Annex E - Bid Form (Price List) Provision and Delivery of Bottled Drinking Water To UNSOS, UNSOM and AMISOM Offices in Somalia

Requirement A - Establishment of a Bottling Plant where UNSOS owns and operates an UNSOS Water Treatment Plant (WTP
Requirement B - Outsourcing water from external commercial sources in the absence of an UNSOS WTP, or at UNSOS reque
Inside the AMISOM-protected area at Aden Adde International Airport (AAIA) Mogadishu
YEAR 1
Unit of Quantity
Measurement per year
Mobilization Cost (one time) - Requirement A

(provision, installation and commissioning of bottling plant) Each 1
Bottled Water including services (including but not limited to bottling,

delivery/cleaning/replacement/distribution of bottles, and
delivery/maintenance/repair/replacement of water dispensers) - Requirement A Liters 567,000
Demobilization Cost (one time) - Requirement A (only if UNSOS requires

deinstallation and disposal of bottling plant, no other demobilization will be paid) Each 0
(Back-up) Bottled Water from external source including services (including but not
limited to bottling, delivery/cleaning/replacement/distribution of bottles, and
delivery/maintenance/repair/replacement of water dispensers) - Requirement B Liters 170,100
TOTAL COST PER YEAR
TOTAL COST FOR MOGADISHU
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
Annex E - BID FORM (PRICE LIST)
Provision and delivery of bottled drinking water to UNSOS, UNSOM and AMISOM offices in Somalia
er Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled water to
WTP, or at UNSOS request when the UNSOS WTP is not functional
YEAR 1 YEAR 2 YEAR 3
Quantity per Quantity per

Unit rate Total Rate year Unit rate Total Rate year Unit rate
0 0
0.22 124,740 567,000 567,000
0 0
0.22 37422 170,100 170,100

nd AMISOM offices in Somalia
stribution of bottled water to Contractor-provided water dispensers at UNSOS locations
Quantity per Quantity per

Total Rate year Unit rate Total Rate year Unit rate Total Rate
0 0
567,000 567,000
0 1
170,100 170,100
KISMAYO
YEAR 1
Unit of Quantity per
Measurement year Unit rate

Bottled Water including services (including but not limited to
bottling, delivery/cleaning/replacement/distribution of bottles,
and delivery/maintenance/repair/replacement of water
dispensers) - Requirement A Liters 34,020
Demobilization Cost (one time) - Requirement A (only if UNSOS
requires deinstallation and disposal of bottling plant, no other
demobilization will be paid) Each 0
(Back-up) Bottled Water from external source including services
(including but not limited to bottling,
delivery/maintenance/repair/replacement of water dispensers) -
Requirement B Liters 10,206
TOTAL COST PER YEAR
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
Water Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled wate
OS WTP, or at UNSOS request when the UNSOS WTP is not functional
1 YEAR 2 YEAR 3 YEAR 4

Quantity Quantity Quantity
Total Rate per year Unit rate Total Rate per year Unit rate Total Rate per year
0 0 0
34,020 34,020 34,020
0 0 0
10,206 10,206 10,206

es, and distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity per
Unit rate Total Rate year Unit rate Total Rate
34,020
10,206
BAIDOA
YEAR 1
Unit of Quantity
Measurement per year Unit rate Total Rate
(provision, installation and commissioning of bottling
plant) Each 1
Bottled Water including services (including but not
limited to bottling,
delivery/cleaning/replacement/distribution of
bottles, and
delivery/maintenance/repair/replacement of water
Demobilization Cost (one time) - Requirement A

(only if UNSOS requires deinstallation and disposal of
bottling plant, no other demobilization will be paid) Each 0
(Back-up) Bottled Water from external source
including services (including but not limited to
bottling, delivery/cleaning/replacement/distribution
of bottles, and
dispensers) - Requirement B Liters 11,907
TOTAL COST PER YEAR
TOTAL COST FOR BAIDOA
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
ater Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled water t
S WTP, or at UNSOS request when the UNSOS WTP is not functional

per year Unit rate Total Rate per year Unit rate Total Rate per year Unit rate
0 0 0
39,690 39,690 39,690
0 0 0
11,907 11,907 11,907

and distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity per
Total Rate year Unit rate Total Rate
39,690
11,907
Requirement A - Establishment of a Bottling Plant where UNSOS owns and operates an UNSOS Water Treatment
Requirement B - Outsourcing water from external commercial sources in the absence of an UNSOS WTP, or at UN
BELETWEYNE
YEAR 1
plant) Each 1

delivery/cleaning/replacement/distribution of bottles,
Demobilization Cost (one time) - Requirement A (only if
UNSOS requires deinstallation and disposal of bottling
plant, no other demobilization will be paid) Each 0
(Back-up) Bottled Water from external source including

services (including but not limited to bottling,
TOTAL COST PER YEAR
TOTAL COST FOR BELETWEYNE
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
UNSOS Water Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottle
an UNSOS WTP, or at UNSOS request when the UNSOS WTP is not functional

