checklist of quirements - dbp - development bank of the ...€¦ · supply and delivery of two (2)...

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SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF THE DEVELOPMENT BANK OF THE PHILIPPINES Reference No. N-G-2019-04 CHECKLIST OF RE QUIREMENTS Name of Company: Complete Address: Submitted Landline Email Item FIRST ENVETOPE: ELIGIBILITY DOCUMENTS AND TECHNtCAt REqUTREMENTS LEGAL ELIG!BITITY DOCUMENTS TAB 1 lf bidding as a formed JV: Submit the existing valid, duly accomplished, signed and notarized jV Agreement UVA). The JVA must specifically indicate among others, the following: the oartner companv that will represent the JV, the shareholdinss of each partner companv in the JV (to determine which partner company and its nationality has the controlling majority share), and the share of each partner company in the JV. Moreover, please likewise note: 1) lf the JV is incorporated or registered with the relevant government agency, all documents listed in this checklist must be under the JV's name and shall submit the PhiIGEPS Certificate of Registration under Platinum Categorv under the JV's name Catesory (under TAB 3) shall be submitted by each of the JV partners, while submission of the technical and financial elieibilitv documents (TAB 4 onwards) by b. lf bidding as a JV that is vet to be formed: Submit duly notarized Agreement to Enter into Joint Venture (sample templote per FORM I/. Please likewise note: 1) Ph|IGEPS Certificate of Reeistration under Platinum Cateeorv (under TAB 3) shall be submitted by each of the JV partners, while submission of the technical and financial documents (TAB 4 onwards) by anv one of the JV partners constitutes collective compliance lf the bidder is a joint venture (JV): a 2l lf the JV is uninco anv one of the stration under Platinum rcA@ted, the PhiIGEPS Certificate of JV oartners constitutes collective compliance

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Page 1: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FORTHE CASH CENTERS OF THE DEVELOPMENT BANK OF THE PHILIPPINES

Reference No. N-G-2019-04

CHECKLIST OF REQUIREMENTS

Name of Company:

Complete Address:

Submitted

Landline Email

Item FIRST ENVETOPE: ELIGIBILITY DOCUMENTS AND TECHNtCAt REqUTREMENTS

LEGAL ELIG!BITITY DOCUMENTS

TAB 1

lf bidding as a formed JV: Submit the existing valid, duly accomplished, signed andnotarized jV Agreement UVA). The JVA must specifically indicate among others, thefollowing: the oartner companv that will represent the JV, the shareholdinss of eachpartner companv in the JV (to determine which partner company and its nationality hasthe controlling majority share), and the share of each partner company in the JV.Moreover, please likewise note:

1) lf the JV is incorporated or registered with the relevant government agency, alldocuments listed in this checklist must be under the JV's name and shall submit thePhiIGEPS Certificate of Registration under Platinum Categorv under the JV's name

Catesory (under TAB 3) shall be submitted by each of the JV partners, while submissionof the technical and financial elieibilitv documents (TAB 4 onwards) by

b. lf bidding as a JV that is vet to be formed: Submit duly notarized Agreement to Enter intoJoint Venture (sample templote per FORM I/. Please likewise note:1) Ph|IGEPS Certificate of Reeistration under Platinum Cateeorv (under TAB 3) shall be

submitted by each of the JV partners, while submission of the technical and financialdocuments (TAB 4 onwards) by anv one of the JV partners constitutes collectivecompliance

lf the bidder is a joint venture (JV):

a

2l lf the JV is uninco

anv one of the

stration under PlatinumrcA@ted, the PhiIGEPS Certificate of

JV oartners constitutes collective compliance

Page 2: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

TAB 2

Proof of appointment/authority of bidder,s representative:a' Duly notarized Special Power of Attorney (if the bidder is a sole proprietorship) ORb. Duly notarized Secretary's Certificate (if the bidder is a corporation, partnership,

cooperative or joint venture)

IN CASE, THERE ARE MORE THAN ONE APPOINTED/DESIGNATED REPRESENTATIVE, USE OF'IAND" shall mean bgth/all representatives must sisn the bid forms (a.e. statements. ToR.

