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Tender Package — Request for Bid (RFB) TENDER NO. MC GOM 16026 FOR SUPPLY OF DUCTILES CAST IRON PIPES - DRC, GOMA 1. Invitation to Tender FOR INTERNATIONAL OFFERORS ONLY Tender Name: PIPEWORK - PIPES SUPPLY Tender No: MC GOM 16026 Location: GOMA. DRC Correspondence Language(s): English Brief Summary Description of Project: Mercy Corps is an humanitarian organization which has been operating in the Democratic Republic of the Congo (DRC) since 2007. Mercy corps is currently implementing an urban development program IMAGINE (Integrated Maji, infrastructure and governance initiative for East of Congo), funded by the British Department for International Development (UKAid). This program runs for the period 2014 to 2020 and aims to supply water to 1.55 million in Goma and Bukavu cities through the following components: Infrastructure, Governance, Behavior change and Water service provision. The infrastructure component will have as main tasks the improvement of water infrastructure through the rehabilitation and extension of existing infrastructure and construction of new facilities in accordance with the master plans recently developed. The water supply infrastructure mainly consists of rehabilitation and / or expansion of existing supply systems, construction of new water supply systems. Generally, the infrastructure development is following international competitive bidding process for recruitment of contractors and any other service providers. Tender Package Available from: 18 th November 2020 Tender Package Pickup Location: 1. www.bizcongo.cd 2. www.kivu10.net 3. www.mercycorps.org/tenders, 4 . Mercy Corps Goma office : 21 ; Bougainvillier 1 Avenue, Quartier Volcan Ville de Goma ; North Kivu, DRC. Deadline for Offer Submission: 30 th November, 2020 , 4:30 PM Submit Offers to: 1. Mercy Corps Goma office : 21 ; Bougainvillier 1 Avenue, Quartier Volcan, ville de Goma ; North Kivu, DRC. Tender No: MC GOM 16026 Page 1 of 28

Transcript of  · Web viewFlanged pipe fittings in accordance to DIN EN 12842, PN 10/16 made of ductile...

Page 1:  · Web viewFlanged pipe fittings in accordance to DIN EN 12842, PN 10/16 made of ductile cast-iron. With standard EWS coated (fusion bonded epoxy) quality control and certified in

Tender Package — Request for Bid (RFB)

TENDER NO. MC GOM 16026 FOR SUPPLY OF DUCTILES CAST IRON PIPES - DRC, GOMA

1. Invitation to Tender FOR INTERNATIONAL OFFERORS ONLY

Tender Name: PIPEWORK - PIPES SUPPLY Tender No: MC GOM 16026

Location: GOMA. DRC Correspondence Language(s): English

Brief Summary Description of Project:

Mercy Corps is an humanitarian organization which has been operating in the Democratic Republic of the Congo (DRC) since 2007. Mercy corps is currently implementing an urban development program IMAGINE (Integrated Maji, infrastructure and governance initiative for East of Congo), funded by the British Department for International Development (UKAid). This program runs for the period 2014 to 2020 and aims to supply water to 1.55 million in Goma and Bukavu cities through the following components: Infrastructure, Governance, Behavior change and Water service provision.The infrastructure component will have as main tasks the improvement of water infrastructure through the rehabilitation and extension of existing infrastructure and construction of new facilities in accordance with the master plans recently developed. The water supply infrastructure mainly consists of rehabilitation and / or expansion of existing supply systems, construction of new water supply systems. Generally, the infrastructure development is following international competitive bidding process for recruitment of contractors and any other service providers.

Tender Package Available from: 18th November 2020

Tender Package Pickup Location: 1. www.bizcongo.cd2. www.kivu10.net3. www.mercycorps.org/tenders, 4 . Mercy Corps Goma office : 21 ; Bougainvillier 1 Avenue, Quartier Volcan Ville de Goma ; North Kivu, DRC.

