SBFP Form 3

O€partm.nt ol Educ€0on
R€gior _

scH@t-8asEo rEEorNc pioGSaM (sBtp) suMMARy of aE EfrcraitEs & START ot frED[{6

City/ Municipalily/Barengay
Nama of School / School Diit icl
S(,lool lO Nun*,6r:
Dal6 ot Stan of F..dingr

llutrhlon.l Strtu. .t st.n ot;..dln!

umb.rd Un&rno{rislt.d S.rFol
Ct0d. brcr.& r.v.l l{o, ol
iama*s
L Kindar

2. Grtde I

3. Gred€ ll

4. Grade lll

5. Grede lv

O. G6de V

Total

SBFP OspEd Focal

l{on: Thi. iorm .h.ll t c pr.p.nd by th. school, to b. comtil.d b, the sDO, .nd fo. fn l cofiplLlron b, th! RO, ior lub.nl.rlon lo OGpEd
BLSS,SHD
 SAFP Fo.n a
3CIIOOL.BAAED FEE!'I,.6 PROORAI
RECOAO Of O ltY FEEOIaCT
FORrHE Ot{Tx Of 3Y

PiE FEEDITIG
.CII,II FEEOIG

NS
T (x) I 7 3 5 6 f a t0 r6
t
2
s l
a

I
e
1!
rl
t3

t5
i6
l
t
I

!!
1a t
?q
2!
a2
2t
I
2a
25
tol^lr
LEGEXO
Fa€dhq T€acrrer / &hool Nurse

(i) PDd ,dh

Xob: rha lo?m.h.ll bG ff,lFrld by tlr Ehool to t corlolld.!.d r.lng 39fP Fo.m 5
SBFP Fo.m 2
Oopa'tr|ont o, Ed'rdirr
Rotion _
scHoot-8Asco FEEDTT{G PnoGiaM ISBFP) ust or sceoots

S.r|od Oitrrir/City/ Mu.tidg€lity

tatr ot d.trh Totd

tEtS to o. Sdrool AddrB.
Lna{cL.l.5
sdrool t'rhd0.l o. Orct

Nol€d br:

SBFP o+i€I) Fo6l Unl Chief

taoL: tli.lo.ln.h.llb. prrD.rd b,rh. SDO. lbrfin l6o.r.oliddion b, fD RO.

SBFP Forn I
Departm€nt ot Educalion
Region

MasLr Uit &ncllcL.a!

-
f.. S.rEoL8.r.d R{dln! P.o!.ah (SaIPl

Nam. ol Pdncipal
City/ irunicipality/Barangay Namo ol Fe€<ing Focal P6rson
Name ol School / School Oislrid

(r., !a.tt {ras,

II II

F€ldang Focd PcEon

l{ot : Thi. iorm lhrll b. pop.r.d by th. .choot, for compil.tlon br tn€ SOO.
 SBFP Forn 4

SCIiOOI€ASED FEEDII{G PROORA

FOR THE t{Ot{TH OF _, AY
i.do.
OlvLron
G..d.: 3..{d

Cn At lEEOtl|O

22 27 21 26 27 2n 21t 30 31 33 36 !7 3A irg 12 a5 a1 52 53 55 56 56 5e 60
1

2
! --

q
I
1o
li
12
ts
t5
lq
17
1a

6
21
22
23

(r,).P'.M.-r.dMo
 SBFP Folm,l
SCH@L€A3ED FEEoiIIlG PROORAI
FOR IHE IIO IH OF ,sY

Gird.: S..id

acn aL tEE0tt6
IAG OF PUIL

62 a3 6a 65 36 67 6a @ 70 71 f2 T3 75 76 fa 7a s a2 u &i a 95 s 9C
I
?
3

5
6

s
0
to

1,
i!
1a
t5

rc
19
ao
2t
2
23

ti! )- Rtd. sn r*o

 SAFP For.n 4

SCHOOL€ASED FEEDING PROGi I

FOR THE XOIITH OF ,sY

oLlrlcl_ Or..b: &cdo.

