested prior to use:

25. Presence and characteristics of in-house quality control laboratory

26. Names and addresses of external quality control laboratories used:

27. Are all finished products tested and released by quality control prior to release for sale?

Yes No If not, why?

28. List control tests done during production? If so list.

29. Procedures for dealing with rejected batches:

30. List tests conducted after production and prior to release of product on market:

31. List product recalls linked to defects during the last 36 months. Include reason and date of recall.


32. Are technical documents available in: [Purchaser should insert language]

Yes No

33. Working languages (Language of bid and contract): [Purchaser should insert working language]

Section 2: Financial Information

34/35. Annual Sales Value for the last 3 years:

Year Total Sales (USD)

36. VAT No./Tax I.D.:

37a. Bank Name:

37b. Swift/BIC Address:

37c. Bank Address:

37a. Bank Account Number:

37b. Account Name:

38. Please mail a copy of the company’s Annual or Audited Financial Report of the last three years.

Section 3: Current Contract Commitments / Contracts in Progress

39. Name of Contract(s)

40 Purchaser Contact Information [insert address, telephone, fax, e-mail address]

41 Value of outstanding contracts [current US$ equivalent]

42 Estimated delivery date

24 Particular Instructions to Applicants - PITA

43 Average monthly invoices over the last six months (US$/mon.)

Section 4. Experience

44. Contracts over [insert amount] during the last three years:

Purchaser Value Year Goods/Services Supplied Country of Destination

Section 5: Other

45. Please list any disputes your company has been involved in over the last 3 years:Year Award FOR

or AGAINSTapplicant

Name of client, cause of litigation, and matter in dispute

Dispute amount (current value, US$ equivalent

46.We hereby certify that the information provided in this form is correct, and in the event of changes, details will be provided as soon as possible.

Signed: ___________________________________

Date:__________________________

in the capacity of: [insert title or other appropriate designation]

Annex 1 to Letter of Application 25

Manufacturer’s Authorization Form(Manufacturer’s or Producer’s letterhead)

To:

WHEREAS [ insert: name of the manufacturer or producer ] (hereinafter, “we” or “us”) who are established and reputable manufacturers or producers of [ insert: name and/or description of the Goods requiring this authorization ] (hereinafter, “Goods”) having production facilities at [ insert: address of factory ] do hereby authorize [ insert: name and address of Applicant] (hereinafter, the “Applicant”) to submit a Letter of Application, and subsequently negotiate with you against IFP [ insert: title and reference number of the Invitation for Prequalification ] including the above Goods produced by us.

For and on behalf of the Manufacturer or Producer

Signed: ___________________________________________________________

Date: ______________________________________

In the capacity of [ insert: title, position, or other appropriate designation ] and duly authorize to sign this Authorization on behalf of [ insert: name of manufacturer or producer ]

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