MANUFACTURER'S AUTHORIZATION

[The Tenderer shall require the Manufacturer to fill in this Form in accordance with the
instructions indicated. This Form of authorization should be on the letterhead of the
Manufacturer and should be signed by a person with the proper authority to sign documents
that are binding on the Manufacturer. The Tenderer shall include it in its Tender, if so indicated
in the TDS.]

Date: ………07/02/2024 [insert date (as day, month and year) of Tender submission]

ITT No.: .GF ATM TB (RSSH) NFM 2023/2024 – DP 06[insert number of tendering process]

Alternative No......................................................[insert identification No if this is a Tender for an

alternative]

To: KENYA MEDICAL SUPPLIES AUTHORITY (KEMSA)[insert complete name of Procuring

Entity]

WHEREAS

We [InnoSpectra Corporation], who are official manufacturers of Near [Infra-Red

Spectrophotometers, NIR-S-G1], having factories at [No.11, Li Hsing Rd., Science Park, Hsinchu,
Taiwan], do hereby authorize [Mission for Essential Drugs and Supplies] to submit a Tender the
purpose of which is to provide the following Goods, manufactured by us [Infra-Red
Spectrophotometers, NIR-S-G1],and to subsequently negotiate and sign the Contract.

We here by 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: ...............[insert signature(s)of authorized representative(s) of the

Manufacturer] Name: .............[insert complete name(s)of authorized
representative(s)of the Manufacturer] Title:..............[insert title]

Dated on day of , [insert date of signing]

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