aclu L FEEI xc FOIT FEEdX6

- aYtEtao^tac€

7/7)t7/7/// 7)t7/
NS

?
3

5
6
!I
10

l2
i3

15

t1
18

4
21
2?
29
21

(n ). t'..mr. .rv.c lr,16

SBFP Form 5

scHooL-sAs€D rEE0tNG pRoGRAM (SBFp)

SY

PROGRAM TERMINAT REPORT (PTR}

RaSlon:
Dlvlron
District:
S.hool:
khool lo:
khool Enrdmenl

A. Programfucomplishment
Statos of lmplcmcntation:
Completed _ (indlc.t. number ofd.ys completed)
Discortinuad _
For contlnuation _

Gr.d. Lanl l\lutnb..ol B.n fi.ltiL. t{o. of oof t{o ot Puplb

T.tr.t Actrd 8.rctk|.d.. Aanafl.l.rl.i
Oarroalll€d who ara alao Prcvlo!,
4Pt ldra{klariaa o,
Sanaficia116 satP
No. * No %
(lndrrSarten
Grad. 1-3
G.adcs {-6
TOTAT:

;ln n Ll slrtur
AmountAllo..ted I A mount Received fr SDO Amoun! Liquldated

8. Nutrltionrl Status

l{utrltlonal Status Befora After Feedina

Feadin3 svsu N Ow o
Scvallly
Wast.d/Underv,eiSht
lrw/lc) ._ _
wa3tedlrnd.Meight
(w/ul
Normal(Nl
Ov. eisht (OWl
Ob.se (Ol
tot ll
SBFP Form 5

C. PercentateAttendence

1 2 3 6

t-1
%
Attendance
of
8€neficiaries

D. Monitoring Findingi/lssues Encounterld & Actions Taken

E- Procurement Process

F. Good Practices or [essons learned

G. Personnel lnvolved

H- Pictoriels
SA'F Fm a-A
!c|l@[€ra€arEEorlGco60rD rE ?iocur ru-ur iEPoer. rfti^rrccol! r.r

f-f--T_--
$r" rh &r

_-tE-_T--
siE fh6.c

+-
.-r- I
+ 1

I
 ..o.i llirN iErod. ElnqcaJEc lutillllallt DE

+- -l--l

I
t t' L LI
 scr€ol€^s€D FEEtxt{g coxltouoaTEo PioGMr rERn^t REPoir-5IIIE!D !9E
SY
SEfP Fonr CC
R.Cbn:

lh. h2 Monh 3
 SCHOOLSAgED FEEOI{G COI{SOUDATEO PIIOGRA TERIIIIAI. REPOiI - PROCUIETENT PROCESS

SBFP Fod C,F

Pn aan6/ur. or t oalrnmt3
Eddiig RER
 SCHOOL€ASED FEEDITIG CO SOLIDATEO PROGRAfl TER I}IAL REPORT . PERSON EL IiIVOLVED
SY
SBFP Folll! re

t)isri*
l{ame d School P..!drt6l sne ot BarrEay Ofi4i€13 Oll|cr PeGo.rs, Oi!diz.lb,6
SBFP Fonn 7

School-Bared te€din8 Proaram

QUESTIO I{AIRE fOR THE PNOGRISS MO'{ITORING A D EVALUANO'{
(CentralOffice)
SY

Retlon: Date:

L |r{IERVTCWFOCUS GnOUP D|SCUSSIO|{ wtr}t SAFp FOCAT PERSO|{S

1. What are the preparatory activities don. by the Rc8ional Otfice with regardi to the
implement.tion oI SBfP for SY

2. Of the.ctiviti€s mentioned, in what pan u/ere you invotved and to what extent? ll you were
not involved, in what pan doyouthinl you should have teen invoked?

3. Was there a Technical Worki4 Group formed in the RO? Who created it? Who are the
persons involved? What is th€ role of each nember of the TWG? Was the expected role
accomplished by the TWG members? lf not, cile the rcasonrand instances.

4. lslAre theie SB'P Fo.al Person/r dcaigmted by th. Regional Director? who iyara th€ focal
Person,? What are the roles ot the SBFP Foaal P€rsoo/s ?