Deadline for Offer Submission: 30th November, 2020 , 4:30 PM

Submit Offers to:1. Mercy Corps Goma office : 21 ; Bougainvillier 1 Avenue, Quartier Volcan, ville de Goma ; North Kivu, DRC.2. En ligne : [email protected]

Mercy Corps reserves the right to accept or reject any late offers

Questions and Answers (Q&A)

If any, Submit Questions in writing to: [email protected]

Last Day for Questions:(Day / month in letter / year; Time)

Questions will be answered by:(Day / month in letter / year; Time)

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Tender Package — Request for Bid (RFB)

Questions will be answered through: [email protected] and by all the means used for the tender

Q&A Session

Date / Time: PA Location: PA

Point of Contact: PA

Documentation Checklist

These documents are contained within this tender package:

✓ Invitation to Tender✓ General Conditions for Tender✓ Criteria and Submittals✓ Price Offer Sheet✓ Supplier Information Form✓ Scope of Work/Technical Specifications/BoQ✓ Sample Contract

2. General Conditions for TenderMercy Corps invites offers for the goods, services and/or works described and summarized in these documents, and in accordance with procedures, conditions and contract terms presented herein. Mercy Corps reserves the right to vary the quantity of work/materials specified in the Tender Package without any changes in unit price or other terms and conditions and to accept or reject any, all, or part of submitted offers.

2.1 Mercy Corps’ Anti-Bribery and Anti-Corruption Statement

Mercy Corps strictly prohibits:

● Any form of bribe or kickback in relation to its activities This prohibition includes any request from any Mercy Corps employee, consultant or agent for anything of value from any company or individual in exchange for the employee, consultant or agents taking or not taking any action related to the award of a contract or the contract once awarded.  It also applies to any offer from any company or individual to provide anything of value to any Mercy Corps employee, consultant or agent in exchange for that person taking or not taking any action related to the award of the contract or the contract. 

● Conflicts of interests in the awarding or management of contracts   If a company is owned by, whether directly or indirectly, in whole or in part, any Mercy Corps employee or any person who is related to a Mercy Corps employee, the company must ensure that it and the employee disclose the relationship as part of or prior to submitting the offer.   

 ● The sharing or obtaining of confidential information

Mercy Corps prohibits its employees from sharing, and any offerors from obtaining, confidential information related to this solicitation, including information regarding Mercy Corps’ price estimates, competing offerors or competing offers, etc.  Any information provided to one offeror must be provided to all other offerors.

 

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Tender Package — Request for Bid (RFB)

● Collusion between/among offerors Mercy Corps requires fair and open competition for this solicitation.  No two (or more) companies submitting bids can be owned or controlled by the same individual(s). Companies submitting offers cannot share prices or other offer information or take any other action intended to pre-determine which company will win the solicitation and what price will be paid.

 Violations of these prohibitions, along with all evidence of such violations, should be reported to:

http://mercycorps.org/integrityhotline

Mercy Corps will investigate allegations fully and will take appropriate action.  Any company, or individual that participates in any of the above prohibited conduct, will have its actions reported to the appropriate authorities, will be investigated fully, will have its offer rejected and/or contract terminated, and will not be eligible for future contracts with Mercy Corps. Employees participating in such conduct will have his/her employment terminated.

Violations will also be reported to Mercy Corps’ donors, who may also choose to investigate and debar or suspend companies and their owners from receiving any contract that is funded in part by the donor, whether the contract is with Mercy Corps or any other entity.2.2 Tender Basis:

● All offers shall be made in accordance with these instructions, and all documents requested should be furnished, including any required (but not limited to) supplier-specific information, technical specifications, drawings, bill of quantities, and/or delivery schedule. If any requested document is not furnished, a reason should be given for its omission in an exception sheet.

● No respondent should add, omit or change any item, term or condition herein.

● If suppliers have any additional requests and conditions, these shall be stipulated in an exception sheet.

● Each offeror may make one response only.

● Each offer shall be valid for the period of [180 days] from its date of submission.

● All offers should indicate whether they include taxes, compulsory payments, levies and/or duties, including VAT, if applicable.

