REQUEST FOR QUOTATION

Date: 06 – 29 - 2018
RQF No: 2018-06-05

Name of Company: _________________________________________________________________

Address: __________________________________________________________________________
Business Permit No.:_________________________________________________________________
TIN No.: __________________________________________________________________________
PhilGEPS Registration No.___________________________________________________________

Please quote your best offer for the item described below, subject to the Terms and Conditions
provided at the dorsal portion of this request for quotation.
Submit your quotation duly signed by you or your duly representative and copies of the following
eligibility requirements.
1. Business Permit
2. Tax Clearance Certificate
3. Annual Income Tax Return, and
4. PhilGEPS Certificate of Registration
Sealed quotations may be submitted or mailed at the address indicated below.

ROSANA R. LLAVE
BAC Chairman

After having carefully read and accepted the Terms and Conditions, I/We submit our quotation/s for the
item/s as follows:

OFFER
ITEM QUANTITY Approved Compliance
(QTY) with Technical
DESCRIPTION Budget of Specifications
the (Please Check) REMARKS
Contract QTY UNIT TOTAL YES NO
PRICE PRICE
Plates 66 pcs 1650.00
Bowl (Small) 87 pcs 1740.00
Glass 87 pcs 1305.00
Spoon (Small) 5 dozens 420.00
Fork 5 dozens 420.00
Serving Spoon 5 pcs 50.00
Strainer 3 pcs 75.00
Knife 3 pcs 300.00
Spoon (Big) 1 pc 150.00
Grater 2 pcs 100.00
Jug 1 pc 150.00

_____________________________________________
SIGNATURE OVER PRINTED NAME OF SUPPLIER
 Department of Education
Division of Albay
Oas North District
San Antonio Elementary School
INSPECTION AND ACCEPTANCE REPORT

Supplier: EVANEL PLASTIC KITCHENWARE

PO No.2018 – 07 – 01 Invoice no: 000917 Date: July 1, 2018
Requisitioning Office/ Dept. San Antonio ES
Stock No. Unit Decription Quantity
pcs Plates 66
pcs Bowl (Small) 87
pcs Glass 87
dozen Spoon (Small) 5
dozen Fork 5
pcs Serving Spoon 5
pcs Strainer 3
pcs Knife 3
pcs Spoon (Big) 1
pcs Grater 2
pcs Jug 1

INSPECTION

Date Inspected: 07/02/2018

Inspected, verified and found that the above delivered supplies
conform with the quality and specifications indicated in the
Purchase Order.
Recommendation:
_______ Partial I _______/_____ Full Payment

RHEA T. ZACARIAS
Team Leader

ANGELA JOAN R. ANGELES LEONIDO REPEROGA

Member PTA/NGO Representative

ACCEPTANCE
Date Received: 07/02/2018

_________/________ Compliance ____________ Partial

MARIA ANGELIQUE A. LUMABAD

Supply Officer
 Department of Education
Division of Albay
Oas North District
San Antonio Elementary School

REQUISITION AND ISSUE SLIP

Division: Albay Responsibility Center Code: RIS/JO No. 2018 – 07 - 01 Date: 07/02/2018
Office: San Antonio ES SAI No. Date:
Requisition Issuance
Stock Unit Description Quantity Quantity Remarks
No.
pcs Plates 66 66 Complete
pcs Bowl (Small) 87 87 Complete
pcs Glass 87 87 Complete
dozen Spoon (Small) 5 5 Complete
dozen Fork 5 5 Complete
pcs Serving Spoon 5 5 Complete
pcs Strainer 3 3 Complete
pcs Knife 3 3 Complete
pcs Spoon (Big) 1 1 Complete
pcs Grater 2 2 Complete
pcs Jug 1 1 Complete

Purpose: For SBFP Use

Requested by Approved by: Issued by: Received by:

Signature:
Printed Name: ROSANA L. NORMAN S. MARIA ROSANA L.
ROMERO JARLEGO ANGELIQUE A. ROMERO
LUMABAD
Designation Property Principal I Supply Officer Property Custodian
Custodian
Date: 06/29/2018 6/29/2018 07/02/2018 07/02/2018
 Department of Education
Division of Albay
Oas North District
San Antonio Elementary School

