REQUEST TO SUBMIT PROPOSAL/QUOTATION

(Shopping - Sec. 52.1 (b))

Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.
2. The Approved Budget for the Contract is Php 73,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.
7. Quotation are in per lot basis.
8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

EnP JOSE MARIA S. DALUPAN

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification Brand Unit Cost Total Cost
1 1 unit Laptop Computer
Processor: Core i3
Memory: 4GB DDR4
Storage: 1TB 7200 RPM SATA
Display: 14 inches
Connectivity: WiFi, Bluetooth
Ports: LAN RJ454, USB 3.0, HDMI, Card Reader, Speaker, USB Type C
Battery: Up to 6 Hours Rapid Charge (Charge 15 minutes up to 2 hours use)
Dimensions: 338.3 x 249.9 x 22.7 mm
Weight: Starting at 2.1 kg
OS: Windows 10 Home
2 1 unit Tablet with Case
Specifications
OS: Android 9.0 Pie
Processor: Octa Care/ 2.8 GHz, 1.7 Ghz/ Qualcomm Snapdragon 855
Memory: Internal 256
RAM: 8 GB
Slot Type: Micro SD
Accessory: Stand Cover Case

To be used in the conduct of Reasearch and Development on Goby

Reservation, Management and Culture in Activity.
After having carefully read and accepted your Terms and Conditions, I/We quote you on the item at prices noted above.

Printed Name / Signature Tel. No./Cellphone No./e-mail address

Position TIN No.

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

page 2 of 2
 REQUEST TO SUBMIT PROPOSAL/QUOTATI
(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 492,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALUPA

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 7 sets Desktop Computer
Intel Core i5, 8Gb RAM, 2TB, Windows 10,
Video Card: 2Gb
DDR4, 23 inches Monitor, UPS, 3in1 Printer
(Scanner/Printer/Copier) Continuous ink
2 2 pcs External Hard Drive 2TB
3 2 units Scanner

Type: USB Powered, Sheedfed Scanner

Scanning Sensor Unit: CMOS CIS 1 Line Sensor
Optical Solution: 600 dpi
Light Source: RGB LED
Scanning Side: Front/Back/Duplex
Interface: Hi speed USB 2.0 & USB 3.0
Dimensions: (WxDxH)
 Continuation at the back
After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

Tray Closed: 285 (W) x 95 (D) x 40 (H) mm

Tray Opened: 285 (W) x 257 (D) x 174 (H) mm
x-x-x-x-x

For use in the operations of the different PhilHealth Clinics.

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 318,700.00
 3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALU

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 1 unit TV set, wall mounted, Smart TV, 60"
2 10 pcs Office table
3 10 pcs Office chairs, revolving
4 2 pcs Stand fan 18"
5 2 pcs Industrial fan 20"
6 2 pcs Bulletin board
7 2 sets Table counters
8 2 units Examining table w/ mattress
x-x-x-x-x

Detailed Purpose:
1 - For information dissemination of the different programs/activ
of PhilHealth
2&3 - For use of the doctors in different clinics
4&5 - For use of Clients/Patients
Continuation at the back
After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

6 - For the publication of different activities of PhilHealth
7 - For use of Nurses and Admin Staff for PhilHealth
8 - For patients use
AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

E MARIA S. DALUPAN
AC Chairperson
Goods and Services

Brand Unit Cost Total Cost

 quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

PhilHealth Clinics.

AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
 A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

OSE MARIA S. DALUPAN

BAC Chairperson
Goods and Services

Brand Unit Cost Total Cost

different programs/activities

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2
ies of PhilHealth
r PhilHealth
 REQUEST TO SUBMIT PROPOSAL/QUOTATI
(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 492,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALUPA

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 7 sets Desktop Computer
Intel Core i5, 8Gb RAM, 2TB, Windows 10,
Video Card: 2Gb
DDR4, 23 inches Monitor, UPS, 3in1 Printer
(Scanner/Printer/Copier) Continuous ink
2 2 pcs External Hard Drive 2TB
3 2 units Scanner

Type: USB Powered, Sheedfed Scanner

Scanning Sensor Unit: CMOS CIS 1 Line Sensor
Optical Solution: 600 dpi
Light Source: RGB LED
Scanning Side: Front/Back/Duplex
Interface: Hi speed USB 2.0 & USB 3.0
Dimensions: (WxDxH)
 Continuation at the back
After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

Tray Closed: 285 (W) x 95 (D) x 40 (H) mm

Tray Opened: 285 (W) x 257 (D) x 174 (H) mm
x-x-x-x-x

For use in the operations of the different PhilHealth Clinics.

AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

E MARIA S. DALUPAN
AC Chairperson
Goods and Services

Brand Unit Cost Total Cost

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

PhilHealth Clinics.
 REQUEST TO SUBMIT PROPOSAL/QUOTATI
(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 60,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALU

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 4 units Book Shelf w/ Glass
4 doors wooden cabinet w/
drawers and lock
x-x-x-x-x

For use of the Provincial Agriculturist's Office.

 After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 67,322.55
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.
 EnP JOSE MARIA S. DALU
BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 35 reams Long Coupon Bond
2 35 reams Short Coupon Bond
3 35 reams A4 Coupon Bond
4 60 pcs Gel Ballpen
5 2 pack PVC Cover (Long)
6 20 pc Combo Ring 1"
7 20 pc Combo Ring 2"
8 30 pc Clear Sliding Folder (long)
9 30 pc Clear Sliding Folder (short)
10 5 pc Stick Glue
11 4 pc Glue
12 2 pc Calculator (12 digits - black)
13 15 pack Cambric board (long)
14 15 pack Cambric Board (short)
15 15 pack Cambric Paper (long)
Continuation at the back
After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

16 15 pack Cambric Paper (short)

17 2 rolls Duct Tape
18 4 rolls Scotch Tape 1"
19 2 rolls Packaging Tape 3"
20 4 rolls Double Sided Tape
21 2 pc Metal Ruler
22 3 pc Scissors
23 2 pcs Cutter
24 1 pc Hard Drive 1TB
 25 2 pcs USB Hub
26 4 pcs Flash Drive 16Gb
27 1 ltr Computer Ink Black (refill)
28 1 ltr Computer Ink Magenta (refill)
29 1 ltr Computer Ink Cyan (refill)
30 1 ltr Computer Ink Yellow (refill)
31 2 cart. Computer Ink (black)
32 2 cart. Computer Ink (colored)
33 1 pc Paper Cutter Board
34 3 pcs Flash Drive 128GB
35 1 pc OTG Flash Drive 128GB
x-x-x-x-x

For use of PPDO.

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 150,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
 5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALU

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

1 2 sets BLS Dummy (CPR Mannequin Model)
Family Pack - Adult, Child and Infant
Color: Dark Tone

2 1 set Automatic External Defibrillator (AED)

Trainer w/ Child pads and Remote Control
-English/Spanish Capability
-Compatible with any CPR Mannequins
includes a scenario, volume control and language button
-Contains a pad testing system
-Pads are pre-connected
-Can be used to train in both semi-automatic
and fully-automatic versions

Continuation at the back

After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

3 1 pc Adult Pads
-Can be used at least 25-0 times during CPR/AED classes
-Have an embedded switch which senses that the AED
trainer pads are attached to the manikin
 x-x-x-x-x

To be used during the implementation of DRRM Programs, Proje

and Activities.

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 114,500.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALU

BAC Chairperson
for Goods and Services

Item No. Qty. Unit of Issue Goods and its Specification

 1 3 units Gang Chair 4 seaters
2 1 unit Air Compressor 5HP
3 1 unit Auto Mechanical Tool Set
4 1 unit Welding Machine, Portable
5 1 unit Angle Grinder
6 1 unit Pressure Pump
7 1 unit Push Cart, HD
8 5 units LPG Tank (11kgs)
9 2 units Gas Stove, Double Burner
x-x-x-x-x

For the use of Naujan Community Hospital.