● Suppliers should ensure that financial offers are devoid of calculation errors. If errors are identified during the evaluation process, the unit price will prevail. If there is ambiguity on the unit price, the Selection Committee may decide to disqualify the offer.

● Any requests for clarifications regarding the project that are not addressed in written documents must be presented to Mercy Corps in writing. The answer to any question raised in writing by any offeror will be issued to that offeror. In some cases Mercy Corps may choose to issue clarifications to all offerors. It is a condition of this tender that no clarification shall be deemed to supersede, contradict, add to or detract from the conditions hereof, unless made in writing as an Addendum to Tender and signed by Mercy Corps or its designated representative.

● This Tender does not obligate Mercy Corps to execute a contract nor does it commit Mercy Corps to pay any costs incurred in the preparation and submission of bids. Furthermore, Mercy Corps reserves the right to reject any and all offers, if such action is considered to be in the best interest of Mercy Corps.

2.3 Supplier Eligibility

Suppliers may not apply, and will be rejected as ineligible, if they :

● Are not registered companies

● Are bankrupt or in the process of going bankrupt

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Tender Package — Request for Bid (RFB)

● Have been convicted of illegal/corrupt activities, and/or unprofessional conduct

● Have been guilty of grave professional misconduct

● Have not fulfilled obligations related to payment of social security and taxes

● Are guilty of serious misinterpretation in supplying information

● Are in violation of the policies outlined in Mercy Corps Anti Bribery or Anti Corruption Statement

● Supplier (or supplier’s principals) are on any list of sanctioned parties issued by; or are presently excluded or disqualified from participation in this transaction by: the United States Government or United Nations by the United States Government, the United Kingdom, the European Union, the United Nations, other national governments, or public international organizations.

Additional eligibility criteria, if applicable, are stated in section 3.2 of this tender package.

2.4 Response Documents

Offerors must submit an offer in their own format and ensure it contains all the required documents and information specified in this tender. Where an itemized Price Offer Sheet is included in the tender package, the offeror must complete and submit it with the rest of their offer.

2.5 Acceptance of Successful Response

Documentation submitted by offerors will be verified by Mercy Corps. The winning offeror will be required to sign a contract for the stated, agreed upon amount.

2.6 Certification Regarding Terrorism

It is Mercy Corps’ policy to comply with humanitarian principles and the laws and regulations of the United States, the European Union, the United Nations, the United Kingdom, host nations, and other applicable donors concerning transactions with or support to individuals or entities that have engaged in fraud, waste, abuse, human trafficking, corruption, or terrorist activity. These laws and regulations prohibit Mercy Corps from transacting with or providing support to any individuals or entities that are the subject of government sanctions, donor rules, or laws prohibiting transactions or support to such parties

3. Criteria & Submittals

3.1 Contract Terms

Mercy Corps intends to issue a Fixed Price contract to one or several company(ies) or organization(s). The successful offeror(s) shall be required to adhere to the statement of work and terms and conditions of the resulting contract. The anticipated contract is incorporated in Section 6 herein. By submitting an offer, offerors certify that they understand and agree to all of the terms and clauses contained in Section 6.

3.2 Specific Eligibility Criteria [To be completed in accordance with section 5.6 of the FP3]

Eligibility criteria must be met and the corresponding supporting documents listed below under “Tender Submittals” must be submitted with offers. Offerors who do not submit these documents may be disqualified from any further technical or financial evaluation.

Eligibility Criteria:

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Tender Package — Request for Bid (RFB)

● Registration Certificate / Certificate of incorporation ● Any documentation indicating the company is meeting the TAX obligation

3.3 Tender Submittals

Documents and required information listed in tender submittals are necessary in order to support the eligibility criteria and to conduct technical evaluations of received offers (and due diligence). While absence of these documents and/or information does not denote mandatory disqualification of suppliers, the lack of these items has the potential to severely and negatively impact the technical evaluation of an offer.

