STANDARD BID EVALUATION FORM

Mu nh gi thu

Xy lp
Procurement of Works

The World Bank in Vietnam

Vn phng Ngn hng Th gii

H Ni 1.1999 Sa li 1-2008Biu kim tra khi m thu

Bid Opening Checklist
(in vo khi m v c tng phong b)
(To be filled out for each bid as it is read out)
1. Hp ng/ Contract:
2. Ngy m thu/ Bid Opening Date:

Gi / Time:

3. Tn Nh thu / Name of Bidder:

4. Ni dung kim tra / Items checked:
a) Phong b ngoi cn nguyn vn ?
Is outer envelope of bid sealed?
(b) n xin d thu c hon chnh v c k ng quy nh khng?
Is bid form completed and signed?
(c) Ngy ht hiu lc ca n thu
Expiration date of bid
(d) C giy u quyn k n thu khng?
Is documentary authority for signing enclosed?
(e) Gi tr v thi hn bo lnh d thu
Amount and validity of bid security :
(f) C yu cu thay th, rt li hoc sa i HSDT khng?
Describe any Substitution, Withdrawal, or Modification submitted
(g) Ni dung gim gi hoc sa i
Describe any discounts or modifications offered:
(h) Cc vn khc cn lu
Additional comments
(i) Tn i din nh thu d m thu
Name of bidder representative present:
(j) Tng gi cho thu
Total bid price
5. Ch k v tn ngi kim tra
Signature of responsible official

Ngy
Date

Bng 1. Thng tin chung

Identification

1.2
1.3
1.4
1.5
1.6

1.7
1.8
1.9
1.10
1.11
1.12
1.13
1.14

Bn vay / Name of Borrower

S khon tn dng / Credit number
Ngy hiu lc / Date of effectiveness
Ngy ht hn / Closing date
Tn d n / Name of project
Bn mi thu / Employer-Purchaser
(a) tn / name
(b) a ch / address
S gi thu / Contract number
Tn gi thu / Contract description
D ton (Gi gi thu) / Cost estimate
Phng thc mua sm u thu
Method of procurement
Gi thu thuc din xt duyt trc
Prior review required
u tin trong nc /Domestic prefer.
H gi c nh /Fixed price contract
ng ti tr/Cofinancing
(a) Tn/Name
(b) T l/percent financed

Cng ho X hi Ch ngha Vit nam

ICB

NCB

LS

Yes

No

Yes
Yes

No
No

Khc

Bng 2. Thng bo mi thu v pht hnh HSMT

Bidding Process
2.1

2.2

2.3

2.4

2.5
2.7
2.8

Thng bo chung / GNP

(a) ln u / first issue date
Bo UNDB ngy ......................................
(b) ln cui / latest update
Bo UNDB ngy ......................................
S tuyn / PQ
(a) S t ST / firms prequalified
(b) Ngy WB duyt /date of NOL
Qung co / SPN
(a) Tn bo / name of newspaper
(b) Ngy / issue date
(c) S nh thu nhn th mi trc
tip / number of firms notified
HSMT / Bidding Document
(a) Mu dng / title
(b) Ngy WB duyt / date of NOL
(c) Ngy bn / date of issue
S nh thu mua HSMT
Number of firms issued documents
Ngy hi ngh trc thu
Date of pre-bid conference
Ngy gi bin bn cho cc nh thu v
WB/ Date minutes of conference sent
to bidders and Bank

Bng 3. Np v m thu
Bid Submission and Opening
3.1
(a)
(b)
3.2

3.5

Hn np thu / submission deadline

Ngy-gi / original date, time
Gia hn / extensions
Ngy gi m thu
Bid opening date, time
Ngy lp bin bn m thu
Date of record of bid opening
S nh thu np HSDT
Number of bids submitted
Hiu lc HSDT / Bid validity

3.6

Hiu lc BLDT / Bid Security validity

3.3
3.4

3.7. Nhn xt khc/other remarks

Bng 4. Gi d thu cng b ti bui m thu

Bid Prices (as Read Out)
Thng tin v nh thu / Bidder Identification
Tn / Name
(a)

v.v / etc.

Thnh ph-tnh
City- Province
(b)

Nc
Country
(c)

Gi cng b / Read-out Bid Price

Loi tin
Currency
(d)

Tng s
Amount
(e)

Gim
gi/thay i
Discount
modifications
(f)

(f) Ghi nhng thay i so vi gi cng b nh gim gi (ghi gi mi), rt li HSDT. nh km bn sao bin bn m thu.Bng 5. Biu tng

hp kim tra s b n d thu

Preliminary Examination
Nh thu
Bidder

T cch hp l
Eligibility

Bo lnh d thu
Bid Security

S hon chnh ca HSDT

Completeness of Bid

A
B
C
D
E
F
G

(1)
Khng t
t
t
t
t
t
t

(2)
t
Khng t
t
t
t
t
t

(3)
t
t
Khng t
t
t
t
t

p ng v c bn
Substantial
Responsiveness
(4)
Khng
Khng
Khng
Khng
t
t
t

a vo nh gi chi tit
Acceptance for Detailed
Examination
(5)
Khng
Khng
Khng
Khng
C
C
C