Quantity per Quantity per Quantity
Total Rate year Unit rate Total Rate year Unit rate Total Rate per year
0 0 0
34,020 34,020 34,020
0 0 0
10,206 10,206 10,206

ed bottles, and distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity per
34,020
10,206
JOHWAR
YEAR 1
Bottled Water including services (including but not limited to

bottling, delivery/cleaning/replacement/distribution of
bottles, and delivery/maintenance/repair/replacement of
water dispensers) - Requirement A Liters 22,680
Demobilization Cost (one time) - Requirement A (only if

UNSOS requires deinstallation and disposal of bottling plant,
no other demobilization will be paid) 0
(Back-up) Bottled Water from external source including

TOTAL COST PER YEAR
TOTAL COST FOR JOHWAR
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
Water Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled wate
SOS WTP, or at UNSOS request when the UNSOS WTP is not functional

Quantity per Quantity per Quantity per
Total Rate year Unit rate Total Rate year Unit rate Total Rate year
0 0 0
22,680 22,680 22,680
0 0 0
6,804 6,804 6,804

nd distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity per
22,680
6,804
DHOBLEY
YEAR 1

Measurement year
Bottled Water including services (including but not limited to bottling,

Requirement A Liters 17,010
Demobilization Cost (one time) - Requirement A (only if UNSOS requires

deinstallation and disposal of bottling plant, no other demobilization will
be paid) Each 0
(Back-up) Bottled Water from external source including services

Requirement B Liters 5,103
TOTAL COST PER YEAR
TOTAL COST FOR DHOBLEY
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
SOS Water Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled w
UNSOS WTP, or at UNSOS request when the UNSOS WTP is not functional
YEAR 1 YEAR 2 YEAR 3 YEAR 4
Quantity per Quantity Quantity

Unit rate Total Rate year Unit rate Total Rate per year Unit rate Total Rate per year
0 0 0
17,010 17,010 17,010
0 0 0
5,103 5,103 5,103

nd distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity
Unit rate Total Rate per year Unit rate Total Rate
17,010
5,103
GAROWE
YEAR 1
Unit of
Measurement Quantity per year Unit rate
plant) Each 1

and delivery/maintenance/repair/replacement of
water dispensers) - Requirement A Liters 13,608
Demobilization Cost (one time) - Requirement A (only
if UNSOS requires deinstallation and disposal of
bottling plant, no other demobilization will be paid) Each
(Back-up) Bottled Water from external source
including services (including but not limited to
bottling, delivery/cleaning/replacement/distribution
of bottles, and
TOTAL COST PER YEAR
TOTAL COST FOR GAROWE
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
SOS Water Treatment Plant (WTP), maintenance of the Bottling Plant, filling of Contractor-provided bottles, and distribution of bottled w
UNSOS WTP, or at UNSOS request when the UNSOS WTP is not functional

Total Rate year Unit rate Total Rate year Unit rate Total Rate year
0 0 0
13,608 13,608 13,608
4,083 4,083 4,083

ttles, and distribution of bottled water to Contractor-provided water dispensers at UNSOS locations
YEAR 4 YEAR 5
Quantity per
13,608
4,083
NO UNSOS WPT at this location
HARGESIA
YEAR 1
Unit of
Measurement Quantity per year Unit rate
Bottled Water from external source including services

TOTAL COST PER YEAR
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
OS WTP, or at UNSOS request when the UNSOS WTP is not functional

Total Rate year Unit rate Total Rate year Unit rate Total Rate year Unit rate
9,072 9,072 9,072

YEAR 4 YEAR 5
Quantity per
Total Rate year Unit rate Total Rate
9,072
NO UNSOS WPT at this location
DHUSAMAREB
YEAR 1
Unit of Quantity
Measurement per year Unit rate Total Rate
Bottled Water from external source including

delivery/cleaning/replacement/distribution of
bottles, and
delivery/maintenance/repair/replacement of
water dispensers) - Requirement B Liters 11,340
TOTAL COST PER YEAR
TOTAL COST FOR DHUSAMAREB
YEAR 1
YEAR 2
YEAR 3
YEAR 4
YEAR 5
TOTAL 0
NSOS WTP, or at UNSOS request when the UNSOS WTP is not functional

per year Unit rate Total Rate per year Unit rate Total Rate per year Unit rate Total Rate
11,340 11,340 11,340