Documents supporting the Eligibility Criteria:

● Legal Business Registration● Latest Tax Registration Certificate

Documents to conduct the Technical Evaluation and additional Due Diligence:

● Company Profile, 2 pages max● References from previous work projects (including contact information) ● Detailed Product Specifications/ISO Certificates, ● Items catalogue● A document attesting the supplier is an authorized reseller/distributor by the manufacturer will be

appreciated

Price Offer :

The Price offer is used to determine which offer represents the best value and serves as a basis of negotiation before award of a contract. As a Fixed-Price contract, the price of the contract to be awarded will be an all-inclusive fixed price basis, . No profit, fees, taxes, or additional costs can be added after contract signing. Offerors must show unit prices, quantities, and total price, as displayed in the Offer Sheet in Section 4. All items must be clearly labeled and included in the total offered price.

Offerors must not include VAT

3.4 Currency

Offers should be submitted in: USD Payments will be made in: USD

3.5 Tender Evaluation (LPTA Selection Method)

Based on the above submittals, a Mercy Corps Tender Committee will conduct a tender evaluation process. Mercy Corps reserves the right to accept or reject any or all bids, and to accept the offer(s) deemed to be in the best interest of Mercy Corps. MC will not be responsible for or pay for any expenses or losses which may be incurred by any Offeror in the preparation of their tender.

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Tender Package — Request for Bid (RFB)

Evaluations will be conducted as described in the following subsections:

3.5.1 Technical Evaluation

Lowest Price, Technically Acceptable (LPTA)

Mercy Corps Tender Committee will conduct a technical evaluation which will grade technical criteria on a pass/fail basis. Supplier’s bids must meet the minimum technical standard established here in order to receive a passing mark. Any offerors who receive a failing mark on any criteria will be automatically disqualified from the tender process.

Only offerors who pass all criteria will move on to the next round of evaluation.

Pass/fail technical criteria are as follows:

Technical Criteria Pass or Fail?

Product/Service/Work Technical Specifications

● Adequacy of the materials offered to the specifications of the materials requested on the basis of quality; specification and images in the appendix. Preferably provide evidence of availability of the same types of materials in stock.

● Delivery time; 21 calendar days after order confirmation

● Evidence of experience in selling and shipping similar materials in a context comparable to that of the DRC. For this purpose, present at least one Purchase Order or Purchase Contract for goods of the same type and delivered in Africa or the DRC

3.5.2 Financial Evaluation and Price/Cost Analysis

All suppliers who passed all technical criteria will move on to the financial evaluation where the lowest price offer(s) will be accepted as the winning offeror(s) assuming the price is deemed fair and reasonable and subject to the additional due diligence in section 3.5.3.

3.5.3 Additional Due Diligence

Upon completion of both the technical and financial evaluations Mercy Corps may choose to engage in additional due diligence processes with a particular offeror or offeror(s). The purpose of these processes is to ensure that Mercy Corps engages with reputable, ethical, responsible Suppliers with solid financials and the ability to fulfill the contract. Additional due diligence may take the form of the following processes (though it is not limited to):

● Reference ChecksNA.

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Tender Package — Request for Bid (RFB)

4. Offer Form

Offerors must submit their own independant offer including at least (but not limited to):

● All documents requested in the “Eligibility Criteria” section of this Tender Package● All documents requested in the “Tender Submittals” section of this Tender Package● All information listed in the “Documents Comprising the Bid” section below

All offers must be duly signed (including position and full name of the signer) and stamped, with the date of completion.

Documents Comprising the Bid

The following information must be included in the offer of any potential offeror:

❏ Cover Letter explaining interest to be a contracted vendor or supplier. The content of the cover letter shall include the following information:

❏ A detailed specification of the offered goods, services and/or works❏ Warranty (if necessary and appropriate)❏ Delivery time❏ Price validity date (for this purpose and as stated on the advertisement, quote given shall remain

unchanged for 180 working days)

❏ A Price Offer detailing the unit price only using the Price Offer Sheet template provided in section 7

❏ Completed Supplier Information Form signed by offeror (template provided in section 7)

❏ Other important documents offeror feels need to be attached to support their bid

The original bid shall be signed by the offeror or a person or persons duly authorized to bind the offeror to the contract. Financial offer pages of the bid shall be initialed by the person or persons signing the bid and stamped with the company seal.