(1) Khng t: Cha qua s tuyn (nu c), khng t cch php nhn, l n v trc thuc ch u t, c lin quan n t vn thit k cng
trnh ny, ch k khng hp l, thiu u quyn ca nh sn xut (u thu thit b).
(2) t: Bn gc, ng mu ca HSMT, iu kin, s tin , thi gian. Khng t: nu khng t cc tiu ch nu.
(3) Khng t: cho thiu hng mc quan trng, bn gc thiu trang, ty xo sa cha ni dung quan trng khng c ch k xc nhn.
(4) t: tun th tt c cc iu khon, iu kin v yu cu k thut ca HSMT v khng c cc sai lch c bn. Mt sai lch c coi l c
bn nu (a) gy nh hng ng k n phm vi, cht lng hoc tnh nng s dng ca cng trnh; (b) hn ch mt cch nh k khng ph
hp vi HSMT quyn ca ch u t hoc ngha v ca nh thu theo hp ng; hoc (c) sa li s nh hng khng cng bng ti v tr cnh
tranh ca cc nh thu khc. V d: yu cu c iu chnh gi (khi HSMT yu cu gi c nh); khng p ng yu cu c bn v thi gian (thi
im khi cng v hon thnh, cc mc quan trng trong tin , giao hng v lp t; t l hp ng ph vt nhiu so vi mc cho php;
khng p ng c bn ngha v bo hnh v bo him; khng p ng v c bn yu cu v thu v th tc gii quyt tranh chp; np hai n
thu cho cng hng mc, cc sai lch c bn so vi yu cu k thut ca HSMT...
Ch : Cn nu r l do ti sao khng t. HSDT c xc nh l khng p ng v c bn s khng c php sa cha iu chnh v s
b loi.

Bng 6. Sa li tnh ton v gim gi

Corrections and Unconditional Discounts
Nh thu
Bidder

(a)

Gi thu cng b
Read-out Bid Price
Loi tin
Currency

Tng
Amount

(b)

(c)

Sa li
Corrections

Gi sa
Corrected Bid
Price

Li tnh ton Cc khon

Computational d phng
Errors
Prov. Sums
(d)

(e)

(f) = (c) + (d) - (e)

Gim gi v iu kin
Unconditional Discounts

Gi thu sa li
v gim gi

%
Percent

Tng
Amount

Corrected/Discounted
Bid Price

(g)

(h)

(i) = (f) (h)

v.v /etc.

Ch : Ch a vo bng ny nhng n thu c nh gi l p ng v c bn cc yu cu ca HSMT v c a vo nh gi k

(xem ct (4) v (5) Biu tng hp kim tra s b n d thu.

Bng 7. B sung, iu chnh v pht sai lch

Additions, Adjustments, and Priced Deviations
Nh thu
Bidder

Gi sa li v gim
Corrected/Discounted Bid
Price1

B sung
Additions2

iu chnh
Adjustments2

Pht sai lch

Priced Deviations2

Tng gi nh gi
Total Evaluated Price

(a)

(b)

(c)

(d)

(e)

(f) = (b) + (c) + (d) + (e)

v.v / etc.

Ch thch: 1. S liu ly t ct (i) biu Sa li tnh ton v gim gi 2. S liu a vo ba ct ny phi km theo gii thch c th. B sung :
gi nhng hng mc cho thiu (phI cng thm)/tha (phI tr i), c th ly mc trung bnh t cc HSDT khc hoc gi ph bin th trng.
iu chnh: v d: chi ph cho cc dch v i km cho thiu nh vn chuyn v bo him trong nc, dch v bo dng v cung cp ph tng
sau khi bn... Pht sai lch: cc sai lch khng c bn c th chp nhn c phi chu mt khon pht c th c so snh mt cch cng
bng vi cc HSDT khc. V d: yu cu thanh ton sm hn, giao hng hay hon thnh cng trnh chm hn so vi yu cu ca HSMT.

Bng 8. Khuyn ngh trao Hp ng

Proposed Contract Award
1.

2.

3.

4.
6.

Nh thu p ng v c bn HSMT,
c gi nh gi thp nht v c
nng lc thc hin H (khuyn ngh
trao H)
Lowest
evaluated responsive bidder qualified
to perform the contract satisfactorily
(proposed for contract award).
(a) Tn nh thu / name
(b) a ch / address
Tn cc bn lin danh, quc tch, tr
gi phn H / If bid from joint
venture, list all partners, nationalities,
and estimated shares of contract.
Nc xut x cc thit b/vt liu
chnh / Principle country(ies) of origin
of goods/materials.
Ngy d kin k H / Estimated date
(month, year) of contract signing.
Ngy d kin giao hng/hon thnh
cng trnh / Estimated delivery to
project site/completion period.
Loi tin/Currency(ies)

