Asf-Vendor Prequalification Form - Reefers

8/12/2019 Asf-Vendor Prequalification Form - Reefers

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Agribusiness Support Fund

USAIDs Agribusiness ProjectPre-Qualification Registration & Assessment

Sign/Stamp___________________________________ Page 1of 10

NOTE: (Before filling the form, please read and understand documents carefully)Introduction:Agribusiness Support Fund (ASF) is a Not-for-Profit company registered with Securities &Exchange Commission of Pakistan (SECP) under Section 42 of Companies Ordinance 1984. Thecompany was established in 2005 by Ministry of Food, Agriculture & Livestock (MINFAL) with thesupport of Asian Development Bank (ADB) in context of the Agribusiness Development &Diversification Project (ADDP). The company is governed by a private-sector led independentBoard of Directors. The company is currently implementing a 5-year USAIDs Agribusiness Projectwith the overall goal to support improved conditions for broad-based economic growth, createemployment opportunities and contribute to poverty alleviation through increase in competitivenessof horticulture and livestock value chains.

ASF will undertake a competitive bidding exercise, intending to issue a solicitation document tothose companies which shall express their interest and provide initial relevant informationdemonstrating their ability to fulfill ASFs requirements.

The Improvised Reefers and Field Pack houses:

The intervention aims at providing low-cost improvised postharvest management technology for thefruits and vegetables. The improvised reefer will be used as a source of field heat removal as wellas on-farm temporary storage of fruits and vegetables with 3-5 tons capacity. The same reefer willbe installed on a frame, which will be able to be placed on any commercial freight vehicle, towedwith tractor and taken to the any market place. The storage facility will provide temperature and

humidity controls depending on the type of commodity and environmental temperature. Theintervention will result in increasing the shelf life and improving the produce quality of fruits andvegetables.

Specific Objectives:1. To supply and install improvised reefers and field pack houses in the selected value chains of fruitsand vegetables;2. Reduction in post-harvest losses and improve the fruit quality for supply to local and export market;3. Establish better marketing linkages with local and international traders/exporters;4. Provide income generation, employment and women involvement opportunities by using improvisedpost-harvest technology for fruits/vegetables in the selected value chains.

Pre-Qualification/EOI Process:This Pre-qualification document does not constitute any binding to purchase or any intention to getoffers from suppliers at this stage. ASF reserves the right to change or cancel these requirementsat any time in the pre-qualification and/or solicitation process. ASF considers a firm's qualificationsand experience in the service area, and previous performance, when preparing a list of invitees.Thus, submitting a pre-qualification does not automatically guarantee a firm will be considered forreceipt of the solicitation when issued. Due to the high volume of communications, ASF may not bein position to issue confirmation of receipt of Pre-qualification document.


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If you have any reservation in submitting any information please let us have it in writing with properjustification. Submission of incomplete information in response to this query or late submission ofinformation may result in automatic disqualification.

INSTRUCTIONS:1- Use capital letters2- Mark the applicable boxes3- Use extra sheets where necessary4- Applications for Pre-qualification must be submitted through any track-able courier service on

or before 18thFebruary, 2013in a sealed envelope. Please mark envelop with the inscriptionEOI FOR SUPPLY OF IMPROVISE REEFERS and sendto the following address:

The Procurement Department:Agribusiness Support Fund

House# 23, Street 25, Sector F-8/2Islamabad

Phone Landline +92 512818305-06


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SECTION I- GENERAL INFORMATION

Application in Response to:

(Ad published on/Ref #):

Name of Entity

Type of Entity

Private Ltd.