Any interlineations, erasures, or overwriting shall be valid only if they are initialed by the person or persons signing the bid.

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Tender Package — Request for Bid (RFB)

5. Specifications5.1 Background

Mercy Corps; in RDC; is looking for a national or international supplier able to provide the accessories of ductile pipe according to these specifications below.

5.2 Technical Specifications;

PIPEWORK - PIPES SUPPLYFlanged fittings are made of ductile iron GJS-400/500 (DIN EN 12842 GGG-40/50). Designed acc. to EN 545, flange drilling acc. to EN 1092-2 (ISO 7005-2). Epoxy coated (Resicoat®) acc. to EN 14901 and GSK certified (RAL-GZ 662).

REHABILITATION AND UPGRADING OF DISTRIBUTION NETWORK IN GOMA:

1. Please Note, all materials are to be supplied with bolts, EPDM rubber gaskets, washers, nuts and all necessary accessories. The supplier will include price of this accessories in his units prices.2. All fittings are made in ductile casted iron materials 2. All materials are to be deliver CIF to Dar es salam all transport cost included

ITEM NO. ITEM DESCRIPTION UNIT QUANTITYA PIPEWORK - PIPES SUPPLY

1

Flanged pipe fittings in accordance to DIN EN 12842, PN 10/16 made of ductile cast-iron. With standard EWS coated (fusion bonded epoxy) quality control and certified in accordance with RAL-GZ 662, Colour: blue RAL 5015, smooth surface, Suitable for PVC pressure pipes in accordance with DIN 8061/DIN 8062/DIN EN ISO1452 and also for PE-HD pipes in accordance with DIN 8074/DIN, 8075/DIN EN 12201. GSK quality controlled and certified in accordance with RAL-GZ 662. Flat gaskets for Flangesacc. to EN 1514-1, type IBC.

1.1as described before, Supply, All flanged tees – T, DN

500/500/500, PN 16 Nos. 2

1.2as described before, Supply, Flanged Spigot, DN 500, PN 16

with paddle flange, length 1200 mm Nos. 2

1.3as described before, Supply, Flanged Spigot pipe, DN 500, PN

16 length 1200 mm Nos. 2

1.4 as described before, Supply, Flanged socket pipe, DN 400, PN 10 Nos. 1

1.5as described before, Supply, Flanged Spigot pipe, DN 400, PN

10 length 1000 mm Nos. 2

1.6as described before, Supply, Flanged Bend, DN 400, PN 10,

22.5 deg Nos. 2

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Tender Package — Request for Bid (RFB)

