CBPM Form B-3

KALAHI-CIDSS NATIONAL DRIVEWN DEVELOPMENT PROJECT

Office of the Barangay Sub-Project Management Committee
Barangay: ____MASAGANA____
Municipality: ____JIABONG____
Province: ______SAMAR______

REQUEST FOR QUOTATION FOR GOODS

(For Personal Serving)

DATE: _December 4, 2015____

TO: Company Name: __CoastMaster Enterprises___
Address: __Brgy. Cabunga-an Sto.Nino, Samar__
May we request you to indicate your prices for the items listed below. Please return this form to the canvasser in sealed
envelope submit it to the Barangay Community Project Management Committee (C/BSPMC) at the Barangay hall on
_________________________________________________________________
NAME OF SUB-PROJECT: IMPROVEMENT OF BARANGAY ELECTRIFICATION and REHABILITATION OF MULTI-PURPOSE
HALL
LOCATION: BARANGAY MASAGANA
CONTRACT PACKAGE NO: _____IX______
Items
No.
Description/Specs of Items
1
SOLAR PANEL (2 UNIT Solar Powered
LED Light, 15 W, 12 V Battery
Note: Sorry We dont have available that you have
required, our offer is:

QTY
1

5W LED Solar street light with 13200mah battery

Unit
LOT

Unit Cost

Total

9800

9800

(not included the Pole).

TOTAL
Amount in Words:

9800

DELIVERY PERIOD: ______________________________________________

Note: 1. Quotation must be valid for 30 calendar days.
2. Prices quoted must include taxes and other incidental expenses.
3. Supplier is:
Non-VAT
VAT Registered
VAT Exempt
4. Cost of Delivery:
to include not to include
5. Award shall be made: on per item basis
on per package basis
6. a Suppliers Conference shall be held at the ______________________________________________
_______________________________
C/BSPMC Chairperson
After having carefully read and accepted your General Conditions, I/We quote you on the item/s at prices noted above.
Canvass Submitted by:
Victoriano B. Biacolo
_________________________________
Registered Owner
Registered Business Name:

__CoastMaster Enterprises__

Date of Quotation of Supplier:

__Dec. 4, 2015___

KALAHI-CIDSS NATIONAL DRIVEWN DEVELOPMENT PROJECT

Office of the Barangay Sub-Project Management Committee
Barangay: ____MASAGANA____
Municipality: ____JIABONG____
Province: ______SAMAR______

Contract Package Number: ____09____

Name of the Sub-Project: IMPROVEMENT OF BARANGAY ELECTRIFICATION and REHABILITATION OF MULTI-PURPOSE
HALL

ACKNOWLEDGEMENT RECEIPT

FOR PERSONAL SERVING OF THE REQUEST FOR QUOTATION

This is to Acknowledge receipt of the Request for Quotation served by DEMETRIO B. JABONERO Jr., ROSARIO J. TUGA,
MELANIE M. AMORES Procurement Team members of C/BSPMC SHERYL J. JABONETE.

_Victoriano B. Biacolo___________________________

(SIGNATURE OVER PRINTED NAME OF REGISTERED OWNER OR AUTHORIZED REPRESENTATIVE)

COASTMASTER ENTERPRISES
_______________________________________________________

(REGISTERED BUSINESS NAME OF THE CONTRACTOR/SUPPLIER)

Date Served/Received: ____DEC. 4, 2015_________