Republic of the Philippines

OFFICE OF THE BARANGAY CAPTAIN

Barangay ____________________

___________________________ __________________________
(Municipality) (Province)

Number _______________
Date _______________

CANVASS
________________________________
________________________________

Sir:

Please quote your unit prices for the articles described below, with the request that the desired condition
and/or requirements herein be complied with:
Item No. Qty. Unit ARTICLE Brand Make Unit Cost Total

TOTAL >>>
CONDITIONS AND/OR PRE-REQUISITES FOR BIDDER TO COMPLY WITH:
1. To specify the brand or trademark and other pertinent data of your product or article.
2. To quote the price for the articles actually verified and found in your store.
3. To deliver the articles to the Office of the Barangay Treasurer within ____ day from the date of receipt of the
Purchased Order.
4. To return the canvass paper to the Office of the Barangay Treasurer on or before the opening of the canvass at
__________________________________________ on _____________________.
5. To accept the flag law (foreigner only).
6. To participate as a bonafide dealer.
7. That this business is duly licensed and with business permit by the government agency concern.

The government reserves the right to accept or reject any bids or depending upon compliance of non-
compliance with the above mentioned requirements and other lawful reasons most advantageous to the
government.

Very truly yours,

________________________________
Barangay Treasurer

To: The Barangay Treasurer

I accept conditions and/or requirements in this canvass. Failure on my part to comply with the requirements
in this canvas is enough reason to disqualify me from participating in any future bidding or canvass.

________________________ _________________________________
Date Received Dealers Signature