YEAR 5
Quantity
per year Unit rate Total Rate
11,340
SUMMARY
TOTAL COST FOR 5 YEARS PER LOCATION

TOTAL COST FOR MOGADISHU
TOTAL COST FOR KISMAYO
TOTAL COST FOR BAIDOA
TOTAL COST FOR BELETWEYNE
TOTAL COST FOR JOHWAR
TOTAL COST FOR DHOBLEY
TOTAL COST FOR GAROWE
TOTAL COST FOR HARGEISA
TOTAL COST FOR DHUSAMAREB
GRAND TOTAL FOR 5 YEARS 0
IMPORTANT TO NOTE:
1. Proposers are requested to provide rates exclusive of VAT and other taxes as the UN is tax excempte
2. All unit and total rates above must be all inclusive, being mindful of the quantity of dispensers requi
entire Contract duration.
3. The quantities indicated are projected/ estimated for purposes of calculation of Contract price and t
Proposal validity days: ____________________________________Acceptance of UNGCC Terms:..........
Company name: ___________ Date:................................. Currency
Name, Title of Vendor's Authorised Official: ____________________________________________
Signature of Vendor's Authorised Official: ____________________________________________
Email/tel.: _____________________
Please provide the breakdown as follows
1. Breakdown of Mobilization Cost:

2. Breakdown delivery and maintainance:
RS PER LOCATION
f VAT and other taxes as the UN is tax excempted.

eing mindful of the quantity of dispensers required per location as per SOR Section 1.2.7 (b). The rates will remain fixed for the
r purposes of calculation of Contract price and thus are not the actual quantities to be ordered under the subsequent Contract.
__________Acceptance of UNGCC Terms:.................
Date:................................. Currency of proposal: ..........................
___________________________________
_________________________________

Annex E - Bid Form (Price List) Provision and Delivery of Bottled Drinking Water To UNSOS, UNSOM and AMISOM Offices in Somalia

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Annex E - Bid Form (Price List) Provision and Delivery of Bottled Drinking Water To UNSOS, UNSOM and AMISOM Offices in Somalia

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Requirement A - Establishment of a Bottling Plant where UNSOS owns and operates an UNSOS Water Treatment Plant (WTP

Mobilization Cost (one time) - Requirement A

Bottled Water including services (including but not limited to bottling,

Demobilization Cost (one time) - Requirement A (only if UNSOS requires

TOTAL COST PER YEAR

TOTAL COST FOR MOGADISHU

YEAR 1 YEAR 2 YEAR 3

Quantity per Quantity per

0.22 124,740 567,000 567,000

0.22 37422 170,100 170,100

stribution of bottled water to Contractor-provided water dispensers at UNSOS locations

YEAR 3 YEAR 4 YEAR 5

Quantity per Quantity per

Mobilization Cost (one time) - Requirement A

TOTAL COST PER YEAR

1 YEAR 2 YEAR 3 YEAR 4

34,020 34,020 34,020

10,206 10,206 10,206

Demobilization Cost (one time) - Requirement A

TOTAL COST FOR BAIDOA

YEAR 2 YEAR 3 YEAR 4

39,690 39,690 39,690

11,907 11,907 11,907

Bottled Water including services (including but not

(Back-up) Bottled Water from external source including

TOTAL COST PER YEAR

TOTAL COST FOR BELETWEYNE

YEAR 2 YEAR 3 YEAR 4

34,020 34,020 34,020

10,206 10,206 10,206

Bottled Water including services (including but not limited to

Demobilization Cost (one time) - Requirement A (only if

(Back-up) Bottled Water from external source including

TOTAL COST PER YEAR

TOTAL COST FOR JOHWAR

YEAR 2 YEAR 3 YEAR 4

22,680 22,680 22,680

6,804 6,804 6,804

Unit of Quantity per

Bottled Water including services (including but not limited to bottling,

Demobilization Cost (one time) - Requirement A (only if UNSOS requires

(Back-up) Bottled Water from external source including services

TOTAL COST PER YEAR

TOTAL COST FOR DHOBLEY

YEAR 1 YEAR 2 YEAR 3 YEAR 4

Quantity per Quantity Quantity

17,010 17,010 17,010

5,103 5,103 5,103

Bottled Water including services (including but not

TOTAL COST PER YEAR

TOTAL COST FOR GAROWE

YEAR 2 YEAR 3 YEAR 4

13,608 13,608 13,608

4,083 4,083 4,083

Bottled Water from external source including services

TOTAL COST PER YEAR

YEAR 2 YEAR 3 YEAR 4

9,072 9,072 9,072

Bottled Water from external source including

TOTAL COST PER YEAR

TOTAL COST FOR DHUSAMAREB

YEAR 2 YEAR 3 YEAR 4