Spett.le Ditta	
nome
indirizzo
Città
Att.
e-mail

Subject: Request of Offer CIG N. ______________
(please mention this number on your offer)

We would be grateful if you could send us within _________________ - including the enclosed ANNEX I – DECLARATION pursuant to Italian Legislation (Artt. 46b e 47, DPR 445/2000) duly filled and undersigned - your best offer for the following items:

The offer must be sent  to the following address:

			Istituto Nazionale di Fisica Nucleare
			Sezione di Cagliari
			Cittadella Universitaria
			09042 Monserrato Cagliari
			Tel. 070-6754986  
			e-mail: prot@ca.infn.it		

Please specify prices CIF Cagliari, possible quantity discounts, delivery time and expiration
date.
The delivery address will be: 

			Istituto Nazionale di Fisica Nucleare
			Sezione di Cagliari
			Cittadella Universitaria
			09042 Monserrato Cagliari

Our terms of payment are 30 days from the date of invoice.

Looking forward your prompt reply,
                 Best regards

								        INFN Sezione di Cagliari
								(Person in charge of the procedure)

ANNEX I – DECLARATION

The undersigned,...............................................................................................................................
Date of birth ………………..........………Place of birth......................................................................................
Place of residence................................................................................................................................................
…………………………………………………………………………….......................................................... 
as the legal representative of the Company ........................................................................................................
pursuant to the foregoing quotation, DECLARES, under penalty of perjury under the Italian laws (Article 76 of Italian Republic President Decree dated December 28, 2000, no.445), that:
•	The Company is legally registered, as prescribed in our State of establishment, on the following professional or trade register..................................................................................... with Identification n. ………………………………………...;
•	the Company is not subject to any of the conditions reported in art. 80, Italian D.Lgs. 50/2016, where applicable, and has not been the subject of a conviction by final judgment for one or more of the reasons listed in the Article 45, section 1, directive 2004/18/CE; (1)
•	by drawing up the bid, the Company is fully conversant with the applicable regulations on safety and health prevention, as well as on environmental procedures, and has evaluated the costs arising from the specific risks of its own activity, being the costs fully in accordance with the assessed risks;
•	So to accomplish the obligations on the traceability of the financial movements foreseen by art. 3 of the Law n. 136/2010,  related to the payments corresponding to the contract execution phases, be it known about the existence of the following current account dedicated to the management of the financial movements of any present and future contract/contracts/public orders. Identification data for the account:
Bank........................….…..............Address...........................................................................................................IBAN...............................................SWIFT……………………………………………………………..…..….Account holder.................................................................................................... (Full company name, registered office, the tax code).
The following name of individuals (natural persons) that will be delegated to the company to operate in the dedicated account:
a) Name and Surname… … … … … … … …. Date and place of birth ... ... ... ... ...........................................; 
Address. ... ... ... … … … … . ... ... ... ... .. ...., working as (please specify roles and powers)… … …………..;
b) Name and Surname… … … … … … … …. Date and place of birth ... ... ... ... ... ……………………...…;
Address. ... ... ... … … … … . ... ... ... ... .. ...., working as (please specify roles and powers)…………………;

Date 										 Stamp and signature