ITB-04015TIK17. DRC BID FORM Invitation to Bid No: ITB-04015TIK17. Quantity required Pcs Pcs

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DRC BID FORM Invitation to Bid No: ITB-04015TIK17 ANNEX A Lot 1: Core Relief Items DRC to complete # Item Required Specification 1 Gas Cooker 2 kg gas cylinder filled and cooking burner attached required Bidder to complete specification (if different from required) Country of Origin of Item offered Unit price Total Price 2 Tarpaulin IFRC / UNHCR APPROVED STANDARDS Tarpaulin Size: the finished size of each sheet is 4 x 5 meters +/- 1 %. Effective area: 20.00 m2. Material: made of woven highdensity black polyethylene (HDPE) fibers, warp x weft, laminated on both sides with low density polyethylene (LDPE) coating, with reinforced rims by heat sealing on all sides, (or 2 sides heat sealing and 2 sides double stitching), and a 5 millimeters diameter PE or PP rope on the edge, inside the hem. 1000 denier minimum. Page 1 of 9

Material weight: minimum 190 gr/m2 +/-20g/m2. Tensile strength: minimum 600 N both directions of warp and weft (BS 2576,50 mm grab test, or equivalent). Tear strength: minimum 100 N both directions (BS 4303 wing tear or equivalent) or under ISO 4674 (A2). UV Resistance: stabilized against ultraviolet rays and excess heat for long outdoor exposure. Maximum 5% loss on original tensile strength under ISO 1421 after 1500 hours UV under ASTM G53/94 (UVB 313 nm peak). Welding: Only one (01) is allowed along the middle of the sheet, length wise. Minimum resistance is 80 % of the original tarpaulin tensile strength in the weft under ISO 1421 plus additional procedure. Reinforcement eyelets: Provided with aluminum eyelets or equivalent on four sheet sides of the single sheets at 100 cm +/- 5cm centre to centre, providing very strong fixation points. Color: preferably white or blue/grey, sun reflective on both sides. Inner black fibers to ensure opacity. 3 Solar Lantern With detachable solar panel, Additional Cranking mechanism, Robust and water resistant, 400 Lumens 1500 Pcs Page 2 of 9

4 Rope 40m - 1/4" Diameter Polypropylene 5 Bucket with lid 14 L capacity, height 33 cm, top diameter 31 cm. Made of HDPE (High Density Poly Ethylene), UV resistant and safe for food and water storage. The top is reinforced to prevent ovaling.the walls shall meet the bottom of the bucket with a curved surface to prevent dirt accumulation and facilitate cleaning. The bucket has a tight-fitting lid of the same material of the bucket with an attached push-on cap, and handle. 6 Collapsible water Collapsible container, 10 L jerrycan capacity. Made of PVC coated polyester fabric, polyethylene, or equivalent material. UV resistant, can withstand ambient temperatures of -20 C to +50 C. Suitable for drinking water storage, tested and approved by recognized and specialized laboratories. Page 3 of 9

7 Mattress 8-10 cm, high density foam mattress - Density lbs/cu. ft.: Minimum 1.70, ILD/50 sq. in. @25%(4 in.) 52-58, 90 cm x 180 cm, cotton/poly blend removable cover Indentation Load Deflexion: 16kg min. 8 Bed Sheet 1.60 x 2.20 M, Thickness: 2mm, Cotton, weight 0.5 Kg 9 Rechargeable Fan 16 inches, 12 V DC, 220V rechargeable, 15 W high speed (3 hrs operational time)- 9 W low speed (8hrs operational time) 10 Cool Box 30 to 40 liter HDPE Cool box, hinged lid, Ice retention. 1.5 + days, handle 11 Solar Torch LED torch with solar panel, battery 1.2 v, 600 mah, charge time: 4 hrs, work time: 8 hrs 10800 Pcs 10800 Pcs Page 4 of 9