Use of "OR" or "ANY OF THE FOLLOWING,, is recommended.

rly notarized special Power of Attorney or secretary's certificateubmitted. Proof of appointment/authority of each partner mustrresentative to sign the protocol or the JVA.

ln case of Joint Venture, a dufor each JV partner must be sr

also specify the authorized rep

TAB 3

LATI CATEGtidVa nd rrentcu hP ilG EPS ofCertificate nistratio Pn UMNReg withORY nnexAorA" eth ofList Class A" EI Doc mu entsigibil ity u tored ubereq loa edd maandp nta ned

"Antcurre nda ted n PhiIGEthe PS.upda ,U ded"loa mentsdocu nu erdp nAn ex sha il ea nmofall folthe u red EIreqlowing ilb Docu meLegal igi nts rea tedity mor ntaiat edn VAupda andidrrentcu TABs 3A-3Dl:

TAB 3.ARegistrationTrade and ln

Certificate urss ed ritiesSecu na Exchadby Com rssm ion E rnge o De(s c) ofpartmentDT

TAB 3-B

CY 20L9 Business/Mayor's permit issued to bidder I

principal place of business of the bidder is located orby the city or municipality where thethe equivalent document for Exclusive

Economic Zones or Areas;

TAB 3-C

Current (not expired on the date ofper Executive Order 398, Series of

opening of bids) Tax Clearance (valid for Biddins purposes)2005, as finally reviewed and approved by the Bureau of

lnternal Revenue BI

TAB 3-D

r lndependent Auditor's Report;o Balance Sheet (Statement of Financial position); ando lncome Statement (Statement of Comprehensive lncome)

Each of the above statements must have stamped "received,, by the Bureau of

Audited Financial Statements for 2018 or the latest:

accredited and authorized institutions.lnternal Revenue ( or its du

(L) Bidders with valid and current PhilGEPs Registration (Platinum membership/ category)where all Eligibility Documents under Annex "A" (of the philcEps Certificate ofRegistration) are all uploaded/updated, need not to submit documents under TABs 3A,38, 3C, and 3D in lieu of the PhilGEPs Certificate of Registration and Membership.

(2) For bidders who are NOT YET REGISTERED UNDER PI.ATINUMMEMBERSHIP/CATEGORY oR UNDER "RED" cATEGoRy, MUsr suBMtr copy/tEs oFTHE DOCUMENTS PER TABs 3A, 38, 3C and 3D Provided: that Certificate of philGEpSRegistration (Platinum Membershipl shall remain as a post-quatification requirement tobe submitted in accordance with Section 34.2 of the 2016 Revised tRR of RA 91g4 whichshall be submitted within five (51 calendar days upon receipt of the Notice of the Singleor Lowest Calculated euotation (SCA/tCe.

Page 3: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

category, however,UA' OA'

IAil

,N'TABs

For bidders(3 who rea nderuregisteredalready um""Platin thefile of Classuploaded DocumentsEligibility under nexAn nare ot current or

or nupdated the event that some Class Documents earlier mittedsub withPh iIGEPS a combinationexpired,already theirof Ph iIGEPS ofCertificate Registrationunder "Platinum" ANDCategory Classval idlcu rrent/urdated DocumentsEligibilityunder 3C and3& 38, 3D beshall submitted

The Certificate Phof il6EPS underRegistration Platinum withMembershipAn ON'nex ofvalid/current/u pdated shDocuments allEligibility remain aas post-

ualification uirementq to bereq submitted accordantn withce 34.Section of2 the 2016IRRRevised RAof 9184 which shall be mittedsub tnwith five 5 arcalendr,) days upon

of the ofNotice the or Lowest culCal ated QuotationTECHNICAL ELIGIBITITY DOCUME NTS the(for following tn case ofdocumentslrequ irements,

ofsubmission one constitutespartner collective compliance).

TAB 4

no ongoing government and/or private contracts, kindly indicate incomply with the requirement. Bidders will be rated ,failed,, if nothe document submitted is incomplete or patently insufficient.