PURCHASE ORDER
Supplier: EVANEL PLASTIC WARE P.O No.: 2018 – 07 - 01
Address: Barangay 3, Pio Duran, Albay Date: 07/01/2018
TIN: 937 – 189 – 759 - 000 Mode of Procurement_______________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained
herein:

Place of Delivery: San Antonio Elementary School Delivery Term: Full Delivery
Date of Delivery: 07 / 01/ 2018 Payment Term: Cash on Delivery

Stock No. Unit of Description Quantity Unit Cost Amount

Measure
pcs Plates 50
pcs Bowl (Small) 87
pcs Bowl (Big) 5
pcs Glass 87
pcs Spoon (Small) 87
dozens Fork 5
pcs Serving Spoon 5 pcs
pcs Strainer 3 pcs
pcs Spatula (Big) 1 pc
pcs Knife 3 pcs
pcs Spoon (Big) 1 pc
pcs Ladle 1 pc
pcs Chopping Board 3 pcs
pcs Grater 3 pcs
pcs Jug 1 pc
pcs Pitcher 1 pc

In case of failure to make the full delivery within the time

specified above, a penalty of one –tenth (1/10) of one percent for
every day of delay shall be imposed.

Very Truly Yours,

NORMAN S. JARLEGO
Principal I

Conforme:

EVA G. DELOS SANTOS

Signature Over Printed Name

ALOBS No.______________________
Amount:_________________________
 Department of Education
Division of Albay
Oas North District
San Antonio Elementary School

PURCHASE REQUEST
Department: San Antonio ES PR No.: 2018 – 07 - 01 Date: 6/29/2018
Section: Oas North District SAI No.________ Date:___________
ALOBS:________ Date:

Quantity Unit of Description Stock No. Estimated Estimated

Measure Unit Cost Cost
66 pcs Plates 25.00 1650.00
87 pcs Bowl (Small) 20.00 1740.00
87 pcs Glass 15.00 1305.00
5 dozen Spoon (Small) 84.00 420.00
5 dozen Fork 84.00 420.00
5 pcs Serving Spoon 10.00 50.00
3 pcs Strainer 25.00 75.00
3 pcs Knife 100.00 300.00
1 pcs Spoon (Big) 150.00 150.00
2 pcs Grater 50.00 100.00
1 pcs Jug 150 150.00

PHP 6,360.00
Purpose: SY 2018 - 2019 SBFP

Requested by Approved by:

Signature:
Printed Name: MARIA ANGELIQUE A. LUMABAD NORMAN S. JARLEGO
Designation: School Supply Officer Designate Principal I
 Department of Education
Division of Albay
Oas North District
San Antonio Elementary School

ABSTRACT OF QOUTATION
Project: SY 2018 - 2019 PR/RIS/JO No.: 2018 – 07 - 01
Purpose: SBFP Date : 06/30/2018

UNIT PRICE QUOTED BY CORRESPONDING BIDDERS

Item No. Articles EVANEL PLASTIC JAY PLASTIC GINA’S
KITCHEN WARE WARE KITCHENWARE
Plates 25.00 30.00 28.00
Bowl (Small) 20.00 25.00 22.00
Glass 15.00 20.00 18.00
Spoon (Small) 84.00 90.00 88.00
Fork 84.00 90.00 88.00
Serving Spoon 10.00 15.00 12.00
Strainer 25.00 30.00 28.00
Knife 100.00 150.00 120.00
Spoon (Big) 150.00 200.00 180.00
Grater 50.00 75.00 60.00
Jug 150.00 200.00 180.00

CERTIFICATE OF COMMITTEE ON BID AWARDS

Based on Abstract of Price Quotations offered by dealers on various materials as
quoted above, this COMMITTEE, considering the lowest reasonable price, hereby
make the following awards

Above item awarded by EVANEL PLASTIC KITCHENWARE

Done in this Office this 30th day of June 2018

MICHAEL R. RECIERDO ROSANA L. LLAVE MARIA ANGELIQUE A. LUMABAD

Regular Member Chairman Regular Member

ANGELA JOAN R. ANGELES JERIC D. MANUEL

Provisionary Member Provisionary Member

WITNESS TO OPENING OF BID ONLY:

_______________________________________
Auditor/ Representative