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CBPM Form B-13

KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROGRAM


Office of the Barangay Sub-Project Management Committee
Barangay: _________________________
Municipality: ________________________
Province: __________________________

REQUEST FOR QUOTATION FOR LEASE OF EQUIPMENT


with FOL and Operator)
(output based)

Date:_______________

To: (Registered Business Name of the Contractor/Equipment Lessor)


Address:_______________________________

May we request you to indicate your quotation for the rental for the equipment indicated below.
Please return this form to the canvasser in sealed envelope or submit it to the Barangay Sub-
Project Management Committee (C/BSPMC) at the Barangay Hall on (insert date and time of
deadline for submission)

Contract Package No. ____


Contract Duration: __________ (if with multiple equipment that differs in duration, please indicate duration per
equipment)
EQUIPMENT LEASE: (Example)
Unit Rate
Number of Contract
Equipment (per Total
equipment Expected Duration
Item No. / Needed expected Rental
/ No. of Output (No. of
Package No. (Type of output e.g. Cost
Unit (Quantity) Days/Hours)
Equipment) cu.m.) e=a x b x d
(a) (b) (c)
(d)

TOTAL QUOTATION: P
AMOUNT IN WORDS:

Terms and Conditions:

1. Government officials who are directly involved as Technical Working Group (TWG) in the
procurement and in the sub-project proposal preparation (TAF Service Provider/s or Technical
Person/s who prepared the POW), BSPMC Chairperson, Bids and Awards Committee (BAC),
Procurement Team (PT) and employees/staff of KC-NCDDP Regional Program Management
Office (RPMO) or National Program Management Office (NPMO) who have direct access to
information that may substantially affect the result of the bidding and their relatives up to the 1st
degree of consanguinity or affinity are disqualified from participating as
“suppliers/contractors/service providers” for any procurement relative to the subproject.

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2. Liquidated Damages (LD): In case of unacceptable/unreasonable delay in delivery of
services as required, liquidated damages will be deducted to the final payment. The basis of
computation of LD is one percent (1%) of the cost of all the goods, scheduled for delivery or to
be performed, after the deadline until completion of the deliverables. Number of days shall be
based from the agreed completion date (or deadline of delivery) until the actual
completion (or full delivery) regardless of progress (or delivery made) in between the
agreed completion vs actual completion date (weekends and holidays included);
otherwise, 1/10 of 1% for contracts higher than 10M. In no case shall the sum of liquidated
damages exceed ten percent (10%) of the contract amount. If it does, the contract shall be
deemed automatically terminated by the C/BSPMC, without prejudice to other courses of action
and remedies available to it.

3. Quotation must be valid and fixed for 30 calendar days.

4. Prices quoted must include taxes and other incidental expenses.

5. The Equipment maintenance and repairs shall be for the account of the LESSOR
including fuel, oil, lubricants and wages of the equipment operators and helpers; unless,
otherwise agreed by both parties.

6. The LESSOR shall ensure that the equipment is in operating condition at all times during
the duration of the contract agreement. It shall be delivered to the site and ready to use within
___ days from the award of contract. In case of delay in delivery of the equipment as required,
liquidated damages will be deducted to the final payment. The basis of computation of LD is one
percent (1%) of the cost of all the goods, scheduled for delivery or to be performed, after the
deadline until completion of the deliverables. Number of days shall be based from the agreed
completion date (or deadline of delivery) until the actual completion (or full delivery);
otherwise, 1/10 of 1% for contracts higher than 10M. In no case shall the sum of liquidated
damages exceed ten percent (10%) of the contract amount. If it does, the contract shall be
deemed automatically terminated by the C/BSPMC, without prejudice to other courses of action
and remedies available to it.
7.

8. The lessor shall ensure the equipment for third party liability and for total loss or partial
damage to the equipment while on transport or at the designated area of operation.

9. The LESSOR binds itself to protect and immune the LESSEE from any suit or liability
resulting from claims of any nature, whether for death, injuries or damages that maybe suffered
by the LESSOR’s Operator and/or third parties, arising from or in connection with the transport
of the equipment or performance of the work.

10. Damages caused by the LESSOR’s party shall be charged/deducted from the LESSOR.

11. Payment shall be through CROSSED CHECK.

12. In cases where the expected output was reached earlier than the number of days in the
contract, full payment shall be made to the LESSOR.

13. In cases where the expected output is not delivered/reached in the given number of
days in the contract only the actual accomplishment shall be paid. Computation should be total
Contract amount multiplied by the percentage of actual accomplishment less the taxes.

(SIGNATURE OVER PRINTED NAME) Date: __________


C/BSPMC Chairperson
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Note:
1. Attorney-in-fact thru SPA is not allowed for sole proprietorship to sign this document. For
corporations, the signatory shall be a person authorized thru a Board Resolution.
2. Suppliers/contractors/service providers shall use ball pen in filling up this form, otherwise it will
nullify this RFQ if used as a price schedule.

Canvass Submitted by:

(SIGNATURE OVER PRINTED NAME)


Registered Owner/Manager
Date of Quotation of the Lessor: __________

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