S. A5 SEFP Focal Person, do you heve the support ofth€ ReSional Orfice?

6. When was the Funds for capability-building released to DepED RO?

> Oate Received
i Amount Received

7. wcre you involled in the divison-l€vel o.ientation for rchool implementers?

i Date of orienlation conducled
> l{o. ofs€hools oriented?
> Number o{ srhols urith no ori€nt.tionl

8. Have you monitorcd the implementation ofSSFP in SDOs & schools?

lfyes, what are the majorfindinSs?
 lf no, cite the reasons tol not monitoring

9. What.re thr 3tr€ngthsand weaknesses ofthe pro8ram?

10. Wh.t ar€ the opponunitiesand thre.ti?

11. What .re thc best practices of thc reSion ln S8FP inplementation?

12. What arrtha iaiues and conceha you hava ancountcrcd? Howdid th€ RO resolve it?

13. 0oyou thinl you will have e succc$lul implen ntallon of SBFPthisyear? Why?

14. What are your ruggestions for program ifiprovehent?

ll. oocuMlNT iY AnAtYsts- Lwcl

D(TUMtl{T AV ttaatuTY REMANXS
lv if Av.ilabl€, X if not
.vailablcl
1. negionalAdion Plan
2. Regional Allo<ation per
Divislon
3. Submlsslon o, SBfP Form 1
4. Submlssion ofSBFP Form 2
5, Submlsslon ofSBFP Form 3
6. Submllsion of58tP
TerminalRepon for

ldentify th€ Divisions that have poorcompliance in the submisrion of required repons.
 BEGIOI{ :
I{o. of Ben€ticia.ler :
8udt.t

ilumber ot B.nefi clrries

Dlvtstot{s oudrg Alo..dorl
sw Total

Howmany SWs were not covered bythe proeram?

How many Ws were not aovered?

lll. airat Ystli & nEcoMME D^noxs oF THE MorlTORs:

 Anner 10
SBFP Form 6

&hool-Basad f eedin8 Pftrgram

QUESflOT{I{AIRE R)R IHE PiOGNESS MONIIOf,II{G AI{D EVAIUANO
(ReBion.l tev.l)
SY
Dlvision: oat€:

t. TNTERVTEW/FOCUS GROUP O|SCUS5TON wlTH 58Fp rOC r, pERSOT{S

1. What are the prepar.tory activitles don€ bytha oivlsion Offlce with regards toth€
lmpl.mant.tion o, SBFP for SY_?

2. Oftha aativitles mcntloned, in what pan w.re you lnvolvad and to wh.t axtent? lfyou
were not involv!4 ln r/hat Dan do you think Vou shouB heve b€an involved?

3. Was thar. a Tachnlcal Wo*ing Group form.d ln the SDO? Who ar€atad lt? Who ara
th€ pcrsons involved ? What is the role of each m€mber ot the TWG? Wa3 tha arpec't€d rola
accompllshed bythaTWG members? lf not, cit€ thc reesons and instancas.

4. lrAre therc SBFP FocalPersorvs d.rign tcd byth€ SDS? Who ir/ara the focalPersoni?
what arethc roler of the SEFP FoaalPerson/s?

5. As SBFP ForalPerson, doyou havathe supflort oftheSDO?

6. the.e prop€r coodination & commu.ic.tion with RO and sDO? Were ther. issuet
ls
encountered with thr coordlnation wilh RO? Was it resolved? How?

7. When wasthe tunds for5BFP from CO raleas€d to 5oO?

> Date R.clived
> Amount Rec.iv€d

8. Did you conduct orilntation for school implementers?

Dit. o, odlnt.tion conducted
No. of ichools oriented?
Numb.r of schols with noorientation?
9. Have you monitored the implementation ofSBFP inSDOs & schools?
lfyet whatarethe m.jor findings?
lf no. cite the reasoni for not monitoring

10. What are the slrengthsand wealnesses ofthe program?

11. What are th€ opportunities and threats?

L2. What arethc best practi.es ofthe resion in SBFP imderEntation?

13, What are the issuesand concernsyou h.ve encountered? tlow did the sDO tesotve it?

