Letter Head

Manufacturer’s Authorization
Date: 8th February 2021
ICB No.: IDN1008/EQ3A
Invitation for Bids No.: 481/UN17.45/POKJA-IsDB/2020 dated December 8 th, 2020
Alternative No.: -
Package A : Procurement of Laboratory Equipment for University of Mulawarman

To:
The Procurement Committee
Package A : Procurement of Laboratory Equipment for University of Mulawarman
Jl. Kuaro Gedung Rektorat 3rd Floor, Kampus Gunung Kelua Samarinda 75119
Indonesia

WHEREAS
We (insert complete name of Manufacturer) who are official manufacturers of (insert type of goods
manufactured) having factories at (insert full address of Manufacturer’s factories), do hereby authorize PT.
Buana Prima Raya at Ruko Mega Grosir Cempaka Mas Blok L No 38, Jl. Letjen Suprapto, Jakarta 10640, to
submit a bid the purpose of which is to provide the following Goods, manufactured by us :

Item Code No. Name of Equipment Brand Model or Catalogue

and to subsequently negotiate and sign the Contract.

We hereby extend our full guarantee and warranty in accordance with Clause 28 of the General Conditions of
Contract, with respect to the Goods offered by the above firm.

Signed:

_______________________
Name:
Title:
Dated on xxth day of December, 2020