Statement bthe ofidderby itsAtL ament ngovernongoing rivate contractsd/or p (includineifthose awarded but not vet started. whether msl la orrany), snot lnimilar andnatu re

thto contracteexity beto dbicompl incl du alle contracts thewith rfo eth itod,periFORM(Templateany per 2) theduly bysigned bidder's authorized representative.

Note: For bidders who havetheir statement "NONE" todocument is submitted or if

TAB 5

Listed completed Contract must be supported by the following:

a) Notice of Award (NOA), e! Notice to proceed (NTp), ORConract

AND

b) Any of the following documents:b.L) Copy of Certificate of Completion or Certificate of Acceptance or Certificate of

Satisfactory Performance issued by the bidder,s client.b.2) Copy of Official Receipt/s or Sales lnvoice/s issued by the bidder to the client (ORsl Sts

must sum up to the full amount of total contract price of completed project)

Statement of single largest completedcontract) within the last three {3} vears(Templote per FORM 3).

contractlvau ent to teq least rcent of ABC.thepefifty (so%l

Similar contract refers toFINANCIAT ELIGIBILITY DOCUMENTS

TAB 5

lncome Tax Return submitted through BlR,s Electronic Filing ander with the following Audited Financial Statements for 2019:

o lndependent Auditor's Report;o Balance Sheet (statement of Financial position); ando lncome Statement (Statement of Comprehensive lncome).

Each of the above statements must have stamped "received" by the Bureau of lnternalor its duly accredited and authorized institutions.

Copy of 2018 or latest AnnualPayment System (EFPS) togeth

Revenue

JV,

DBP said

Page 4: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

TABT

Completely accomplished computation of Net Financial Contracting Capacity (NFCC)which mustbe at least equal to the ABC (Template per FORM 4), duly signed by the bidder's authorizedrepresentative.

1) The values of the bidder's current assets and current liabilities shall be based on the 201gAudited Financial Statements.

2) The value of the NFCC must at least be equal to the ABC of this project.

lN case of Joint Venture. the partner responsihle to submit the NFCC shall likewise submit theStatement of all its ongoins contracts and the Latest Audited Financial Statementslf the prospective bidder opts to submit a committed Line of Credit, it must be at least equal toten percent (L0%) of the ABC to be bid. lf issued by a foreign universal or commercial bank, itshall be confirmed or authenticated by a local universal or commercial bank.Note: Credit line is on a licable for Public Biddi of Goods.

TECHNICAT COMPONENT

TAB 8Accomplished Omnibus Sworn Statement (Template per FORM 5/, duly signed by the bidde/sauthorized representative and notarized.

TAB 9DBP Technical Specifications (per FORM 5), duly signed by the hidder/s authorizedrepresentative for conformance.

TAB 10

Certificate for the brand and model number of the note/bill sorting machine being offeredwhich must be compliant with the required technical specifications, signed by the bidder,sauthorized representative per FORM 7.

TAB 11Brochure and/or Technical Data Sheet for the brand and model number of note/bill sortingmachine being offered to prove compliance to the required technical specifications.

TAB 12

Certificate from the manufacturer for the brand being offered certifying the following:

i. That the bidder is a direct partner/reseller/distributor of the manufacturing company. (lfthe bidder is not a direct partner/reseller/distributor of the manufacturing company,bidder must submit a corresponding certificate linking them to the manufacturingcompany of the brand being offered.)

ii. That the bidder is an authorized service provider of the brand being offered.iii. That the brand and model number being offered by the bidder/supplier is not sourced

from the "grey market".

TAB 13

List of supplier/bidder or brand's accredited service centers for the brand being offered. Thesupplier/bidder or the brand must have at least one (1) authorized/accredited service center inMetro Manila.