15. Do you thinl you will have a successful impl€m€ntation of SBF P thrs year? why?

16. What are your suSgestions for program improvement?

17 Have you ar€ated Municipal/City level loc.l alliance?

> No. of preparatory m€etin8 conducted
> Actual nreetanS con ducted with pa.tners

18. who arc th€ active panners/ stakeholders in the division?

19. How much funds $/ere released from SOO lo sthools?

> TotalAmount r€leas€d to S.hools
> l{umber of tranches

20. W.sthan o entation conducted to3chools? whoare the paticipantsT whorunded

the adivity?
j. With orientation
> Noodentetion
21. How many active partners / st.l.hotdlrs in sahool!?
NGO _
GO
TGU
Foundation
Othe13 (ple.se sp.cify)

-
Oo you have complet€ progr.m manaSamcnt data?
i oate started
> No. of teeding d.ys ,s o, vlllt
> Expccted no. of days of compl.tion
i P.ocuremcnt method iollowed
i ilutrition tducltion in ichooh
> W.i8hin8 scele used in sdoola
i Pata invoivemlnl
23 Any complemantary .divities conductad ?
i No. of b€iaficiaries de*ormcd
> With furctionalSchool tardan
i Person.l hygiena & tood groomint
i Wasta <ongregetion end compostlng
i Pdherence to food 5af€ty

ilu6bc. of Eenctlcla,iaa
Bud3at Alloa.tlon
sw Total

How marv SWt wera not covered by lhe prog.am?

How many Ws werc not @vcaed?

ut.ltloml Sl.ts. SY _
Tolal Enrohircotl
llumbcr %

ow
o
TOtAt:
ll. DOCUMEi{IAnY A AIYSIS - Divisior L6rel
OOCUMEI{I AVAITAS|ITTY REMAR16
(V ifAvailable, x if not
aveileblel
1. Oivision Action Pl.n
2. Division Work & FanancialPlan
3. S.hool Worl & FinancialPl.n (sp.city if all recipient ichools
have submitted)
4. Cycle Menu from s.hools (spccity if all recipl€nt schools
h.ve submitted)
5, Project Pro{uaemant Management (sp€cify it all reciplent scfiools
Plan have submitted)
6. Transfer of fundr ftom RO to sDO (sp€cify the date)
7. Regional Allocation per School
8. Transfer of funds from Sm bs.hool. lsp€cifythe date)
9. liquidation Repon. from S(hools
10. Listofbeneficiaries
11. Submission ofSBFP Ford 1
12. Submission oISBFP Form 2
13. Submission ofSSFP Form 3
14. Submission of SBFP Ierminal Repon
for pravious year

ldentify th€ s.hoolsthat have poorcompli.nce inthe submissionof r€quir€d reporti (if any).
SBFP Forft I

Sahool-Based Fceding ProS.am

qUESNON'{^|RE TOI PR(rcf,EsS MOt{lIOf,HG AT{D EVALUAIIOI{
'HE (Ovision L.v.l)
SY

School: Date

1. Preparatlon of Data for the Program

. List of beneflcl.ries
. NutritlonalAsseslment
Baseline Midline Endline
sw

il
ow
o
TOTAT

. School Work and tinancial Plan

. Menu
CYcle
. Proiect Paocurement Manatement Plan
2. R€lease of funds trom S0O to School
. Amount relcased in School
t
1st t,anche
t 2nd tranche
. Date Received
. No funds Allocated
3. Orlentation o{ SBFP
. wlth orientation
. no orientation
4. Pannership with various stakeholde6 in the School
. NGO
.GO
. LGU
. Foundation
5. Program Management
. oate Started
. Expeded no. of days ofcompletion
. Procu.ement method followed
. Nutrltlon Education durin8 feedint
. Weiahing scale used in school
 . Compliance to cycle menu
. Attendance of the teneticiaries
. Patents lnvolvernent

6. Development of Health and Nutrition Values

. Proper handwashing
. Prayer before and after meal
. Good S.ooming and personal hygiene
7. ComplementarvActivitiet
. No. o, beneficiaries dewormed
. With ,undional S.hool Garden
. Waste segregation and composting
. Adherence to food safety
8. Submlstion of SBFPforms
. with report
. without report
9. Submis5ion of liquidation Report
. with liquidation
. without liquidation
10- lssups and conc.rns

