Monitoring of Water Management, inland and costal,  in Montenegro - Lot 15: Titanium / Stainless Steel /  multiparameter probe  Tender envelope No  Name of tenderer  Rules of  origin  respected?  (Y/N)  Economic & financial  capacity? (OK/a/b/…)  Professional capacity?  (OK/a/b/…)  Technical capacity?  (OK/a/b/…)  Compliance with  15 technical specifications?  (OK/a/b/…)  Ancillary services as  required?  (OK/a/b/…/NA)  Subcontracting  statement in  accordance with  art. 6 of the  general  conditions?  (Y/N)  Other  technical  requirements  in tender  dossier?  (Yes/No/Not  applicable)  Technically compliant?  Y/N)  Justification/  notes:  1  2  3  4  Evaluator's name & signature  Evaluator's name & signature  Evaluator's name & signature  Date  $^{15}$ The selection criteria, in the previous section of this form, have to be met before the technical requirements are assessed. August 2020 c4_k_evalgrid_en.doc  Page 15 of 15 