After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

 Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 60,000.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALUPA

BAC Chairperson

Item No. Qty. Unit of Issue Goods and its Specification

1 4 units CCTV Camera and other Accessories
x-x-x-x-x

For use of PSWDO/Bahay Kanlungan.

After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position
 This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

REQUEST TO SUBMIT PROPOSAL/QUOTATI

(Shopping - Sec. 52.1 (b))
Date :

Company / Store Name and Address

Please quote your lowest price on the items listed below, subject to the Terms and Conditions and submit
your quotation duly signed by your authorized representative on the deadline of submission of this quotation together
with the documentary requirements in the return sealed envelope to wit:

1. All entries must be typewritten or handwritten.

2. The Approved Budget for the Contract is Php 73,470.00
3. Delivery period within seven (7) calendar days from
the date of receipt of P.O.
4. Deadline of submission of quotation/proposal
not later than
5. Price validity shall be for a period of thirty (30) calendar days.
6. Suppliers/Bidders shall submit original brochures of the
product being offered.

EnP JOSE MARIA S. DALUPA

BAC Chairperson
for Goods and Services
Item No. Qty. Unit of Issue Goods and its Specification
1 2 pcs Cartridge Black
2 2 pcs Cartridge Colored
3 2 rms Bond Paper Long
4 2 rms Bond Paper Short
5 12 packs Cambric Board Short
6 90 pcs Ballpen
7 4 boxes Medical Gloves
8 8 btls Alcohol 70% 500ml
9 4 pcs Cotton 100 grams
10 90 pcs BLS Handbook
11 90 pcs SFAT Handbook
12 2,500 pcs Whistle Keychain
13 4 pcs Tarpaulin (4x8)
x-x-x-x-x

Continuation at the back

After having carefully read and accepted your Terms and Conditions, I/We quote you on the item a

Printed Name / Signature

Position

This is to certify that the undersigned conducted this request for quotation/proposal for the above stated items.

End User Representative

To be used during the conduct of Standard First Aid Technique

and Basic Life Support Training to PGOrM Safety Officers
on November 4-6, (1st Batch) and November 6-8, 2019.
AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

OSE MARIA S. DALUPAN

BAC Chairperson
Goods and Services

Brand Unit Cost Total Cost

 quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required
OSE MARIA S. DALUPAN
BAC Chairperson
Goods and Services

Brand Unit Cost Total Cost

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2
AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
 are updated in on file at the procuring
entity/BAC, attachments are not required

OSE MARIA S. DALUPAN

BAC Chairperson
Goods and Services

Brand Unit Cost Total Cost

nd language button

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

g CPR/AED classes
ses that the AED
DRRM Programs, Projects

AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

OSE MARIA S. DALUPAN

BAC Chairperson
Goods and Services

Brand Unit Cost Total Cost

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

AL/QUOTATION
.1 (b))
Conditions and submit
f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

E MARIA S. DALUPAN
BAC Chairperson

Brand Unit Cost Total Cost

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.
bove stated items.

page 2 of 2

AL/QUOTATION
.1 (b))

Conditions and submit

f this quotation together

7. Quotation are in per lot basis.

8. Documentary Requirements:
A. Mayor's/Business Permit
B. PhilGeps Registration Certificate
or Number
C. If the above-mentioned requirements
are updated in on file at the procuring
entity/BAC, attachments are not required

E MARIA S. DALUPAN
AC Chairperson
Goods and Services
 Brand Unit Cost Total Cost

quote you on the item at prices noted above.

Tel. No./Cellphone No./e-mail address

TIN No.

bove stated items.

page 2 of 2

d First Aid Technique

rM Safety Officers
ber 6-8, 2019.