Tng s hoc %
Amount(s) or %

7. Gi cng b/ Bid Price(s) (Read-out)

8.
Li tnh ton/Corrections for Errors
9.
Gim gi / Discounts
10. iu chnh khc/Other Adjustments
11. Tng H / Proposed Award
12. Hng mc/Disbursement Category
Ch thch: mc 10: cn c gii thch r; mc 12: theo Hip nh

Ph Lc A Bng 8 - Kim tra Hu tuyn trong u thu Xy lp

(i vi Nh thu c lp)
(Tin hnh i vi Nh thu c gi nh gi thp nht xc inh trong
Bng 7)

Tn nh thu :

 Gi nh gi :
Cc yu cu nng lc

Ch tiu quy nh trong H s Mi thu

Nng lc Nh thu
Thng tin cung cp
trong HSDT v/hoc
khi lm r

ITB 4.5(a) Khi lng 1

thi cng hng nm

t / Khng

Doanh thu ti thiu bnh qun hng nm trong 3

nm gn y:
__________VND

ITB 4.5(b) Kinh

nghim l nh thu
chnh trong vic thi
cng cc cng trnh
tng t

S hp ng c tnh cht v quy m tng t yu

cu:
_________ trong 3 nm qua

ITB 4.5(c) Kh nng Chng loi v s lng thit b ti thiu yu cu:

thit b
1. _________
2. _________
3. _________
vv...

Ph Lc A Bng 8 - Kim tra Hu tuyn trong u thu Xy lp

(i vi Nh thu c lp)
(tip)
Tn nh thu :

Gi nh gi :
Cc yu cu nng lc

Ch tiu quy nh trong H s Mi thu

Nng lc Nh thu
Thng tin cung cp
trong HSDT v/hoc
khi lm r

ITB 4.5(d) Kinh

nghim ca Gim c
Cng trnh

Trnh chuyn mn :

S nm kinh nghim ti thiu trong thi cng cng

trnh quy m tng t _____

S nm kinh nghim ti thiu l Gim c cng

trnh _______

ITB 4.5(e) - Kh nng

m bo vn lu ng Gi tr ti thiu yu cu: _______ VND

t / Khng

ITB 4.5 Lch s tranh Lin tc c tranh chp hoc b thua kin nhiu c
chp/kin tng
th dn n b loi

KT LUN : Nh thu / KHNG nng lc thc hin hp ng.

Lu : 1. Gii thch l do khng t hay t - c sai lch nh. Km theo cc bng chng h tr.
2. Nu nh thu c gi nh gi thp nht khng qua hu tuyn, tin hnh kim tra nh thu xp
hng tip theo

Ph Lc B Bng 8 - Kim tra Hu tuyn trong u thu Xy lp (i

vi Nh thu Lin Danh)
(Tin hnh i vi Nh thu c gi nh gi thp nht xc inh trong
Bng 7)

Tn Lin Danh :

Gi nh gi :
Cc yu cu nng lc

Ch tiu quy nh trong H s Mi thu

Nng lc Lin Danh

Thng tin cung cp trong HS cho thu
v/hoc khi lm r
Ton Lin
Danh

ITB 4.5(a) Khi lng 2

thi cng hng nm

Doanh thu bnh qun ti thiu bt

k nm no trong 3 nm gn y:
__________VND

ITB 4.5(b) Kinh

nghim l nh thu
chnh trong vic thi
cng cc cng trnh
tng t

S hp ng c tnh cht v quy m

tng t yu cu:

_________ trong 3 nm qua

Bn lnh Thnh vin Thnh vin

o(min. (min. 25%) (min. 25%)
40%)

Kh

ITB 4.5(c) Kh nng Chng loi v s lng thit b ti

thit b
thiu yu cu:
1. _________
2. _________
3. _________
vv...

Ph Lc B Bng 8 - Kim tra Hu tuyn trong u thu Xy lp (i

vi Nh thu Lin Danh)
(Tip)

Tn Lin Danh :

Gi nh gi :
Cc yu cu nng lc

Ch tiu quy nh trong H s Mi thu

Nng lc Lin Danh

Thng tin cung cp trong HS cho thu
v/hoc khi lm r
Ton Lin
Danh

Bn lnh Thnh vin Thnh vin

o(min. (min. 25%) (min. 25%)
40%)

Kh

ITB 4.5(d) - Kinh

nghim ca Gim c
Cng trnh

Bng cp chuyn mn:

S nm kinh nghim ti thiu trong
thi cng cng trnh quy m tng t :
________

S nm kinh nghim ti thiu l

Gim c cng trnh _______
ITB 4.5(e) - Kh nng Gi tr ti thiu yu cu: _______
m bo vn lu ng
VND
ITB 4.5 Lch s tranh Lin tc c tranh chp hoc b thua
chp/kin tng
kin nhiu c th dn n b loi
KT LUN : Nh thu / KHNG nng lc thc hin hp ng.
Lu : 1. Gii thch l do khng t hay t - c sai lch nh. Km theo cc bng chng h tr.
2. Nu nh thu c gi nh gi thp nht khng qua hu tuyn, tin hnh kim tra nh thu xp
hng tip theo