UNPRICED COPY OF PRICED FORMAT

SUBJECT: SUPPLY OF Safety Relief Valve FOR FACT ENGINEERING WORKS, PALLURUTHY, COCHIN
ENQUIRY No: MM/161/E…………………… dated ………………………………..

NAME OF BIDDER :----------------------------------------------------------------------------------------------

P&F Freight Charges
Charges upto destination
Sl. Unit Qty GST if extra (Rs)
Unit Total Price extra, if HSN Code
No. Description Price (%)
Applicable
(%)
1 Safety Relief Valve (Multi QUOTED/NOT QUOTED/NOT INCLUDED in the price/
Port type) As per Doc No. QUOTED (strike 4 QUOTED QUOTED separately (if
No.32654-11-PS-001 – 4 Nos. off whichever is (strike off extra)(strike off
not applicable) whichever is whichever is not
not applicable) applicable)
Gaskets & Fasteners Set 4
THE GASKETS AND FASTENERS REQUIRED FOR MOUNTING THE VALVES SHALL ALSO BE INDICATED IN THE OFFER WITH PRICE OF THESE QUOTED SEPARATELY

NOTE: PRICE SHALL BE DOOR DELIVERY BASIS. DELIVERY TO BE MADE AT FACT ENGINNERING WORKS PALLURUTHY, KOCHI-6820006

Signature
Name & Designation of the authorised signatory
Date :

FACT ENGINEERING WORKS, PALLURUTHY, COCHIN