1.7as described before, Supply, All flanged tees – T, DN

300/300/300, PN 10 Nos. 1

1.8 as described before, Supply, All flanged socket, DN 300, PN 10 Nos. 2

1.9 as described before, Supply, All flanged taper, DN 400/300, PN 10 Nos. 3

1.10as described before, Supply, All flanged tees – T, DN

300/300/150, PN 10 Nos. 2

1.11 as described before, Supply, All flanged taper, DN 400/200, PN 10 Nos. 1

1.12 as described before, Supply, All flanged taper, DN 300/250, PN 10 Nos. 2

1.13 as described before, Supply, All flanged taper, DN 300/200, PN 10 Nos. 1

1.14as described before, Supply, Flanged Spigot, DN 400, PN 10

with centered paddle flange, length 600 mm Nos. 1

1.15as described before, Supply, Flanged Spigot, DN 300, PN 10

with centered paddle flange, length 3000 mm Nos. 1

1.16as described before, Supply, Flanged Spigot, DN 250, PN 10

with centered paddle flange, length 1500 mm Nos. 1

1.17as described before, Supply, Flanged Spigot, DN 250, PN 10

with centered paddle flange, length 600 mm Nos. 1

1.18as described before, Supply, Flanged Spigot, DN 200, PN 10

with centered paddle flange, length 600 mm Nos. 2

1.19as described before, Supply, Flanged Spigot, DN 150, PN 10

with centered paddle flange, length 1500 mm Nos. 1

1.20as described before, Supply, All flanged cross tees – T, DN

400/400/300/300, PN 10 Nos. 2

2

Supply Resilient-seated gate valve, with smooth passage, internal stem thread, non-rising stem; edge protection for bonnet and body, countersunk and sealed A2 screws between body and bonnet, medium-free stem bearing sealing wedge entirely vulcanized flange connection dimensions: as per EN 1092–2, with stem extension (for underground installation) – connection as per GW 336, inside and outside epoxy finish blue RAL 5005 as per GSK guidelines (for water). Flat gaskets for Flangesacc. to EN 1514-1, type IBC.

2.1as described before, Supply, Flanged Gate Valve DN 500, PN

16, with wheel handel Nos. 3

2.2as described before, Supply, Flanged Gate Valve DN 400, PN 10

wheel handel Nos. 2

as described before, Supply, Flanged Gate Valve DN 250, PN 10

wheel handel Nos. 2

as described before, Supply, Flanged Gate Valve DN 200, PN 10

wheel handel Nos. 2

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Tender Package — Request for Bid (RFB)

as described before, Supply, Flanged Gate Valve DN 150, PN 10

wheel handel Nos. 2

3

Supply dismantling joints are made of ductile iron GJS-400/500 (DIN1693 GGG-40/50), flange drilling acc. to EN 1092-2 (ISO 7005-2). Epoxy coated (Resicoat®) acc. to EN 14901 (DIN 30677-2) and GSK certified (RAL-GZ 662)

3.1as described before, Supply, double flange DCI Dismountling

jointing coupling DN500, PN16, Length adjustment range: (see table) +/- 25 mm

Nos. 1

3.2 as described before, Supply, VJ coupling DN500, PN16, DCI materials Nos. 2

3.3as described before, Supply, HDPE/DCI stepped VJ coupling

DN500 PN16, DCI materials Nos. 2

4

Supply Bulk water meter for drinking water, with parallel turbine shaft, Low starting flow, high overload security,wide measuring range, Removal measuring insert, Low head loss, Metal protective cover serially. Plastic optional High pressure model.

4.1 as described before, Supply and install, Flanged bulk water meter, DN 400, PN 10 Nos. 1

4.2 as described before, Supply and install, Flanged bulk water meter, DN 300, PN 10 Nos. 1

4.3 as described before, Supply and install, Flanged bulk water meter, DN 250, PN 10 Nos. 1

4.4 as described before, Supply and install, Flanged bulk water meter, DN 200, PN 10 Nos. 1

5

Double-chamber flange for pipes acc. to DIN 8062, flange acc. to EN 1092-2, including collar of rubber for sealing of pipes and as (flat) gasket to the opposing flange. Material: GJL 250, corrosion protection due to epoxy powder coating inside and outside acc. to quality assurance RAL-GZ 662 of the Gütegemeinschaft Schwerer Korrosionsschutz GSK (Quality Association for Heavy-Duty Corrosion Protection) considering DIN 3476 (P) and DIN 30677-2 (coating thickness: min. 0.25 mm, zero-porosity at 3 kV, adhesion inside and outside min. 12 N/mm² after exposure to hot water, proof of suitability for potable water applications, external monitoring through neutral testing institute)

5.1as described before, Supply and install, Flange adapter, to suite

DCI pipe, DN 400, PN 10 Nos. 2

5.2as described before, Supply and install, Flange adapter, to suite

DCI pipe, DN 300, PN 10 Nos. 2

5.3 as described before, Supply and install, Flange adapter, to suite DCI pipe, DN 250, PN 10 Nos. 2

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Tender Package — Request for Bid (RFB)

5.4 as described before, Supply and install, Flange adapter, to suite DCI pipe, DN 200, PN 10 Nos. 1

5.5 as described before, Supply and install, Flange adapter, to suite DCI pipe, DN 150, PN 10 Nos. 2

