Annexure 11 — GOODS_MANUAL

Item: Quantity: Indentor: Details of Prices Ascertained Bidder Unit Rate: Taxes/Duties: Other Charges: Total Unit Price: Total Price: Recommendations & Comments Selected Quotation Bidder Unit Rate, Taxes/ Duties/ Other Charges Total Unit Rate Total Value of Purchase A cheque may be drawn in favour of Signature: Signature: Signature: Name 1: Name 2: Name 3: Designation: Designation: Designation:

Ref No: __________________________________________ Place: __________________________ Date: _________________________

“Certified that we, the undersigned, members of the purchase committee, are jointly and individually satisfied that the goods recommended for purchase are of the requisite specification and quality, priced at the prevailing market rate, and the supplier/contractor recommended is reliable and competent to supply the goods in question, and it is not debarred by Department of Expenditure or Ministry/Department concerned.” The details of the recommended purchase are:

Annexure 11: Purchase Committee Certificate Format (Refer Para 4.13.1-5)