Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment NOTE: (Before filling the form, please read and understand documents carefully) Introduction: Agribusiness Support Fund (ASF) is a Not-for-Profit company registered with Securities & Exchange Commission of Pakistan (SECP) under Section 42 of Companies Ordinance 1984. The company was established in 2005 by Ministry of Food, Agriculture & Livestock (MINFAL) with the support of Asian Development Bank (ADB) in context of the Agribusiness Development & Diversification Project (ADDP). The company is governed by a private-sector led independent Board of Directors. The company is currently implementing a 5-year USAIDs Agribusiness Project with the overall goal to support improved conditions for broad-based economic growth, create employment opportunities and contribute to poverty alleviation through increase in competitiveness of horticulture and livestock value chains. ASF will undertake a competitive bidding exercise, intending to issue a solicitation document to those companies which shall express their interest and provide initial relevant information demonstrating their ability to fulfill ASFs requirements.
The Improvised Reefers and Field Pack houses:

The intervention aims at providing low-cost improvised postharvest management technology for the fruits and vegetables. The improvised reefer will be used as a source of field heat removal as well as on-farm temporary storage of fruits and vegetables with 3-5 tons capacity. The same reefer will be installed on a frame, which will be able to be placed on any commercial freight vehicle, towed with tractor and taken to the any market place. The storage facility will provide temperature and humidity controls depending on the type of commodity and environmental temperature. The intervention will result in increasing the shelf life and improving the produce quality of fruits and vegetables.
Specific Objectives: 1. To supply and install improvised reefers and field pack houses in the selected value chains of fruits and vegetables; 2. Reduction in post-harvest losses and improve the fruit quality for supply to local and export market; 3. Establish better marketing linkages with local and international traders/exporters; 4. Provide income generation, employment and women involvement opportunities by using improvised post-harvest technology for fruits/vegetables in the selected value chains.

Pre-Qualification/EOI Process: This Pre-qualification document does not constitute any binding to purchase or any intention to get offers from suppliers at this stage. ASF reserves the right to change or cancel these requirements at any time in the pre-qualification and/or solicitation process. ASF considers a firm's qualifications and experience in the service area, and previous performance, when preparing a list of invitees. Thus, submitting a pre-qualification does not automatically guarantee a firm will be considered for receipt of the solicitation when issued. Due to the high volume of communications, ASF may not be in position to issue confirmation of receipt of Pre-qualification document.

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment

If you have any reservation in submitting any information please let us have it in writing with proper justification. Submission of incomplete information in response to this query or late submission of information may result in automatic disqualification. INSTRUCTIONS: 1- Use capital letters 2- Mark the applicable boxes 3- Use extra sheets where necessary 4- Applications for Pre-qualification must be submitted through any track-able courier service on or before 18th February, 2013 in a sealed envelope. Please mark envelop with the inscription EOI FOR SUPPLY OF IMPROVISE REEFERS and send to the following address: The Procurement Department: Agribusiness Support Fund House# 23, Street 25, Sector F-8/2 Islamabad Phone Landline +92 512818305-06

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment

SECTION I- GENERAL INFORMATION

Application in Response to:

(Ad published on/Ref #):

Name of Entity
Private Ltd.

Type of Entity

Partnership Other, please specify _________________ 1-

Names of Partners or Directors

2-

3-

Category(s) Applied for

Withholding Tax Vendor? (Yes / No) If Yes, Please indicate whether:

Seller of goods (3.5%) Provider of services (6%) Others, please specify

Tax identification numbers:

National Tax Number: _______________________ GST Registration Number: ___________________

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment
Large Taxpayers Unit

Tax Jurisdiction

Medium Szed Taxpayers Unit Small Taxpayers Unit

Entitys Representative to ASF

Complete Address

Phone Number (Including area code) Fax Number (Including area code) Mobile Number of Representative E-Mail / Web address

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment SECTION II- BACKGROUND:
Industry / Field of specialization Brand Name(s): (Mention the Nature of relationship with the brand- i-e, Owners, Partners, Authorized representative/ dealer/ Vendor etc.) Branches/ Regional offices in Pakistan (Attach additional sheet)
More than 15 years

Number of Years in the field being applied for

10-15 years 5 10 years 1 5 years

1-

Major Clientele List Relevant to this application With Names and Contact Numbers: 2(Attach Additional Sheets)
3-

Plant and Machinery Installed (specify if needed and use additional sheet)
More than 20 Million 15-19 Million

Average Annual Turnover in last 3 years (In PKR)

10 - 14 Million 5 - 9 Million 3- 4 Million Less than 3 Million

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment

Quality assurance certificates (e.g. ISO, MOODY, BVQI and others) (Attach details) Appreciation certificates from client (Attach details)
1-

Three Highest Value Orders (In the field applied for) (Attach details)

2-

3-

2 - 4 Million 4 - 6 Million

_____________ _____________ _____________ _____________ ____________

Current No. of Jobs/orders In Hand (In PKR)

6 - 8 Million 8 - 10 Million 10- 15 Million

More than 15 Million ____________ 1Management Staff ___________ Technical Staff Other Staff ___________ ___________

Number of staff

23-

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment SECTION III- BANK INFORMATION:

Bank Name

Branch and City Account Title Bank Account Number

SECTION IV- CONFLICT OF INTEREST:

Kindly inform us if you are by any means related to Agribusiness Support Fund or its staff which may influence the outcome of this assessment process. Please mention the nature of relationship with ASF along with names and designations of related AS F personnel in the space provided below:
1. 2. 3.

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment SECTION V- REFERENCES FROM CLIENTS:
COMPANY NAME OF CONTACT PERSON TELEPHONE / MOBILE NOS. Email

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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment SECTION VI- DECLARATION
I / We hereby confirm that all the information given in this form and in attached document are true and correct to the best of my/our knowledge. I/ We understand that any false information shall result in immediate disqualification. If prequalified by ASF I / we shall strictly adhere to all the rules, regulations, terms and conditions as laid down by ASF. Signature(s) of Proprietor /Partners/Directors

Name Designation CNIC No.

__________________ __________________ __________________

_________________ _________________ _________________ Stamp of Vendor

_________________ _________________ _________________

Specimen Signature of Authorized Representative

Name Designation CNIC No.

__________________ __________________ __________________

IMPORTANT NOTE: Submission of this Application does not guarantee that the applicant shall be registered with ASF ASF may ask for any further details and documents; or may physically inspect the applicants organizational setup / factory at any time without prior notice Please ensure to provide complete information asked for in the absence of which your application will not be considered Sign/Stamp___________________________________
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Agribusiness Support Fund USAIDs Agribusiness Project

Pre-Qualification Registration & Assessment SECTION VII- CREDENTIALS Please attach following documents and check the applicable box

Letter of authorization to represent the company with certified specimen signature and copy of CNIC of authorized representative Photocopies of National ID Cards of Proprietor / Partners / Directors In case of partnership, attested copy of partnership deed (Form C if registered) In case of Public/ Private Ltd Company certified copy of Certificate of incorporation, Memorandum and articles of association In case of Public Ltd Company certified copy of Certificate of Commencement of business In case of other, Copy of registration or other supporting documents National Tax Registration Certificate Sales Tax Registration Certificate An undertaking on Non Judicial Stamp paper that you are not defaulters from any bank / any other institute / Company and that you are not blacklisted with any Govt. / Semi Govt. or any Firm / Organization / Company

Any other details please specify: _________________________________________________________________________________ __________________________________________________________________________________

Authorized Representatives Signature

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