6

Fittings for PVC-Pipes in accordance to DIN EN 12842, PN 10/16 made of ductile cast-iron. With standard EWS coated (fusion bonded epoxy) quality control and certified in accordance with RAL-GZ 662, Colour: blue RAL 5015, smooth surface, Suitable for PVC pressure pipes in accordance with DIN 8061/DIN 8062/DIN EN ISO1452 and also for PE-HD pipes in accordance with DIN 8074/DIN, 8075/DIN EN 12201. GSK quality controlled and certified in accordance with RAL-GZ 662. Flat gaskets for Flanges acc. to EN 1514-1, type IBC

6.1 as described before, Supply and install, Flanged Socket (E-KS), DN 200, PN 10 to suite UPVC pipe Nos. 2

6.2 as described before, Supply and install, Flanged Spigot (F-KS), DN 250, PN 10 to suite UPVC pipe Nos. 3

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Tender Package — Request for Bid (RFB)

6. Sample ContractThis is the anticipated contract. However, if required, additional terms and conditions may be added by Mercy Corps in the final contract.

PURCHASE ORDER

№ PO № MC GOM 16026 Date:

PR № 16026

MC Authorized Representative(s): Supplier Authorized Representative(s):

MERCY CORPS DR CONGO Supplier:

Address:Address:

Contact person(s):  

Phone/Fax: Phone:

E-mail: Contact

Name:

 

DELIVERY LOCATION: PACKING REQUIREMENTS:

 

P.O. Prepared by : CURRENCY

: USD

TRANSPORTATION & UNLOADING TERMS:

 

PAYMENT TERMS:

DELIVERY DATE:

ITEM Qty. UNIT DESCRIPTION (as agreed with the

supplier) UNIT PRICE EXTENDED PRICE

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TAXES included

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Tender Package — Request for Bid (RFB)

SHIPPING Included

Approved on behalf of Mercy Corps: INSURANCE Included

Name & Title

TOTAL

ORDER USD 0.00

Signature:

Approved on behalf of Vendor:

Name & Title:

Date:  

Signature:

Date:

Financial Review Understood and agreed with Conditions of Purchase

This Purchase Order (Schedule 1) is inclusive of the Terms and Conditions attached, which are a binding part

of this agreement.

Tender No: MC GOM 16026 Page 17 of 22

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Tender Package — Request for Bid (RFB)

7. Attachments to the Tender Package

Attachment 1 -Supplier Information Form template

The information provided will be used to evaluate the Company before contracting with the Mercy Corps.

Please complete all fields.

Supplier Information

Company Name

Any other names company is operating

under (Acronyms, Abbreviations,

Aliases)

Previous names of the company

Address

Website

Phone/Fax Numbers Phone: Fax:

Primary Contact

Name:

Phone Number:

Email Address:

# of Staff

Tender No: MC GOM 16026 Page 18 of 22

Mercy Corps

Supplier Information Form

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Tender Package — Request for Bid (RFB)

# of Locations

Government - owned (yes/no)

Name(s) of Board of Directors

Name(s) of Company Owner(s)

Parent companies, if any

Subsidiary or affiliate companies, if any

Financial Information

Bank Name and Address

Name under which company is

registered at bank

Payment Terms Payment By: Check Yes | No Wire Transfer Yes | No

Specify Standard Payment Terms (Net15, 30, etc.)

Product/Service Information

Tender No: MC GOM 16026 Page 19 of 22

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Tender Package — Request for Bid (RFB)

List Range of Products/Services

Offered

Basis For Pricing (Catalog, List, etc.)

References

Client Name: Contact Name, Phone, Email Address

Client Name: Contact Name, Phone, Email Address

Client Name: Contact Name, Phone, Email Address

Attachment 2 -Price Offer Sheet template

Important Note For International suppliers: The supplier offer for the above items must be for a delivery according to the incoterm CIF Dar Es Salaam all transport cost included.

