In terms of Rules 48 of Public Procurement Rules, 2004 Grievance Redressal Committee (GRC) is notified for the subject procurement and notification copy is available on the procuring agency’s website and on Authority’s website at (www.ppra.org.pk).
ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD
Room 1 Q block Finance Division Pak Sectt. Isb
+92-333-534154
ziaulislam.mechcda@gmail.com
The following specific data for the procurement of Goods to be procured shall complement, supplement, or amend the provisions in the Instructions to Bidders (ITB). Whenever there is a conflict, the provisions herein shall prevail over those in ITB.
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BDS Clause Number |
ITB Number |
Amendments of, and Supplements to, Clauses in the Instruction to Bidders |
A. Introduction |
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1 |
1.1 |
Name of Procuring Agency: ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY) The subject of procurement is: Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad. Expected commencement date: Monday, October 5, 2026 |
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2. |
2.1 |
Financial year for the operations of the Procuring Agency: 2026-27 Name and identification number of the Contract: P112549 |
| 3. | 3.1 | JV/Consortium or Association Allowed: No Number of JV/Consortium Members: Nil |
B. Bidding Documents |
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4. |
6.2 & 6.4 |
The Bidders may seek clarifications through EPADS v2.0: Clarification Date: Wednesday, September 16, 2026 |
| 5. | 7.2 |
Any addendum, in case issued, shall be published on ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY) website and on EPADS v2.0. |
C. Preparation of Bids |
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| 6. |
8.1 |
List of documents required along with the bid: No |
| 7. | 9.1 |
The qualification criteria to establish the supply / production capability of the bidder. see Eligibility Criteria |
| 8. | 11.2 |
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| 9. | 11.1 | Price schedule will be provided according to the format defined and acquired. see section price schedule. |
| 10. | 11.4 |
Specifications: see section of specifications. |
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11. |
11.5 & 13.5 |
The price shall be Fixed. |
| 12. |
14.1 |
Currency of the Bids shall be : PKR |
| 13. |
16.1 |
The Bids/Bid Validity period shall be: 90 Days |
| 14. |
17.1 |
The amount of Bid Security shall be as defined in Bid Security Section for items and lots given in BDS 6 |
| 15. | 17.2 |
The Bid Security shall be in the form of: Pay Order, Call at Deposit |
| 16. | 15.1 |
Alternative Bids to the requirements of the bidding documents will not be permitted. |
D. Submission of Bids |
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17. |
18.1 & 21.1 |
Bid shall be submitted online on EPADS v2.0 whereas hard copy of the bid security should be submitted to the following; Room 1 Q block Finance Division Pak Sectt. Isb Bids that are not submitted on EPADS v2.0 shall be disqualified. The deadline for Bids submission is: Saturday, September 26, 2026 11:30 AM |
E. Opening and Evaluation of Bids |
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18. |
24.1 |
The Bids opening shall take place on EPADS v2.0. Day : Saturday Date: September 26, 2026 Time : 12:00 PM |
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19. |
30.2 |
Selection technique adopted will be: Least Cost Based Selection (LCBS) |
F. Award of Contract |
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20. |
41.1 & 41.2 |
The Performance guarantee shall: 0%. The Performance Guarantee shall be acceptable in the form of: Nil |
| 21. | 45.1 |
Arbitrator shall be appointed by mutual consent of the both parties. |
G. Review of Procurement Decisions |
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22. |
37 |
Grievance against this procurement shall be submitted online on EPADS v2.0. |
| Bidder's Type | Required Registration |
|---|---|
| Individual / Individual Consultant Sole Proprietorship Partnership Firm Company (Private Limited) Company (Public Limited) | NADRA CITIZENSHIP (CNIC/NICOP) FBR (NTN) FBR (GSTN) PEC |
| Eligibility Criteria | Document |
|---|---|
| The prospective bidders are required to provide the Bid Security / Earnest Money in the shape of Deposit at call (CDR) generated from firm’s account of any local bank clearly indicating the Name of Firm in favor of Deputy Director, Mechanical Division-II, CDA at the office address “Room No.1 “Q” Block Pak Sectt Building Islamabad” before the closing hours on 25-09-2026. Bids of firms who have not provided bid security in original will be treated as non-respo | Yes |