Slbmitted by
seFp sY

SBFP Fonn loalhlvr(lr.rbrlv R.oon

R.gbn:

Fil|(ld Sd.
St ill! oftnd.In r&ton gdn.a
I'ao- otS@ (ri.,l crt d. cdrprlbd,
of saFP ol SSFP
tllxtro Sdbob
@.tli&dir o. nrhbd o, D$r,*,
L.diE d.F cdrd.r.d) (soo.) 'l.l d
 RIJIIJDLII(A NC PILIPIN S
O' IH€ PI{|IIPP IES
psfu*p
REPUAI|C
XACAWABAN NC EDUXASYON
OEPARI EIITOF EOT'CAITOX

AII)s AND AWARM COMMITTf,E

Reouest for Ouot€tion

Datc:
Quot.tion No.
ro .t, Errdbt. st oprl.,5:
L Please quote your lowest price lnclusive of VAT on the item/s listed below, subje€t to the
Terms and Condltions of this RFQ, and submit your quot6tion duly signed by your
rcpres€ntative not later than at -------JD.a!ap- -sgb9p!L-
bddress- district & divisionl . For more information please call lNane of schooll at
Telefax Nos Prosp.ctlve ruppllar .hall be re3pon3lble
to v.rify the quoted lt.mr from .bove-st.ted School .nd Tcl.phone t{o/3.

(s9d.)
BAC Chairperson

Lot
|.o.
IIEflS T DESCRIPTOT{ OTY Pac*.olng Ui{II PRICE

Supply anal Delivcry o, tood afutt

7.quiramcnts for thc SchooFElrad
Fcedlng Progr.rn tor SY 2013-2014 of

VGe.t bl.. i othar tood ltcfia

Eudget : Php
(see attache.l Annex A tot lterns in thls
lot) PadGd by qly
2 Grocary ltarns S€e as requirBd
8udget : Php (see Sd|€dJle
(see attached Annex B for ltems in this
A-C of
lot)
Requirem€ols)
3 Flrh,l,l.it and Poultry
8udget : Php
(see attached Annex C lor ltems in this
lot)
D€llv.ry:

Thla la to rubanlt olr prlce quolluona ar lndlcatad aboya sut act to dra tarrns End condidons
of ttrl. trc.

Supplier's Comp.ny Name TIN ilo

address
Telephone No. e-mail
Suppller's Authorized
Repres€ntative Signature
over Printed Name:
 tcradlo, Qatut@ No l0-

rt. T.nnt.nd condltlonr

l. 3ubmbrlon o, Raqulmad.
1. s.tled quot.tioos and oth€r .equrrun€nt! st t€d beto, sh![ b. submitt d to the Btds .nd Aw.rds committ €
(sac) lt
2. Supplier sh.ll sub.nrt tlE fotlowinq ,equtEments
a, Duly stgn.d Requ$t for Quotaion, p.t.es.hal b€ quot€d in phliDDhe p€so. Statem.nt of Cornolance must
b! arcomprEhed bt supplier.

3. Fo. submtcston prior to Awad

6. r) vaird lr.yor! P.rmit, 2) T ctear.nc. c€rt6ote, I 3) f'tdlcE?s rtqi.tndoo c.rtfkar..
Oid.lcrl f.itl,c to submia such den n6 ,f,tthta 6rt€ (3) *NU d.ys fton t@6 by the btuA ot
noaic€ shat & grourd for cllqwincatioo.

Th. suppll€r who submlttad ttr€ lon6t calcubt d rEponatv. quot do. sh.tt ba.w.rdcd th. PurEh.s. Od€ran.r
evaluaoon by the B,Ac.