TAB 14

Certificate of Performance Evaluation with a rating of at least "satisfactorv":

a. For bidders with previous engagement with DBP:- Certificate of Performance Evaluation issued by the client listed as the single

completed contract of similar nature equivalent to at least 5O% of the ABC.- Certificate of Performance Evaluation issued by DBP end-user department for recent

completed contract.b. For new bidders (without previous engagement with DBP)

- Certificate of Performance Evaluation issued by the client listed as the singleivalent to at least 50% of the ABC.completed contract of similar nature

Page 5: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

TAB ].

Duly accomplished Financial Proposal Form (Templote per FORM 8), duly signed by the bidder'sauthorized representative.

Note: Total bid shall not exceed the total ABC of Php 4,000,000.00. Bids in excess of the ABCshall be automatically rejected.

FINANCIAT COMPONENT

Page 6: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 1 (Paee 1 of 2l

(use Company's Official Letterhead)

PROTOCOL / UNDERTAKTNG OF AGREEMENT

TO ENTER INTO JOINT VENTURE

This Protocol / Undertaking of Agreement to Enter into Joint Venture, executed by:

-and-

For submission to the Bids and Awards Committee of the Development Bank of the philippines, pursuantto Section 24.1 (b) of the revised lmplementing Rules and Regulations (tRR) of Republic Act (RA) No.9184.

WITNESSETH That:

WHEREAS, the Parties desire to participate as a joint venture in the public bidding that will beconducted by the Development Bank of the Philippines pursuant to RA 9184 and its revised tRR, with thefollowing particulars:

Bid Reference No.

Name/TitleProcurementProject

of

Approved Budgetfor the Contract

Page 7: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 1 (Paee 2 of 2 lNoW THEREFORE, in consideration of the foregoing, the Parties undertake to enter into a JoINT

VENTURE and sign a Joint Venture Agreement (JVA) relative to their joint cooperation for this bid projectin the event that their bid is successful, furnishing the DBP BAC a duly signed and notarized copy thereofwithin ten (10) calendar days from receipt of the Notice from the BAC that our bid has the highest ratedresponsive bid.

For purposes of this bid project, and unless modified by the terms of the Joint VentureAgreement, the following party shall be the authorized representative of the JV:

JV Partner (Name of Company)'

Authorized Representative of the JV Partner {per attached Secretary's Certificate}

Name

Designation

That furthermore, the parties agree to be bound jointly and severally under the said JointVenture Agreement;

That finally, failure on our part of enter into the Joint Venture and/or sign the Joint VentureAgreement for any reason after the Notice of Award has been issued by the DBp shall be a ground fornon-issuance of the Notice to Proceed, forfeiture of our bid security and such other administrativeand/or civil liabilities as may be imposed under the provisions of RA 9184 and its revised lRR, withoutliability on the part of DBP.

lN WITNESS WHEREOF, the parties have signed this Protocol/Undertaking on the date firstabove written

Name and Signature ofAuthorized Representative of Paftner 1

Name and Signature ofAuthorized Representative of Partner 2

SUBS.RTBED AND ,t^Y'ff,T"'li-::::ff r[: #;

(as defined by 2004 Rules on Notarial Practice) issuedPhilippines.

NOTARY PUBLIC

Doc. No._Page No._Book No._Series of

day of ate his/her competent evidence of identity

at

Page 8: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

SUPPLY AND DELIVERY OF NilO (2I UNTTS BRAND.NEW NOTE/BIII SORTING MACHINE FOR THE CASHCENTERS OF THE DEVELOPMENT BANK OF THE PHILIPPINES

Reference No. N-G-2019-04

STATEMENT OF ALL ONGOING GOVERNMENT & PRIVATE CONTRACTSINCLUDING CONTRACTS AWARDED BUT NOT YET STARTED (if any) (whether

similar or not similar in nature)

Business Name

Business Address

Bidde/s Role%of

AccomplishmentNome of Contract/

Project Cost

o) awner's Nameb) Addressc) Telephone Nos.