Lot 2: Hygiene Kit DRC to complete # Item Required Specification 1 Hygiene with following contents in a box, DRC logo and kit content to be printed outside in box. Packaging to be done in a compact way. (11 different types of items in a box, total 21 pcs) required 1800 boxes specification (if different from required) Country of Origin of Item Bidder to complete offered Unit price Total Price Kit Contents - 1. Washing Powder - 1 Kg, Laundry detergent/washing powder 1 Pc 2. Dishwashing detergent - 500 ml, wrapped in a transparent plastic 1 pc 3. Shampoo 500 ml, Hypoallergenic, PH factor 5.5. 1 pc 4. Sanitary pads - Packet of 10 pads, Sanitary pads, female, w/wings, disposable 2 Pcs 5. Tooth paste - Tube 75 ml, Tooth paste for adult. 2 pcs 6. Soap - 125 g, Toilet soap for personal hygiene. Suitable for both baby and adult. Wrapped bar. Non-perfumed, for normal skin. Hypoallergenic, wrapped bar. Long durability. 4 pcs 7. Tooth brush adult - Hard/medium 3 pcs 8. Tooth brush for children Soft 3 pcs 9. Hair comb - With handle, plastic 1 pc 10. Disposable Razor Packet, Plastic body, 3 blades, stainless steel 1 pc 11. Nail cutter - Stainless steel, medium size 1 pc Page 5 of 9

Lot 3: Kitchen Set DRC to complete Bidder to complete # Item Required Specification required specification (if different from required) Country of Origin of Item offered Unit price Total Price 1 Kitchen set with following contents in a box, DRC logo and kitchen set content to be printed outside in box. Packaging to be done in a compact way. (9 different types of items in a box, total 25 pcs) 1500 Set 1. Cook Knife - Material: stainless steel blade, wood or plastic handle. Thickness: blade base min 1.5mm, measured at the middle of the blade. Length: Blade 15cm usable length minimum. Finish: no sharp edges apart from the cutting edge, food grade surface finish. 1 Pc 2. Spoon - Capacity: 10ml minimum, Material: one-piece stainless steel, solid, Length: 17cm minimum. Thickness: min 1mm in the center of the scoop, Finish: no sharp edges, food grade surface finish. 5 pcs 3. Fork - Material: one-piece stainless steel, solid, Length: 17cm minimum, Thickness: min 1.5mm at the back of the tines, Finish: no sharp edges, food grade surface finish. 5 pcs Page 6 of 9

4. Bowl or deep plate - Capacity: 1 litre minimum; Material: stainless steel; Height: 5 to 7cm; Thickness: min 0.5mm in the center of the bottom, Finish: no sharp edges, food grade surface finish 5 Pcs 5. Cup - Capacity: 0.3 litre minimum; Material: stainless steel; Thickness: min 0.5mm in the bottom and 0.4mm at 20mm from the top of the wall; Handle: Securely welded. Handle to resist to 1kg pulling. Finish: no sharp edges, food grade surface finish. 5 Pcs 6. Can opener stainless steel 1 Pc 7. Cooking pot with lid - Capacity: 5 litres.; Material: Aluminium.; Finish: with lid and 2 cast aluminium handles. 1 Pc Page 7 of 9

8. Cooking pot with lid - Capacity: 7 litres.; Material: Aluminium.; Finish: with lid and 2 cast aluminium handles. 1 Pc 9. Cooking spoon - Material: wood/or stainless steel.; Length: 30/35 cm; With Holes 1 Pc Page 8 of 9

Additional Information & Requirements Required Delivery Date: 15 th June, 2017 Company Name: Delivery Date: Contact Person: Required Delivery Terms: DDP Address: (INCOTERMS 2010) Phone No. Required Delivery Destination: Tikrit (34.631384; Facsimile No: 43.659695) Email Address: This Bid is valid for: 90 days Signed: Company Details & Signature Currency of Bid: Nationality of Firm Print Name: Date: Nationality of Individual Title & Position (A duly authorized company representative.) Please stamp this Bid Form with your Company Stamp Page 9 of 9