c. O.llv.'y
1' Dcllvery of Goods shall b. rnad. wlthln 7 cal.nd.r d.ys fmm d.t! oa ru€.lpt of Pur.has€ Ord.r. fo ensura th€
qurlity of vca.tables, li.h, poultry, mt.t producB .M othcr pefisiablas, deltv.ry shall b. mad. on .
5ta99er!d b.sls : ( hdlote h.n duantitv and hode ol d.lrvetu 1..o. s*klv .varv two weks. .t . demndlno
o. ttE stoM ooa.ltv ol the *hmll
2, O.llv.rables sh.ll b6 dalrvlrEd to th€ s.hdl sit€ rtum. aftt.omdEta ,.rdr6 0a s.il60lr herrto defined .s
PmJ.ct Sit€, costs to tt€ a€count ol supplaer, Rlsk aM tltle shrll tass from th. supplla. to the purchase. upon
.eccipt and fln.l ..ccpt nc. of tha Goods .t ProJact slt .
3- Upon dellv.ry oa tn. Goods to th€ Prol.ct Slte, th€ supplter sirll notify th. Pur<haser .nd pres€nt the lotrovrrng
do<u.rEnts !o tte Purcnascr;

i, origrnal .nd 4 copl.s of the suppll.r's Involce shoyvlng th. Goods d€sarlptlon. quantlty, unlt prlce, 6nd tot6l

rr- origin.l rnd 4 copi6 o, Delv.fy Recipts

il. Original Stat ment oa Accou.ts
lv, App.oved Purch6ser Ordar
v. w.rranty c.rtiticat , rl.pplrcrbl..
For the purpos€ ot ti.!e coMltions, P!rch65r/s r€r,r€s€nbnE at thc p.oj€d Sn€ is
d$Idnation of authotIzcd reolfsant tive,

D. av.lu.don ol (luot do.tt

Quotatlons ih.ll be compar€d and av.lu.ted on the basaa of the iollowlng criten.

1. Completenlss of Subh6sion
2. Complian@ with T.chnlc.l Sp€clflcrtions

l, tarlructlonl
1, Supplt€r shall De reaponstble for the source(s) ol lts Goods/aquiofl).nt, fid shall make thc delaverles in
acco.dancc wrth the s.h.dule. .nd gpecitic.ttons of the award or purchas. order. Failu.e ol th€ supplEr to
comply wtth thrs provlslo. shall be ground for canc.llaoon o{ the .*ard or purchas! order lssued to the

2. Supplter sh.ll pid-up th. pur.nase o.der isso.d ln lts frvor withio tnr€e (3) c.lendar dtys from d.t ol r€..rpt
ol nonc€ to th.t etrect. A telephone c.tl or f.x kansmtssion sh.ll constitute an offrcbl noti.€ to the supplrer.
Thareafter, f th€ purchrs€ ord€. remaiffi unclaimed, tha purch.* order sh.ll b€ cancalled, To avold d€l.y ln
tha aLllvery ol the.lquarting ag€ncys r.qulcmants, rll defaulting suppilars shall b€ 9r..luded rrom propott.g
or subrrttrnc aubstltst. quotatlon(!) or
'tem(5).
3. Supplier sto .ccepted ! purch.s. sder but Llled to dlliver th. rlquhed Caods eithh the tln€ c.lled lor ln
thc purch.s. ord.r sh.ll b. disqurlill€d from p.rticipltl,{ in DepEO or any of DetEO onlG'futurc proor.crnant
ratlvitie., Thls ls e'thout p.ejudic. to tie imposition of oth€r s€,rctlons pruscrib€d undar R.A. 9184.nd lts IRR-
A ag.inst the suppller,
4- Rrractcd drllveries shall be const.u€d .s non-dehv.ry, and shall be ..pl.ced by th! suppler suDjed to
llauidated daftEqe. for delay€d dalveries,

5. All dutles, lxcrs€, and other i.xas, .nd rcvenu€ chargas shall b€ p.ld by th. slppllcr.
larht lo Qaotdiil Na tL -

5. As . p.e-condtion to payment, lmportation oocuments sp€.{ic.lly shoyring the condatons .nd s€rial nuf,b€E
of the impond equrpnEnt purchased shatl be submrtted by the supp[er to the Deparnn nt of Educltion.
7. All transactions are subJect to witiholding of c.€dibte V.tu€ Added T.t and/or Expand.d Vatue Added Tax per
.evenue requlation(s) of the aureau of htern.t Revenue.