| The prospective bidders are required to submit an undertaking on Stamp Paper dully attested by notary public worth not less than Rs. 100/- that the firm / contractor are neither involved in any litigation nor black listed by any government, semi government or autonomous body in Pakistan and also undertakes that if any information or document provided by firm for issuance of Tender document is found incorrect or fictitious the firm is liable for disqualification and legal action under the law. Bi | Yes |
| The prospective bidders are required to submit their bids electronically through E-PADS at http://eprocure.gov.pk by uploading readable PDF file before closing date & time in accordance with the provisions of Rule 36(a) of Public Procurement Rule 2004. No hard / manual bids are acceptable. | Yes |
| Detailed bidding document containing bidding data, terms & conditions and BOQ are available on EPADS at http://eoricyre.gov.pk. | Yes |
| Bids will be opened on EPADS system in the office of Dy. Director Mechanical Division-II located at Room No. 01 Ground floor “Q” Block Pak Secretariat Islamabad on schedule date and time in the presence of procurement committee Members and prospective bidders or their representatives who may choose to be present as per PPRA Rules. | Yes |
| In case of total bid amount is less than 10% below the NIT amount, the bidders shall submit call deposit as performance security equal to difference between NIT amount and total quoted amount less 10% of NIT amount . That is required performance security = NIT amount total bid amount 10% of NIT amount. This call deposit shall be in addition to the earnest money for the work and shall be deposited at the time of submission of bids. Bids not carrying the performance security shall be rejected. The | Yes |
| CDA can reject all bids or proposals at any time prior to the acceptance of a bid or proposal and conditional bids will be rejected at the spot as per PPRA Rules. | Yes |
| The Bid Security / Earnest money of unsuccessful bidders will be retained with CDA and will be released in favor of firm’s account only after acceptance of bid. | Yes |
| The eligibility criteria of firms having relevant experience and at least 03 No. of work orders in last two financial years. | Yes |
| In case of any Gazetted / Occasional Holiday(s), the tenders will be opened on the next working day. | Yes |
| Invitation for bids / tender Notice can be seen in News Paper and on CDA website www.cda.gov.pk as well as PPRA website www.ppra.com.pk and can be downloaded along with bidding documents from EPADS at http://eprocure.gov.pk. | Yes |
Least Cost Based Selection (LCBS)
Jobs Without Lots :
| Job | Delivery Schedule | Quantity | Bid Security |
|---|---|---|---|
| Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad. | Address: Room 1 Q block Finance Division Pak Sectt. Isb Schedule: 27 Days Quantity: 369/Qty |
369/Qty | 91690 PKR |
No
Jobs Without Lots :
Job: Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad.
Specifications / Requirements:
| Sr. No | Ref. No. | Description | Unit | Qty | Rate | Amount | |
|---|---|---|---|---|---|---|---|
| 1 | 1 | Supply, Installation and commissioning of Simple type, Dual Shutter Face Plates having fully populated I/O: Option 1:RJ-11 with RJ45/8P8C I/Os supporting either Cat6 or Cat6a cables as required by projectOption 2: Two RJ45/8P8C I/Os supporting either Cat6 or Cat6a cables as required by project. i) Single I/O | Rft | 6 | 1,786.8 | Rupees Thirty five point nine zero only | 10720.8 |
| 2 | 2 | Supply, Installation & Commissioning of recessed/surface mounted Speakers of specified capacity housed in metalic enclosure with builtin 70v/100v transformer , aluminium grill, SPL (Sound Pressure Level) (1W / 1M)= 92dB max 99dB, frequency response 130-13 Khz, EN-54 compliant, Including cost of all accessories and matierlas, complete in all respect made of Ecler Europe/Bosch/ Norden / Honey Well or equivalent as approved and directed by the Engineer Incharge. a) Ceiling mounted speaker (i) 1.5-6 Watt | Rft | 4 | 6,812.4 | Rupees seventy four point nine five only | 27249.6 |
| 3 | 3 | Supply, Installation and commissioning of Power / Mixer Amplifier of specified wattage, Including cost of all necessary accessories / materials , completein all respectsmadeof Ecler Europe/Bosch/ Norden / Honey Well or Equivalent or as approved and directed by Engineer Incharge. ii) 60 Watt | No. | 1 | 143,431.2 | Rupees one hundred eighty two point six zero only | 143431.2 |