Natureof Work

Description %

a) DateAworded

b) DateStortedc) Date of

Plonned Actuol

Value ofOutstanding

Works /Undelivered

Portion

1)

2)

3)

4)

1)

2)

3)

4)

Submitted by

(Printed Name & Signature)

Designation

Date

FORM 2

use com s Official Letterhead

Page 9: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

(use Company's Official Letterhead)

suPPtv AND DEIIVERY OF TWO (21 UNITS BRAND-NEW NOTE/B|LL SORTING MACHTNE FOR THE CASHCENTEHS OF THE DEVELOPMENT BANK OF THE PHIIIPPINES

Reference No. N-G-2019-04

STATEMENT OF SINGLE LARGEST COMPTETED CONTRACT

AT TEAST FIFTY PERCENT l10o/ol OF THE APPROVED BUDGET FOR THE

E

EQUIVALENT TO3EGOVERN WITHI

CONTRACT (ABC):

Business NameBusiness Address

OF SIMILAR NATUREORP

Biddels Rale

Nome of Contracto) OwnelsNameb) Addressc) Telephone Nos.

Natureof Work

Description %

ata) Amount ot Awordb) Amount

Completionc) Duration

a) Date Awardedb) Contract

Effectivityc) Date Completed

IMPORTANT: Please attach the following supporting documents related to each listed completed similar contract:a. Purchase order or contract or Notice of Award or Notice to proceed; ANDb' Proof of completion and acceptance for the aforesaid contract (should reflect full amount of total contract price of

completed project); any one !l! all of the following documents is acceptable:1) Certificate of Completion or Certificate of Acceptance issued by the client2'l Official Receipt/s or Sales lnvoices issued by bidder to the client

Submitted by

(Printed Name & Signature)Designation

Date

Note: Similar contract refers to supplv and deliverv of note/bill sorting machine.

FORM 3

Page 10: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

A.

C-

FORM 4

(use Company's Official Letterhead)

CERTIFICATE OF NET FINANCIAL CONTRACTING CAPACITY

Summary of the Applicant Firm's/Contractor/s assets and liabilities on the basis of the attached incometax return and audited financial statement, stamped "RECEIVED" by the Bureau of lnternal Revenue orBIR authorized collecting agent, for the immediately preceding year and a certified copy of Schedule ofFixed Assets particularly the list of construction equipment.

Year 20

1. Current Assets

2. Current Liabilities

3. Current Net Worth/Net Working Capital (ttem 1 minus ttem2)

B. Total value of all outstanding or uncompleted portions of theprojects under ongoing contracts (government or private), includingawarded contracts yet to be started coinciding with the contract tobe bid, (Per FARM 2)

The Net Financial Contracting Capacity (NFCC) based on the above data is computed as follows:

NFCC = [(Current assets minus current liabilities) (15]l minus the value of all outstanding oruncompleted portions of the projects under ongoing contracts, including awarded contractsyet to be started coinciding with the contract to be bid.

( P LEASE SH OW COM PUTATTON )

The values of the domestic bidder's current assets and current liabilities shall be based on the latestAudited Financial Statements submitted to BlR.

NFCC =

Submitted by:

Name of Firm / Contractor

Name and Signature of Authorized Representative

Date:

Note: ln case of Joint Venture. the partner responsible to submit the NFCC shall likewise submit the Statementof all its ongoing contracts and the latest EFPS Filed Annual tncome tax return and Latest Audited FinanciatStatements

P

Page 11: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

OM NIBUS SWORN STATEMENTREPUBLTC OF THE PHtLtPPINES )CrTY/MUNIC|PALITY OF _ ) S.S.

AFIIDAVIT

l, [Nome of AffiantJ, of legal age, [Civil Stotus], [Notionatity], and residing at [Address of Affiont],after having been duly sworn in accordance with law, do hereby depose and state that:

1. Select one, delete the other:

lf a sole proprietorship: I am the sole proprietor of [Nome of Bidder] with office address at[address of Bidder];

lf a partnership, corporotion, cooperotive, or joint venture: I am the duly authorized anddesignated representative of {Nome of Bidderl with office address at [address of Bidder];

