BARANGAY SALVACION

SANTO TOMAS, DAVAO DEL NORTE

Request for Quotation

Date: _____________
Quotation No. _______
____________________________________
Company Name

___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.

RANDY N. ERNAL
BAC Chairman
NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN
2. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
3. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 First-Aid Kit

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.

_____________________
Printed Name / Signature

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

SIGNATURE OVER PRINTED NAME

CANVASSER Date: ________________

Request for Quotation

Date: _____________
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

Quotation No. _______

____________________________________
Company Name

___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.

RANDY N. ERNAL
BAC Chairman
NOTE: 7. ALL ENTRIES MUST BE TYPEWRITTEN
8. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
9. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
10. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
11. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
12. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 Aircon

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.

_____________________
Printed Name / Signature

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

SIGNATURE OVER PRINTED NAME

CANVASSER Date: ________________

Request for Quotation

Date: _____________
Quotation No. _______
____________________________________
Company Name
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.

RANDY N. ERNAL
BAC Chairman
NOTE: 13. ALL ENTRIES MUST BE TYPEWRITTEN
14. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
15. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
16. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
17. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
18. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 Refrigerator

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.

_____________________
Printed Name / Signature

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

SIGNATURE OVER PRINTED NAME

CANVASSER Date: ________________
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

Request for Quotation

Date: _____________
Quotation No. _______
____________________________________
Company Name

___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.

RANDY N. ERNAL
BAC Chairman
NOTE: 19. ALL ENTRIES MUST BE TYPEWRITTEN
20. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
21. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
22. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
23. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
24. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 Radio (Handheld)

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.

_____________________
Printed Name / Signature

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

SIGNATURE OVER PRINTED NAME

CANVASSER Date: ________________
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

Request for Quotation

Date: _____________
Quotation No. _______
____________________________________
Company Name
___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.

RONIE O. MALLORCA
BAC Chairman

NOTE: 25. ALL ENTRIES MUST BE TYPEWRITTEN

26. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
27. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
28. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
29. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
30. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 Ethyl Alcohol 500 ml
2 Ethyl Alcohol 60 ml
3 Betadine 120 ml
4 Betadine 5 ml
5 Gauze Pad
6 Elastic Bandage
7 Neck Collar
8 Disposable Gloves
9 Surgical Gloves
10 Paper Tape
11 Wooden Splint (Customized)
12 Cotton Balls
13 First Aid Box (Aluminum)
14 First Aid Bag
15 Surgical Scissor
16 Small Scissor
17 Triangular Bandage

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.
_____________________
Printed Name / Signature

_____________________
Tel. No. / Cellphone No.
______________________ e-mail address
SIGNATURE OVER PRINTED NAME
CANVASSER Date: ________________
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

Standard Form Number: SF-GOOD-60

Revised on: May 24, 2004
Standard Form Title: Request for Quotation

Date: _____________
Quotation No. _______
____________________________________
Company Name
___________________________________
Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not
later than ___________________________________ in the return envelope attached herewith.
RONIE O. MALLORCA
BAC Chairman

NOTE: 31. ALL ENTRIES MUST BE TYPEWRITTEN

32. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS
33. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
34. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS
35. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION
36. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.

ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE
NO.
1 Tires 4 pcs

Delivery Period : _________________________

Warranty : _________________________
Price Validity : _________________________

After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted above.
_____________________
Printed Name / Signature

_____________________
Tel. No. / Cellphone No.
RONIE O. MALLORCA e-mail address
SIGNATURE OVER PRINTED NAME
CANVASSER Date: ________________
BARANGAY SALVACION
SANTO TOMAS, DAVAO DEL NORTE

Date: _____________
Quotation No. _______

Company Name
Address______

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the
last page, stating the shortest time of delivery and submit your quotation duly signed by your representative
not later than ___________________________________ in the return envelope attached herewith.

___________________________
Director

NOTE: ALL ENTRIES MUST BE TYPEWRITTEN

NOTE:
- Delivery Period must be within seven (7) calendar days only.
- Price Validity must be within thirty (30) calendar days.
- Bidders must submit Certificate of G-EPS Registration.
- Please submit brochures showing specifications of product being offered.
(FAILURE TO DO SO WILL MEAN DISQUALIFICATION OF YOUR BID PROPOSAL.)

After having carefully read and accepted your General Conditions, I/We quote you on the item/s at
prices noted above.

_____________________
Company Name

_____________________
Tel. No. / Cellphone No.

_____________________
Printed Name / Signature

______________________
Date

For the Dept. of Education (DepEd) – Region IV-B MIMAROPA (0327-S)