| 4 | 4 | Supply ,Installation and commissioning of wiring with 4-pair data Cable, 23 AWG UL/ EN listed cable *Conforming to following standards: TIA/ EIA568/ ISO/ IEC11801, in prelaid conduit /cabletray from including allaccessories, Manufacturer / OEM Authorization, Make: Schneider /i-connect UK /3M CorningUSA/D-Link/ Pollo Australian or equivalent approved manufacturer, complete in all respect as approved and directed by Engineer Incharge.a) UTP (Unshielded Twisted pair) (i)CAT-6 (Min.1G @ 250MHz or higher) | No. | 200 | 161.4 | Rupees two hundred eleven point five five only | 32280 |
| 5 | 5 | Providing and installation including testing and commissioning of Delegate Units Highly resistant to mobile phone interference support HD Video camera tracking, Multiple chairman / vice chairman units are allowed, plugable gooseneck microphone , easily hidden unit connecting cable and also support automatic video caera tracking with preset panaromic position. Make: GONSIN TL-3300 Norden / Honey Well or equivalent as required at site and approved by the engineer incharge. | Rft | 6 | 117,600 | Rupees One hundred thirty five / 85 Paisa | 705600 |
| 6 | 6 | Providing and installation of power supply / main control unit of the delegates , can drive support 60-70 units , one central control unit is able to accommodate 60-70 microphones. by casading extension support USB auto recording complete in all respect. Make: GONSIN TL-3300 Norden / Honey Well or equivalent as required at site and approved by the engineer incharge. | Rft | 1 | 595000 | Rupees One hundred forteen point two five only | 595000 |
| 7 | 7 | Providing and lying of Connection cables for delegate units as required at site and approved by the engineer incharge | Rft | 6 | 6300 | Rupees Fourty eight point eight five only | 37800 |
| 8 | 8 | Providing and laying of 2- core Speaker cable 23/76 copper in already fixed PVC duct, pipe excl. cost of pipe/duct as per site requiremenrt and approved by the engineer incharge. | No. | 35 | 320 | Rupees One thousand one hundred twenty eight point eight five only | 11200 |
| 9 | 9 | Providing and laying of Audio Connection cables , Computer Connection , TRs Connectors as required at site and approved by engineer incharge | No. | 2 | 4,200 | Rs.1,783.20 One thousand seven hundred eighty three point two zero only | 8400 |
| 10 | 10 | Providing and fixing of Video Cameras, 10X Zoom with Heavy duty remote Can make the presets of the cameras With power adopter & Stand as required at site and approved by engineer | No. | 2 | 217,000 | Rupees Two thousand seven hundred ninety four point eight zero only | 434000 |
| 11 | 11 | Provididng and laying of Camera Connection cables 3.0 USB with chipset 10 meter long as required at site and approved by engineer incharge | No. | 3 | 19,500 | Rupees Two thousand five hundred only | 58500 |
| 12 | 12 | Providing and laying of Power cable for camera connections And Power distribution unit as required at site and as approved by the engineer incharge | No. | 25 | 343 | Rupees Six thousand six hundred only | 8575 |
| 13 | 13 | 10 meter Connection cables for main power supply to first delegate unit | Mtr | 1 | 39,200 | Two hundred fifty only | 39200 |
| 14 | 14 | Providing and fixing of Small rack for installation of the equipment according to requirement and approved by engineer incharge. | Job | 1 | 110,000 | Rupees Twenty thousand only | 110000 |
| 15 | 15 | Providing and fixing of Wi-Fi Router High range TP link as approved by the engineer incharge | Rft | 1 | 35,000 | Rupees One thousand six hundred only | 35000 |
| 16 | 16 | Providing and fixing of PDU (power Distribution unit) as approved by engineer incharge | Job | 2 | 9,100 | Rupees Six hundred twenty thousand only | 18200 |
| 17 | 17 | Providing and fixing of 1" conduit (Pipe) for laying of the cable according to requirement and approved by engineer incharge | Job | 40 | 392 | Rupees Two thousand one hundred only | 15680 |
| 18 | 18 | Providing and fixing of PVC Duct 25x 25 mm as per site requirement and approved by engineer incharge | Job | 30 | 350 | Rupees One thousand six hundred eighty only | 10500 |
| 19 | 19 | providing and installation of LED TV 55 inch Smart UHD Samsung as approved by the engineer incharge | Job | 2 | 335,000 | Rupees One thousand nine hundred twenty only | 670000 |
| 20 | 20 | Testing ,commissioning , programming of the IT and Audio Equipment according to requirement at site and as per directions / satisfication of Director IT Supreme Court. | No. | 1 | 85,000 | Rupees Thirteen thousand eight hundred only | 85000 |
| GRAND TOTAL: | Rs 3,056,336.60 |
Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad.