2. Select one, delete the other:

lf a sole proprietorship: As the owner and sole proprietor of [Name of Bidder],1 have full powerand authority to do, execute and perform any and all acts necessary to represent it in thebidding for fName of the Praject] of the IN ame of the Procuring Entity];

lf o partnership, corporation, cooperative, or joint venture: I am granted full power and authorityto do, execute and perform any and all acts necessary and/or to representthe fNome of Bidder]in the bidding as shown in the attached fstate title of attoched document showing proof afauthorizatian (e.9., duly notarized Secretary's Certificate issued by the corporotion or themembers of the joint venture)l;

3. fNome of Bidder] is not "blacklisted" or bared from bidding by the Government of the Philippines orany of its agencies, offices, corporations, or Local Government Units, foreign governmentfforeign orinternational financing institution whose blacklisting rules have been recognized by the GovernmentProcurement Policy Board;

4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy ofthe original, complete, and all statements and information provided therein are true and correct;

5. {Nome of Bidderl is authorizing the Head of the Procuring Entity or its duly authorizedrepresentative(s) to verify all the documents submitted;

6. Select one, delete the rest:

lf a sole proprietorship; I am not related to the Head of the Procuring Entity, members of theBids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, thehead of the Project Management Office or the end-user uni! and the project consultants byconsanguinity or affinity up to the third civil degree;

FORM 5 (paee 1 of 2l

Page 12: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 5 ( e2of2llf a portnership or cooperotive; None of the officers and membe rs of [Name of BidderJ is relatedto the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), theTechnical working Group, and the BAC secretaria! the head of the project

Management Office or the end-user unit, and the project consultants by consanguinity oraffinity up to the third civil degree;

lf a corporotion or joint venture: None of the officers, directors, and controlling stockholders of[Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and AwardsCommittee (BAC), the Technical Working Group, and the BAC Secretaria! the head of theProject ManagementOffice or the end-user unit, and the project consultants by consanguinity or affinity up to thethird civil degree;

7. {Name of Bidderl complies with existing labor laws and standards; and

8. fName of Bidder] is aware of and has undertaken the following responsibilities as a Bidder:

A. Carefully examine all of the Bidding Documents;

B. Acknowledge all conditions, local or otherwise, affecting the implementation of theContract;

C. Made an estimate of the facilities available and needed for the contract to be bid, if any;and

D. lnquire or secure Supplemental/Bid Bulletin(s) issued for the fName of the Project].

9. fName of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any formof consideration, pecuniary or otherwise, to any person or official, personnel or representative ofthe government in relation to any procurement project or activity.

lNWlTNEsSWHEREoF,lhavehereuntosetmyhandthis-dayof20_ at , Philippines.

[Bid de r's Re pre se ntative/Author' zed S i g n oto ry]

SUBSCRIBED AND SWORN TO BEFORE ME this day of atPhilippines. Affiant exhibited to me his/her competent evidence of identity

(as defined by 2004 iililr,::,

Notarial Practice) issued on

Doc. No._Page No._Book No._Series of

at

NOTARY PUBTIC

Page 13: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 5 (Paee 1 of 4l

TECHHICAT SPECIFICATIONSsupply oF NoTE/Bttt soRTtNG MACHINE

A. SPECIFICATIoilS

Herdwere requirements:

1. All units and its parts including accessories must be brand new.

B. OTHERTERMS ATID COI{OITIONS

1. OEUVERV

a" Fedod:wltfitn ia a,/andsr fuvslrom recelpt al ttotlcc to Fficr,ed $tw[.b. Delivery Place:

r Cash Center Manila Horth - DBP Commonwealth, euezon Cityr Cash Center Manila South - DBP Head Office, Makati City

c. Correspanding penalties shall apply for late delivery.d. ltems must be delivered with a use/s rnanual.

2, TRAINIT{€

Supplier must provide user's training upon delivery of unit to at least two (2) of theidentified users for each item.

