We confirm that this expression of interest/ pre-qualification evaluation report gives a complete and accurate report of the expression of interest conducted:
Name: _______________________ Signature: _______________________ Date: _______________________
Name: _______________________ Signature: _______________________ Date: _______________________
Name: _______________________ Signature: _______________________ Date: _______________________
1658 Annexes: {amend as appropriate} Form 20 - Record of issue of expression of interest/request for proposals/addenda Form 22- Record of receipt of expression of interest/proposals Form 23 - Record of opening of expression of interest Summary of expression of interest evaluation
Documents available from the Procurement and Disposal Unit: {amend as appropriate} Copy of the expression of interest notice. Copy of all expression of interest submissions. Copy of the pre-qualification document. Copy of all pre-qualification applications.
SUMMARY OF EXPRESSION OF INTEREST EVALUATION
Consultant's Name 1 2 3 4 5 6 Expression of interest criteria {List all criteria in accordance with the expression of interest notice. Criteria shown are examples only}. Experience/performance on similar contracts Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ in the country/region/internationally Qualifications and experience of personnel Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Local facilities or representation Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ 1659 Available capacity Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ
Recommendation Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ
KEY: Q = Qualified NQ = Not Qualified {delete that which is not applicable in the table above} As a result of this expression of interest evaluation, _____ consultants were declared qualified and _____ consultants were declared not qualified. Name: ____________________________________ Position: _______________________________
Signature: ____________________________________ Date: _______________________________ On behalf of the Evaluation Committee
SUMMARY OF PRE-QUALIFICATION EVALUATION
Consultant's Name 1 2 3 4 5 6 Expression of interest criteria {List all criteria in accordance with the document. Criteria shown are examples only}. Experience/performance on similar contracts Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ in the country/region/internationally Qualifications and experience of personnel Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ
Local facilities or representation Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ 1660 Available capacity Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ
Recommendation Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ Q/NQ
KEY: Q = Qualified NQ = Not Qualified {delete that which is not applicable in the table above} As a result of this pre-qualification evaluation, _____ consultants were declared qualified and _____ consultants were declared not qualified. Name: ____________________________________ Position: _______________________________
Signature: ____________________________________ Date: _______________________________ On behalf of the Evaluation Committee
THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003
RECORD OF ISSUE OF REQUEST FOR PROPOSALS OR ADDENDA
Procurement Reference Number
Code of Procuring and Disposing Entity Consultancy Services Financial Year Sequence Number
1661 Particulars of Procurement
Date of publication of invitation to bid
Date request for proposal or addenda is available
Particulars of Request for Proposals or Addenda
Name and Signature Name and Date of Date and Name and Address Address of of Person Signature Application Time of No. of Consultant or Fee Paid Person issued issued of Officer for the Issue of Consulting firm with the with Issuing Document Document Document Document Document
I hereby certify that the above is a true and accurate record of the issue of bidding documents:
Name: ____________________________________ Position: _______________________________
Signature: ____________________________________ Date: _______________________________
THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003
RECORD OF MINUTES OF PRE-PROPOSAL MEETING
Procurement Reference Number Code of Procuring and Disposing Entity Consultancy Services Financial Year Sequence Number
Particulars of Procurement 1663 Subject of Procurement Location of Pre-proposal Meeting Date and Time of Meeting
RECORD OF PRE-PROPOSAL MEETING MINUTES Question Asked Response Given
Certification of minutes as a true record of the proceedings of the meeting:
Name: ____________________________ Position: Chairperson of the meeting
Signature: ____________________________ Date: ___________________________________
Company or No Name and Address Title Signature Department
Regulations 51(3), (8), 52(2), (7)
THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003
RECORD OF RECEIPT OF EXPRESSION OF INTEREST/ PRE-QUALIFICATION APPLICATIONS / PROPOSALS
Procurement Reference Number
Code of Procuring and Disposing Entity Consultancy Services Financial Year Sequence Number 1665
Particulars of Procurement
Deadline for Bid Submission [Date and Time]
Method of Signature Name and Address of Name of Officer Date of Time of No of Receipt: of Officer No. Consultant or Consulting Receiving Receipt Receipt Envelopes Person/bid Receiving Bid Firm Proposals Box Proposals
Name: _______________________________ Position: ___________________________
Signature: ________________________________ Date: ___________________________ Name: ________________________________ Position: ___________________________ Signature: ________________________________ Date: ___________________________
FORM 23 Regulation 55(11)
THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003
RECORD OF OPENING OF TECHNICAL PROPOSALS
Procurement Reference Number
Code of Procuring and Disposing Entity Consultancy Services Financial Year Sequence Number
Particulars of Procurement
Date and Time of Proposal Opening
Location for Proposal Opening
Particulars of Proposal Opening
RECORD OF PROPOSALS OPENED AND DETAILS READ OUT (amend details recorded as appropriate) Proposal Securing Number of Copies of Power of Attorney Name and Address of the No. Declaration Received Proposals (including Consultant or Consulting Firm (Y/N) Original)
All proposals received on time were opened, read out and recorded:
Name: __________________________________ Title: _____________________________________
Signature: __________________________________ Date: _____________________________________
Name: __________________________________ Title: _____________________________________
Signature: __________________________________ Date: _____________________________________
Company or No Name and Address of Person Title Signature Department
FORM 24 Regulations 62(4), 64(6) THE PUBLIC PROCUREMENT AND DISPOSAL OF PUBLIC ASSETS ACT, 2003 TECHNICAL EVALUATION REPORT FOR CONSULTANCY SERVICES
Procurement Reference Number Code of Procuring and Disposing Entity Consultancy Services Financial Year Sequence Number
**Please read the guidance notes for preparing evaluation report at end of this Form. 1670 BACKGROUND AND TECHNICAL EVALUATION