Partnership

Other, please specify _________________

Names of Partners or Directors

1-

2-

3-

Category(s) Applied for

Withholding Tax Vendor? (Yes / No)

If Yes, Please indicate whether:

Seller of goods (3.5%)

Provider of services (6%)

Others, please specify

Tax identification numbers: National Tax Number: _______________________

GST Registration Number: ___________________


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Tax JurisdictionLarge Taxpayers Unit

Medium SzedTaxpayers Unit

Small Taxpayers Unit

Entitys Representative to ASF

Complete Address

Phone Number (Including area code)

Fax Number (Including area code)

Mobile Number of Representative

E-Mail / Web address


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SECTION II- BACKGROUND:

Industry / Field of specialization

Brand Name(s):(Mention the Nature of relationship with thebrand- i-e, Owners, Partners, Authorizedrepresentative/ dealer/ Vendor etc.)

Branches/ Regional offices in Pakistan(Attach additional sheet)

Number of Years in the field being applied for

More than 15 years

10-15 years

510 years

15 years

Major Clientele List Relevant to this applicationWith Names and Contact Numbers:

(Attach Additional Sheets)

1-

2-

3-

Plant and Machinery Installed(specify if needed and use additional sheet)

Average Annual Turnover in last 3 years(In PKR)

More than 20 Million

15-19 Million

10 - 14 Million

5 - 9 Million

3- 4 Million

Less than 3 Million


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Quality assurance certificates(e.g. ISO, MOODY, BVQI and others)(Attach details)

Appreciation certificates from client(Attach details)

Three Highest Value Orders

(In the field applied for)(Attach details)

1-

2-

3-

Current No. of Jobs/orders In Hand(In PKR)

2 - 4 Million _____________

4 - 6 Million _____________

6 - 8 Million _____________

8 - 10 Million _____________

10- 15 Million ____________

More than 15 Million ____________

Number of staff

1- Management Staff ___________

2- Technical Staff ___________

3- Other Staff ___________


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SECTION III- BANK INFORMATION:

Bank Name

Branch and City

Account Title

Bank Account Number

SECTION IV- CONFLICT OF INTEREST:

Kindly inform us if you are by any means related to Agribusiness Support Fund or its staff whichmay influence the outcome of this assessment process. Please mention the nature of relationshipwith ASF along with names and designations of related AS F personnel in the space provided below:

1.

2.

3.


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SECTION V- REFERENCES FROM CLIENTS:

COMPANY NAME OF CONTACT PERSON TELEPHONE / MOBILE NOS. Email


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SECTION VI- DECLARATION

I / We hereby confirm that all the information given in this form and in attached document are true

and correct to the best of my/our knowledge. I/ We understand that any false information shall result

in immediate disqualification.

If prequalified by ASF I / we shall strictly adhere to all the rules, regulations, terms and conditionsas laid down by ASF.

Signature(s) of Proprietor /Partners/Directors

Name __________________ _________________ _________________

Designation __________________ _________________ _________________

CNIC No. __________________ _________________ _________________

Specimen Signature of Authorized Representative Stamp of Vendor

Name __________________

Designation __________________

CNIC No. __________________

IMPORTANT NOTE: Submission of this Application does not guarantee that the applicant shall be registered with

ASF

ASF may ask for any further details and documents; or may physically inspect the applicantsorganizational setup / factory at any time without prior notice

Please ensure to provide complete information asked for in the absence of which your

application will not be considered


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SECTION VII- CREDENTIALS

Please attach following documents and check the applicable box

Letter of authorization to represent the company with certified specimen signature and copy ofCNIC of authorized representative

Photocopies of National ID Cards of Proprietor / Partners / Directors In case of partnership, attested copy of partnership deed (Form C if registered) In case of Public/ Private Ltd Company certified copy of Certificate of incorporation, Memorandum

and articles of association

In case of Public Ltd Company certified copy of Certificate of Commencement of business In case of other, Copy of registration or other supporting documents National Tax Registration Certificate Sales Tax Registration Certificate An undertaking on Non Judicial Stamp paper that you are not defaulters from any bank / any other

institute / Company and that you are not blacklisted with any Govt. / Semi Govt. or any Firm /Organization / Company

Any other details please specify:

_________________________________________________________________________________

__________________________________________________________________________________

Authorized Representatives Signature

Asf-Vendor Prequalification Form - Reefers

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