For Individual Jobs
| # | Job Title | Quantity | Unit Price (PKR) | Total Price (PKR) | Delivery Location | Delivery Period / Year | Country of Origin |
|---|---|---|---|---|---|---|---|
| 1 | |||||||
| 2 |
| # | Lot Title | Total Lot Price (PKR) | Country of Origin |
|---|---|---|---|
| 1 | [Lot 1 Title] |
The following Special Conditions of Contract shall supplement the General Conditions of Contract. Whenever there is a conflict, the provisions herein shall prevail over those in the Conditions of Contract. The corresponding clause number of the GCC is indicated in parentheses.
Number of GC Clause
Amendments of, and Supplements to, Clauses in the General Conditions of Contract
Number of GC Clause 1
Definitions
The Procuring Agency is: ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD Room 1 Q block Finance Division Pak Sectt. Isb
The Supplier is:
The title of the subject procurement is: Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad.
Number of GC Clause 2
Applicable/Governing Law:
The Contract shall be interpreted in accordance with the laws of Islamic Republic of Pakistan
Number of GC Clause 3
Language:
The language of the Contract, all correspondence and communications to be given, and all other documentation to be prepared and supplied under the Contract shall be in English.
Number of GC Clause 4
Notices:
The addresses for the notices are:
Procuring Agency:
ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD
Room 1 Q block Finance Division Pak Sectt. Isb
+92-333-534154
ziaulislam.mechcda@gmail.com
Contractor/ Bidder:
[Name, address and telephone number]
The Contractor/ Bidder’s Representative(s)
[Name, address, telephone number and e-mail address]
Number of GC Clause 6.1
The Authorized Representatives are:
For the Procuring Agency:
ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD
Room 1 Q block Finance Division Pak Sectt. Isb
+92-333-534154
ziaulislam.mechcda@gmail.com
For the Bidder:
Name: ………………………………………
Designation: ……………………..
Address: …………………………………………..
Number of GC Clause 7
Effectiveness of the contract
The Contractor/Bidder shall be effective within ….. days from the date of signature of the Contract by both parties
Number of GC Clause 8
Commencement of Contract:
The Contractor/Bidder shall provide Non-Consultancy Services from the effective date of contract.
Number of GC Clause 10.2
Expiration of Contract:
The time period shall be ……………………………
Number of GC Clause 14
Termination
In the event of termination of the contract due to any reason as already defined in the General Conditions of Contract, the Bidder shall be responsible for providing to the Authority the Goods till the time of alternate arrangements.
Number of GC Clause 16
Conflict of Interest:
The Procuring Agency reserves the right to determine on a case-by-case basis whether the Bidder should be disqualified from providing goods or services due to a conflict of a nature described in Clause GCC 17.
Number of GC Clause 20
Liquidated Damages
If the Bidder fails to provide services as required under the contract or in case of any data loss/data breach or any incident compromising the data security or other such failures related to any services, the Bidder shall pay to the Procuring Agency as Liquidated Damages at a rate of 0.10% to 5.00% of the Contract value, in accordance with the extent of performance failure & the cost of investigating such incidents as judged by the Authority.
