General criteria Bidder Address Name and surname of the supplier`s contact person Telephone number of the supplier`s contact person E-mail address Date of filling out Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20182019202020212022 Qualification criteria Existence of registration to perform the appropriate type of activity with the competent authorities of the state where the organisation is domiciled. Yes No Existence of registration to perform the appropriate type of activity with the competent authorities of the state where the organisation is domiciled. Bidder`s guarantee that they are not undergoing the process of receivership, bankruptcy or liquidation Yes No Bidder`s guarantee that they are not undergoing the process of receivership, bankruptcy or liquidation, i.e. that they have not suspended business operations - based on a court ruling or another binding decision. (Only for the suppliers registered in Serbia.) Bidder`s guarantee that based on a final court decision they have not been convicted of an economic criminal offence related to their activity in the last 5 years Yes No Bidder`s guarantee that based on a final court decision they have not been convicted of an economic criminal offence related to their activity in the last 5 years, i.e. that during this time they have not been subject to any court or administrative measures they were bound to implement with regard to the ban on performing the activity which is the subject of the procurement (Only for the suppliers registered in Serbia.) The participants must be either manufacturers or authorised manufacturer`s dealers. Yes No The participants must be either manufacturers or authorised manufacturer`s dealers. Report on Positive Solvency, Rating Report issued by Dun & Bradstreet (applicable to foreign companies (the ones not registered in Serbia)) Yes No Report on Positive Solvency, Rating Report issued by Dun & Bradstreet (applicable to foreign companies (the ones not registered in Serbia)). Report on Positive Solvency of the Bidder and Financial Report on Positive Scoring (applicable to the companies registered in Serbia) Yes No Report on Positive Solvency of the Bidder and Financial Report on Positive Scoring (applicable to the companies registered in Serbia). Debts to the budget at all levels (Only for the suppliers registered in Serbia) Yes No Debts to the budget at all levels (Only for the suppliers registered in Serbia) Bidder`s readiness to sign the NIS j.s.c. standard contract model Yes No Bidder`s readiness to sign the NIS j.s.c. standard contract model. Bidder`s guarantee that the offered goods are 100% identical to the goods in question (guarantee that all necessary certificates, passports, supporting documents, etc. shall be submitted) Yes No Bidder`s guarantee that the offered goods are 100% identical to the goods in question (guarantee that all necessary certificates, passports, supporting documents, etc. shall be submitted). Bidder`s consent to fill out the HSE Qualification Questionnaire Yes No Bidder`s consent to fill out the HSE Qualification Questionnaire, i.e. to fill it out and submit it within a prescribed period of time together with all required supporting documents Remark: public enterprises shall be excluded from complying with the specified parameter Consent to sign the Annex on Occupational Health and Safety, Environmental Protection and Fire Protection Yes No Consent to sign the Annex on Occupational Health and Safety, Environmental Protection and Fire Protection and consent to implement the Client`s policy pertaining to industrial, ecological, fire-protection safety and occupational safety when performing the work, as well as performance of checks in the course of work performance, i.e. sanctioning violators of HSE rules Bidder`s readiness to sign the standard text of the Anti-Corruption Annex Yes No Bidder`s readiness to sign the standard text of the Anti-Corruption Annex Types of machinery/vehicles - None -Mobile cranesGoods vehiclesGoods vehicles with hydraulic armsTank trucksTrailersWork machines and machinery Mobile cranes - None -Mobile crane min. 25 t load - with accessoriesMobile crane min. 40 t load - with accessoriesMobile crane min. 60 t load - with accessoriesMobile crane min. 80 t load - with accessoriesMobile crane min. 100 t load - with accessories Number of vehicles Number of a subcontractor`s vehicles Remark Goods vehicles - None -Dump truck rolloverTractor unit with semi-trailerTractor unit with low bed semi-trailerVehicle for the transport of oversize cargo, tractor unit or a trailer truckBox tractor unit Number of vehicles Number of a subcontractor`s vehicles Remark Goods vehicles with hydraulic arms - None -Tractor unit with hydraulic arm and semi-trailerBox truck with hydraulic arm Number of vehicles Number of a subcontractor`s vehicles Remark Tank trucks - None -Tank truck for the transport of process fluidsTank truck for water transportTank truck for water transport and street sweepingTank tow truck with water tank trailerTractor unit with water tank semi-trailerTank truck for fuel transport Number of vehicles Number of a subcontractor`s vehicles Remark Trailers - None -Flatbed semi-trailer (2-axle)Low semi-trailer, extendable for oversize cargo (4-axle) Number of vehicles Number of a subcontractor`s vehicles Remark Work machines and machinery - None -Tow tractor for off-road conditions min. 200 KWBlade bulldozerGraderMSE - mobile steam engine Number of vehicles Number of a subcontractor`s vehicles Remark