MINI-COMPETITION QUOTATION FORM

[Regulation 131 (5) of the Public Procurement Regulations, 2013](as amended)]

UNITED REPUBLIC OF TANZANIA
MINISTRY OF HEALTH COMMUNITY DEVELOPMENT GENDER ELDERLY AND
CHILDREN

The Office of Medical Officer Incharge

Telephone Address: “HEALTH”, Mwananyamala Regional Referral Hospital
Telephone: 022-2760500 P.O Box 61665
(mwananyamala@afya.go.tz Dar Es Salaam
Fax No…………………….

Date: 22th May 2022

To: GPSA Shortlisted suppliers

Re: Mini-Competition under Framework Agreement

Sub: Procurement Reference No: ME/007/2021-22/MRRH/G/10

Framework Agreement No: AE/005/2021-22/DSM/FA/G/10
Subject to the framework agreement referenced above entered between you and
Government Procurement Services Agency for the procurement of common use items
and services, the Purchaser calls a mini competition. This mini-competition request form
has also been addressed to the suppliers/service providers awarded framework
agreement.
i) Technical specifications or/and statement of requirements [This section is
mandatory for Mini-Competition to provide technical specifications for the aspects of
Goods or statement of requirements in Non Consultancy Services.]

The technical specifications or/and statements of requirements are as follows:

Item Description Refined Technical Compliance of
S/ Cod of Supplies or Specification/Statement of specification
n e Services Requirements required offered
including applicable standards
(a) (b) (c) (d)
SUPPLY OF TILES As specified in Schedule of
1. Supplies Comply

To be filled by procuring entity: Column (c) states the minimum technical

specification of the item(s) required by the Procuring entity.
To be filled by supplier/service provider: The Tenderer is to complete column (d)
with the technical specifications of the item(s) offered and to state “comply” or “not
comply” and give details of the areas of non-compliance.
 ii) Schedule of Supplies or Services required
S/n Item Description Unit of Quantit Unit Price Tax per Extended
Cod of Supplies or Services Measur y unit Price (Tshs)
e e Require [VAT]
d
(1) (2) (3) (4) (5) (6) (7) (8)

SUPPLY OF TILES

Floor and Wall Tiles: Porcelain

Floor tiles non-slippery, non-
glazed tile by RAK Ceramics or
other Equal and Approved Boxes 200 56,678.4 12,441.6 13,824,000
Manufacturer sized 500 x 500 x
1 12mm thick (color to be approved)

Wall tiles; Ceramic Wall tiles;

glazed tile by RAK Ceramics or Boxes
other Equal and Approved
Manufacturer sized 250 x 400 x 167 43,050 9,450 8,767,500
2 6mm thick (color to be approved)

Packts 35

Tile Grout; 1kg (color to be 2,870 630 122,500

3 approved)

Packts 20 2,050 450 50,000

4 Tile Spacer; 1.5mm

Pcs
30 6,150 1,350 225,000
5 Aluminium Strips; 2.2m long

TOTAL 22,989,000