Th. suppli€r shall p.ov6c eu.h packing of the Goods .ppr@nat€ to prevent th€t danEge or d€tenqation duriog
transrt to the Prci.lct Site. Goods shall be pack<l in al,mdiate (onlAlneE with lab€l ldentfiyhg the @tent and
qoanuty per packag€ with th. n.rn ol th€ Purchds.r and rnart€d 'ilot for S.le - Govemmant Property'

lnnn p.cragjng of grocery itams must h.ve Food-Gra.h Planlc Unng, hb.l to in<tud€ tlE iollowirE : 1)
A.tch/tot number, 2) ManuractLrnog date, 3) Erdry drt , 4) l,i.m. ol ttanufactuff, S) Addless (nh*
ma.Lrra.tu.ed), 6) licen!. to op€r.te numb€r, ir applk bt..

G. ln.p.ctlon
1, All deliverl€s by suppllers sh6ll b€ subleEt to inspectlon, and rcc.ptance by th€ D€pEO lnspectlon l.am a.d
the eod-user. All costs of th. n€cessary laborato.y t€sts und€rt ken by DepEO on the Goods shall b€ to the
account of suppliers.

2. Fo. the purpos€ ol thrs condltlon/ Purchas€,'s rep.€s€ntatlv€ .t Proj.ct Site is lnan ah.! desionztion of
a oth o ri 2.rt rne<e nta nve I
ll. Uqul.Ltld Drn a.r
a p€nalty of one't€nrh ol one percent (0.001) of rhe total value of rh€ underlv€red Goods sharl b€ chaqed as
llquidated damages lior ev€ry d.y of d.l.y ot the delivery of tha purchas€d Goods.

Wardnty shall !e for 6 pcriod ol six (6) months fo. suopll.s .nd materlals, and one yea. in c.re of equipm€nt
rcckoncd lrom dat€ of.cceptance o, th€ Goods at PrcJect slte.

One hundred p€rcent (too%) ol the Conka.t Pric€ shall b€ paid to the sopplE. aiter acceptan e o, the Goods at
Project Slte and submisslon of th. d,odrments provid€d un&r C. D.llv.ry.

After having @r€tully Gad an., ac.epted yolr Requ6t fo. Quotation and its Tems and ConditDns, ywe quote you
od the itetrVs at pri.e noted in the RFQ. The quotatbn shlll be bhding upon us ior thhy (lo) calend.r days
recloned f.om last dry oa submrssron hdrcat€d in the submission R.quirements, The coresponding award on
Purch.se od€r sh.ll b€ a€cepted by us at any time b€fofe erpiration of this p€riod.
ld6t tor a6,.tto. ila to-

SCHOOL-BASED FEEDING PROGRAIII

RFQ/MARKET FORM

Lot 1 : Vegetables.nd Other ltems

Qurnnty Total
(in orama) (io ldto€)

1
2
3

5
6
7
6
9
t0
1l
t2
t3
ta
15
l6
l7
l8
19
20
21,
22
23
24
25
26
z7
2A
29
30
31
32
33
34
35
35
a7
3a
l9
40
tqd tu, A.dda. NrttL -

SCHOOL.BASED FEEDTNG PROGRAM

RFQ/MARKET FORM

Lot2 i Grocery Items

QuanuW lrnlt @t
(ro klo.)
I
2
3

5
6

8
9
l0
1l
t2
l3
15
16
l7
IE
l9
20
2t
22
17
24
25
26
27
2A
29
30
31
32
33
l4
35

3A
39
,.ad lo.t caid ttdlaL -

SCHOOL-BASEO FEEOING PROGRAM

RFQy'MARXET FORM

Lot 3 i Fish, Meat and Poultry

Qu€ntity Qu.ntlty Untt Cort

(h sramt) (h ldlo.)