Number of GC Clause 21
Performance Guarantee:
The amount of performance guarantee shall be 0% of the contract price in acceptable form of Nil
Number of GC Clause 27
Currency of Payment:
All the payment to be released to the contractor/Bidder shall be in Pakistani Rupees.
Number of GC Clause 28
Payment terms:
Payment will be made to the Bidder against the procured Goods and services according to the actual invoice or running bills submitted by the Bidder against the services provided within the time given in the conditions of the contract.
Number of GC Clause 29
Identifying Defects:
The Authority reserves the right at any time to inspect the premises of the provider to inspect the goods and monitor the goods being provided.
For being Brand New, bearing relevant reference numbers of the equipment (Certificate from supplier)
For Physical Fitness having No Damages (Certificate from supplier)
For the Country of Origin as quoted by the Supplier (Certificate from manufacturer)
For conformance to specifications and performance parameters, through Prior to delivery inspection (Inspection Report by Procurement Committee / Inspection Team)
For successful operation at site after complete installation, testing and commissioning of the equipment (Installation, Testing and Commissioning Report by Procurement Committee / Inspection Team)
Copies of the Supplier’s invoice showing Goods’ description, quantity, unit price, and total amount;
Original and two copies of the usual transport document (for example, a negotiable bill of lading, a non-negotiable sea waybill, an inland waterway document, an air waybill, a railway consignment note, a road consignment note, or a multimodal transport document) which the buyer may require to take the goods;
Copies of the packing list identifying contents of each package;
Insurance Certificate;
Manufacturer’s or Supplier’s Valid Warranty Certificate;
Inspection Certificate issued by the Nominated Inspection Agency (if any), and the Supplier’s Factory Inspection Report;
Certificate of Origin.
The above documents would be required even if the equipment has already been imported and is available with the supplier ex-stock
Number of GC Clause 31
Following is the guidance for Dispute Resolution
Notwithstanding any reference to the arbitration herein, the parties shall continue to perform their respective obligations under the Contract.
Rules of procedure for arbitration proceedings:
Any dispute between the Authority and a Bidder shall be referred to arbitration under the laws of Pakistan including Arbitration Act 1940.
Place of Arbitration and Award:
The arbitration shall be conducted in English language and place shall be Islamabad. The award shall be final and binding.
Date: [insert date (as day, month and year)]
Bid No.:P112549
To: ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD Room 1 Q block Finance Division Pak Sectt. Isb
We, the undersigned, declare that:
We understand that, according to your conditions, Bids must be supported by a Bid Securing Declaration.
We accept that we will be blacklisted and henceforth cross debarred for participating in respective category of public procurement proceedings for a period of (not more than) six months, if fail to abide with a bid securing declaration, however without indulging in corrupt and fraudulent practices, if we are in breach of our obligation(s) under the Bid conditions, because we:
We understand this Bid Securing Declaration shall expire if we are not the successful
Bidder, upon the earlier of (i) our receipt of your notification to us of the name of the successful Bidder; or (ii) twenty-eight (28) days after the expiration of our Bid.
THIS AGREEMENT made the _____ day of __________ 20_____ between ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD Room 1 Q block Finance Division Pak Sectt. Isb
(hereinafter called “the Procuring Agency”) of the one part and [name of Bidder] of [city and country of Bidder] (hereinafter called “the Bidder”) of the other part:
WHEREAS the Procuring Agency invited Bids for provision of goods, viz., Electrification and Providing / Installation of Sound System in Court Room No.10 at Supreme Court Building Islamabad. (P112549) and has accepted a Bids by the Bidder for the provision of Goods in the sum of [contract price in words and figures] (hereinafter called “the Contract Price”).
NOW THIS CONTRACT WITNESSETH AS FOLLOWS:
1. In this Contract words and expressions shall have the same meanings as are respectively assigned to them in the Conditions of Contract referred to.
2. The following documents shall be deemed to form and be read and construed as part of this Contract, In the event of any ambiguity or conflict between the Contract Documents listed below, the order of precedence shall be the order in which the Contract Documents are listed below:-
3. In consideration of the payments to be made by the Procuring Agency to the Bidder as hereinafter mentioned, the Bidder hereby covenants with the Procuring Agency to provide the Goods related services and to remedy defects therein in conformity in all respects with the provisions of the Contract.