N° Ordr

eArt. № Qty Unit Description Unit Price Total Price

1 1.1 2 Piece All flanged tees – T, DN 500/500/500, PN 16    

2 1.2 2 Piece Flanged Spigot, DN 500, PN 16 with paddle flange, length 1200 mm    

3 1.3 2 Piece Flanged Spigot pipe, DN 500, PN 16 length 1200 mm    

Tender No: MC GOM 16026 Page 20 of 22

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Tender Package — Request for Bid (RFB)

4 1.4 1 Piece Flanged socket pipe, DN 400, PN 10    

5 1.5 2 Piece Flanged Spigot pipe, DN 400, PN 10 length 1000 mm    

6 1.6 2 Piece Flanged Bend, DN 400, PN 10, 22.5 deg    

7 1.7 1 Piece All flanged tees – T, DN 300/300/300, PN 10    

8 1.8 2 Piece All flanged socket, DN 300, PN 10    

9 1.9 3 Piece All flanged taper, DN 400/300, PN 10    

10 1.10 2 Piece All flanged tees – T, DN 300/300/150, PN 10    

11 1.11 1 Piece All flanged taper, DN 400/200, PN 10    

12 1.12 2 Piece All flanged taper, DN 300/250, PN 10    

13 1.13 1 Piece All flanged taper, DN 300/200, PN 10    

14 1.14 1 Piece Flanged Spigot, DN 400, PN 10 with centered paddle flange, length 600 mm    

15 1.15 1 Piece Flanged Spigot, DN 300, PN 10 with centered paddle flange, length 3000 mm    

16 1.16 1 Piece Flanged Spigot, DN 250, PN 10 with centered paddle flange, length 1500 mm    

17 1.17 1 Piece Flanged Spigot, DN 250, PN 10 with centered paddle flange, length 600 mm    

18 1.18 2 Piece Flanged Spigot, DN 200, PN 10 with centered paddle flange, length 600 mm    

19 1.19 1 Piece Flanged Spigot, DN 150, PN 10 with centered paddle flange, length 1500 mm    

20 1.20 2 Piece All flanged cross tees – T, DN 400/400/300/300, PN 10    

21 2.1 3 Piece Flanged Gate Valve DN 500, PN 16, with wheel handel    

22 2.2 2 Piece Flanged Gate Valve DN 400, PN 10 wheel handel    

23 2.3 2 Piece Flanged Gate Valve DN 250, PN 10 wheel handel    

24 2.4 2 Piece Flanged Gate Valve DN 200, PN 10 wheel handel    

25 2.5 2 Piece Flanged Gate Valve DN 150, PN 10 wheel handel    

26 3.1 1 PieceDouble flange DCI Dismountling jointing coupling DN500, PN16, Length adjustment range: (see table) +/- 25 mm

   

27 3.2 2 Piece VJ coupling DN500, PN16, DCI materials    

28 3.3 2 Piece HDPE/DCI stepped VJ coupling DN500 PN16, DCI materials    

Tender No: MC GOM 16026 Page 21 of 22

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Tender Package — Request for Bid (RFB)

29 4.1 1 Piece Flanged bulk water meter, DN 400, PN 10    

30 4.2 1 Piece Flanged bulk water meter, DN 300, PN 10    

31 4.3 1 Piece Flanged bulk water meter, DN 250, PN 10    

32 4.4 1 Piece Flanged bulk water meter, DN 200, PN 10    

33 5.1 2 Piece Flange adapter, to suite DCI pipe, DN 400, PN 10    

34 5.2 2 Piece Flange adapter, to suite DCI pipe, DN 300, PN 10    

35 5.3 2 Piece Flange adapter, to suite DCI pipe, DN 250, PN 10    

36 5.4 1 Piece Flange adapter, to suite DCI pipe, DN 200, PN 10    

37 5.5 2 Piece Flange adapter, to suite DCI pipe, DN 150, PN 10    

38 6.1 2 Piece Flanged Socket (E-KS), DN 200, PN 10 to suite UPVC pipe    

39 6.2 3 Piece Flanged Spigot (F-KS), DN 250, PN 10 to suite UPVC pipe    

Tender No: MC GOM 16026 Page 22 of 22