Contractor:	Contract Number:
Name of Project /Programme/ Measure:

According to 5.12. GTC for procurements exceeding EUR 1,000, a justification and evaluation of the contract award procedure must also be shown on GIZ’s award note (annex to the contract). Please use this template for this purpose.

General Information

Kind of required equipment, methods to assess quantities and qualities needed including estimated prices:

Place where equipment is going to be procured:

Method of procurement: below EU ceilings (up to 200.000 EUR)

Public Tender	Restricted Tender	Direct award of contract with prior market assessment	Single source procurement

Remarks:

Reasons for method of procurement:

Evaluation (please use a separate sheet if necessary)

Technical Evaluation

Commercial Evaluation

Tender Award

The Tender was awarded to

Name of company:	Date:	By way of:	Price:

Remarks:

,
(place)	(date)

(signature of consultant)

Not applicable if procurement is done by way of direct award of contract with prior market assessment or single source procurement.