4. The Procuring Agency hereby covenants to pay the Bidder in consideration of the provision of Goods and the remedying of defects therein, the Contract Price or such other sum as may become payable under the provisions of the contract at the times and in the manner prescribed by the contract.
IN WITNESS whereof the parties hereto have caused this Contract to be executed in accordance with their respective laws the day and year first above written.
Signed, sealed, delivered by __________________the ________________ (for the Procuring Agency)
Witness to the signatures of the Procuring Agency:
………………………………………………
Signed, sealed, delivered by __________________the ________________ (for the Procuring Agency)
Witness to the signatures of the Bidder: …………………………………………………
Contract Number: Contract Value: Contract Title:
Dated:
[Name of Supplier] hereby declares that it has not obtained or induced the procurement of any contract, right, interest, privilege or other obligation or benefit from Government of Pakistan or any administrative subdivision or agency thereof or any other entity owned or controlled by it (GoP) through any corrupt business practice.
Without limiting the generality of the foregoing [Name of Supplier] represents and warrants that it has fully declared the brokerage, commission, fee etc. paid or payable to anyone and not given or agreed to give and shall not give or agree to give to anyone within or outside Pakistan either directly or indirectly through any natural or juridical person, including its affiliate, agent, associate, broker, consultant, director, promoter, shareholder, sponsor or subsidiary, any commission, gratification, bribe, finder's fee or kickback, whether described as consultations fee or otherwise, with the object of obtaining or inducing the procurement of a contract, right, interest, privilege or other obligation or benefit in whatsoever form from GoP, except that which has been expressly declared pursuant hereto.
[Name of Supplier] certifies that it has made and will make full disclosure of all agreements and arrangements with all persons in respect of or related to the transaction with GoP and has not taken any action or will not take any action to circumvent the above declaration, representative or warranty.
[Name of Supplier] accepts full responsibility and strict liability for making and false declaration, not making full disclosure, misrepresenting fact or taking any action likely to defeat the purpose of this declaration, representation and warranty. It agrees that any contract, right interest, privilege or other obligation or benefit obtained or procured as aforesaid shall, without prejudice to any other right and remedies available to GoP under any law, contract or other instrument, be voidable at the option of GoP.
Notwithstanding any rights and remedies exercised by GoP in this regard, [Name of Supplier] agrees to indemnify GoP for any loss or damage incurred by it on account of its corrupt business practices and further pay compensation to GoP in an amount equivalent to ten time the sum of any commission, gratification, bribe, finder's fee or kickback given by [Name of Supplier] as aforesaid for the purpose of obtaining or inducing the procurement of any contract, right, interest, privilege or other obligation or benefit in whatsoever form from GoP.
To: ZIA UL ISLAM (CAPITAL DEVELOPMENT AUTHORITY), DD Room 1 Q block Finance Division Pak Sectt. Isb
WHEREAS [name of Bidder] (hereinafter called “the Bidder”) has undertaken, in pursuance of Contract No. [reference number of the contract] dated [insert date] for provision of Goods(hereinafter called “the Contract”).
AND WHEREAS it has been stipulated by you in the said Contract that the Bidder shall furnish you with a Bank Guarantee by a reputable bank for the sum specified therein as security for compliance with the Bidder’s performance obligations in accordance with the Contract.
AND WHEREAS we have agreed to give the Bidders guarantee:
THEREFORE, WE hereby affirm that we are Guarantors and responsible to you, on behalf of the Bidder, up to a total of [amount of the guarantee in words and figures], and we undertake to pay you, upon your first written demand declaring the Bidder to be in default under the Contract and without cavil or argument, any sum or sums within the limits of [amount of guarantee] as aforesaid, without your needing to prove or to show grounds or reasons for your demand or the sum specified therein.
This guarantee is valid until the: [insert date]
Signature and seal of the Guarantors
_____________________________________________________________________
[name of bank or financial institution]
_____________________________________________________________________
[address]
_____________________________________________________________________
[date}