3. \'VARRAT{TY

The l-year rlrarranty period will commenc€ upon issuance of Certiflcate of Acceptanceand upon inspection of the DBP representatiyes. Within the warranty period, Supplieris required to:

Conforme:

Bldde/s Company Name

Name & Signature of Authorized Representative

Deslgnatlon

Date

_ Spetlflcation DataCounting_,speed Min.720 notes/minute

Min- 1,OOO notes

Power

o Denomination Sortingr Fitness Sortingr Orientation Sortinga Batching

Min. 50O notes x 4

100-240v

Min. lffi nates x 2Sorting Capability

StackerStacker Capacity

Page 14: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

Repair defective unrts and any malfunctrcning parts and/or accessories for freewithin 2 weeks from date of notification.

b. Provide free services for inspection, cleanin * andlor troubleshooting as needed.

c. Replace units with perristent similar error5 within ttre warranty period.

4. WARRAT{W SECURITY

1% of lhe contract price dt retention moolly or :pecial bank guarantee equivalent ofthe total ABC. The retention rnoney will be released one (1) year after issuance ofCertificate of Cornpletton and Acceptance from the lasl delivery and the rernarningtwo {2} years shall be covered by a paper warranty. provided, however, that thesupplies deltuered are free from patent and tatent delects and all the conditionsirnposed under the contract have been fully met.

5. PERFORMANCESECURITY

The Supplier is regutred to submit a performance securrty in any of the followingforms and percentages:

Form of Perforrnancc Sccurity Minimum 9( of Contract Pricc pcrYcar

a

Cash, cashier's/manager's check issued bya Universal or Comrnercial BankBank draft/guarantee or irrevocable letterof credit issued by a Universal orCommercial Bank; provided, however, thatit shall be conf irmed or authenticated by aUniversal or Commercial Bank, i{ issued bydF BankSurety Bond callable upon dernand issuedby a surety or insurance company togetherwith certlflcate lssued by lnsuranceCommission certifying the surety orinsurance company is authorrzed to issuesuch surety bond"

Five percent(s%)

Thirty percent{3O%)

6. PAYMENT

a. winninS brdder must op€n a Savingslcurrent Account with any DBp Branch forpurposes o{ payment.

Conlorme:

Blddcy'r Compony l{rmc

l,lam! & Sllnrtur! of Authorhcd RrprGrcntltlvc

Desitnation

Date

FORM 6 (Paee 2 of 4)

J

Page 15: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 5 (Paee 3 of 4lb. Payment shall be proce:xd upon issuance of Certificate of Completion and

Acceptence.

Winning bidder murt issue all required documentation.c

C. DOCUfr/IEITTARY REQUIRTMIHTS fOfi IHE BID OrcH}BG

1. Copy of contract of srmilar product within th€ last three {31 yea6, equ*valent to atteast fifty p€rcent t50961 of the ABC of this pro;ect. "similar Contract" shall meansupply and delivery of the same product.

2. Iechniul data rheet/brorhure of the brand / submirtpd proposal of the rnodet beingoffered.

3. Certificate from the manufacturer for the brend being offered stating the followrng:e The rupplier/bidder is a direct partfier or rereller or di;trlbutorI Th* supplierlbidd+r is an authorized service provider of the brand being offered

to the manufacturlns comPany.r The brand and model number being offered by supplier /bidder did not comr

from the "grey market*.

d. Lirt of supplier/bidder or brand's accredited service center. The supplier/bidder ortha brand rnust have at leart one authorized/accredited service centers frorn MetroManila.

5. Certificate of Performance tvaluation which murt have a rating of at leastSatisfactory.

5.1 For bidders with pre$rous engagernent with DBP

a. Certificate of Ptrformance Evaluation i:rued hy the client listed as the singlecornpleted contract of similar nature equivalent to at l€ast S0B{ of the ABC.

b. Certificate o{ Performance fvaluation is$ufd by OBP,end"user departmrntfor rece nt completed contract.

5.? For new bidders {without previous engagement with OBP}

a. Ce/trficatP of Performance fvaluatron rssued by the chent listed as the singtocompleted csntrBct of crmilar nature equivalent to at least 50}6 of the ABC.

Conforme:

Biddey's Company Name

Name & Slgnature of Authorlzed Representatlve

Designation

Date

Page 16: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 5 (Paee 4 of 4l

O. FOST QUAUHCTNOil REqUI*gMEffT

The supplier is required to provide a frototype derno ufiit withift twelve ill) calendardays after rtceipt of Hotice from BAC that the supplieru' bid is the Lo*rest Cetculated Bid(LCBl to test if the equipment is comphant with thr Bank'r reguired specificatians.

Prepared by: Approved by:

Z. PRAOO

Banking $ector

Conforme:

Bldde/s Company Nam€

Name & Sitnature of Authorized Represenbtive

Oeslgnatlon

Date

$&i.f,Elrp

Page 17: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM 7

SUPPIY AND DELIVERY OF N,\'O (2} UNITS BRAND.NEW NOTE/BILI SORTING MACHINE FOR THE CASHCENTERS OF THE DEVETOPMENT BANK OF THE PHITIPPINES

Reference No. N-G-2019-04

CERTIFTCATE FOR THE BRAND AND MODEL NUMBER BETNG OFFERED

This is to certify the brand and model number for the two (2) units note/bill sorting machine beingoffered:

Brand ModelNumber

Submitted by:

Name of Firm/Company

Name and Signature of Authorized Representative

Date:

use com s Official Letterhead

Page 18: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

FORM I (paee 1 of 2l(SECOND ENVELOPE)

(use Com pany's Official Letterhead)

FTNANCTAL QUOTATTON FORM

Date

BIDS AND AWARDS COMMITTEEDevelopment Bank of the PhilippinesMakati City, Metro Manila

Gentlemen:

Having examined the Negotiation Documents, the receipt of which is hereby duly acknowledged,we, the undersigned, in conformity with the said Bidding Documents, offer as follows:

Description aty

ABC

lnclusive of taxes (in PhP)

Financial Bid

lnclusive of taxes (in PhP)

Per Unit TOTAL Per Unit TOTAL BID

SUPPTY ANDDETIVERY OF

BRAND.NEWNOTE/B!tr SORTTNG

MACHINE, perTechnicalSpecifications

2 2,000,000.00 4,000,000.00

TOTAL Amount in

We undertake, if our Quotation is accepted, to deliver the goods in accordance with the specifieddelivery schedule.

lf our Quotation is accepted, we undertake to provide a performance security in the form,amounts, and within the times specified in the Negotiation Documents.

We agree to abide by this Quotation for the Quotation Validity Period specified in BDS provisionfor ITB Clause 18.2 and it shall remain binding upon us and may be accepted at any time before theexpiration of that period.

Page 19: CHECKLIST OF QUIREMENTS - DBP - Development Bank of the ...€¦ · SUPPLY AND DELIVERY OF TWO (2) UNrrS BRAND-NEW NOTE/BrI SORTTNG MACHTNE FOR THE CASH CENTERS OF DEVELOPMENT BANK

Until a formal Contract is prepared and executed, this Quotation, together with your writtenacceptance thereof and your Notice of Award, shall be binding upon us.

We understand that you are not bound to accept the Lowest Calculated Quotation or anyQuptation you may receive.

We certify/confirm that we comply with the eligibility requirements as per ITB Clause 5 of theBidding Documents.

We likewise certify/confirm that the undersigned, {for sole proprietorships, insert: as the ownerand sole proprietor or authorized representative of Nome of Supplier. has the full power and authorityto participate, submit the bid, and to sign and execute the ensuing contract, on the latter/s behalf forthe Name af Proiect of the Nome of the Pracurinq Entitvl ffor partnerships, corparations, cooperotives,ar ioint ventures, insert: is granted full power and authority by the Name of Supplier, to participate,submit the bid, and to sign and execute the ensuing contract on the latter's behalf for Nome of Proiectof the Name of the Procurina Entivl.

We acknowledge that failure to sign each and every page of this Quotation Form shall be a groundfor the rejection of our bid.

Dated this day of 20_.

[signatureJ fin the capacity ofl

FORM 8 (paee 2 of 2l

Duly authorized to sign Quotation for and on behalf of _