2
3

5
6
,
I
9
to
11

r3
,4
r5
r6
t7
la
l9
2t
22
23
24
23
26
27
28
29
30
3l
3a

lta

36

!a
39
40
,{.in€ oa th. Prccudng Entlty

abatract o, Qlrotrtlona

A!D.ov.d Budg.t fo. $e Cono-act

IItM AIDOER T AIDDER 2 BTDDER ]I BIDOER 4

c
t
D

Rema s

R.com6..One .{.rd a tollM: Illo-tl!. !rE!-4el!ds AEllrlt&-erst

at{t'tEx a
ll.m ol Al.Ey) Annol Peom.nl Pl.. io. FY

i riocllr (.€lFF t!4E.s@ctu d.qk ft Ftu d ,q.Q e! b jgr

^ !nopia-rdbt,lMaEol,,r,Fn6hrc.ry]6.d.t{o,nF.-dh@!ffid,,!.Fnb m$d4d6cl16 d.r@|y
',r.m
l rrioJ&r ol}l sr..d.eit, ud bdodr!tu
c,dFddfu
!,'6tkb'&i.rF*ddelry5''q.a
'dd.'dA*nn6iredrldd{
r&'d.k.d,!66rdr.r.r.rd!ffidr6rFl-lwdfiE tr rrD.r,rartdtu.rdyErr{
.wn61frry&@bddEdfu

,.r.dDtaa'rd.d &.fryp@dmr.dr.rclr@hoi. 6.*fudo!!Edol'dry

&,l.d$ddtl,o.Ps'd
ANTIEX C

DBIIPMR Attachmsntl as of monfirrdayr2ooS

 REPUBLIC OT THE PIIILIPPINES
COMMISSION ON AUI'IT
Corn nonucalti Avcnu.. QlEzon Ciry. Philippincs

CIRCI..LAR IG: 2017- d}t

D.t : httl l0 Tlll

TO All H..ds of Dcp.rtmcoti Bl,.rus. Olficcs. Ag.nci.s and

Inslrumenhlitcs of the Nationsl Gollmln.Illi Hcads of Local
Govcrnmcrt Udlsi ManrSing Hads of Covainincnl-Ol^,ncd
and/or Controllcd Corpor6rions; Commission on Audir Alsistrnt
Comnissiomrs" Directors. Supcrvising Auditoc, Audir Tc.tn
LcrdcB rrd dl olhar3 coicanrd

S(BJECI : Rciftburscficnl ofc\p.nscs nor rcquiring oflicial rtcciprs

In r,i.w of thc rcduca{ purchasing power of $e paso. crpanss incurrcd h!

govc]rullcrt orficid! .rd cmploy..s in tltc dischl,ge of fi.ir orlicial furrtiom
amountin8 to P300.00 or l6s nccd nor b. sut Doned b! oflicisl receiprs. .tccpt for thc
follo$ingl

a. Pa!,mcnt of faEs in public utilir) \ehicl.s issuing Ecciprs such as bus.

(rtin. tcss.l/shipl and

b. Purchas.a in burin.ss asEblishmcms issuinr recaipts

Th. omcisl/.mploy.. conccmcd shall bc rcquircd lo submil a ccniliclrion for

€xpcns.s P300.m or hss rs suDponing documcnl (AMcx "A-).

An)' ci cular or di.lcrivc in conflict here$i$ is hereh!

ancdcd/nrodili. r*olcd *cordingll.

This Circular shall i*cefrccl fifrecn (| 5) d.t3 from d.re of publicarion in a

ncuspepcr of gercral circulation.

al
M G. AGtil!\ALt O
Chairfrerson
li'I

,M F,L D. AGITO
(ilinmissioner
 CERTIFICATIOT{ OF EXPET{SES NOT REQUIRING RECEIPTS
Pu3trd. :. CCA ar.!;a. N.- ,17. Qt i.a.a J!t3 A bt,

.u.*.. :^.t .Fvc ?M .^. n4r rr: Brrira _.j.,r:j 41j :.a: :
lr.lr rcfiot{,ch..lrh..rho.k.dh.@rodt 5.n6tr..dt6a (Fd.di br!.d o rh..i!.@ @ro.ie d fi rn
tqul'ilffi.^,dhbl.lo,llffs

,ie
l6i,,3od!ut'n''!rl*hfu.E4lii.i''i.d|^.
.ctl!d,dlltddE.dhdlt

,.,npd6.E..nt.ilodttd@E

rB..dlj..d.Eh..r..
&,qffi nr4i{rhdi... i didd

^DrDr{hFi 'iaorl..ihr.b

.rd.c.d.drdrFid
vtridl.d.clr*d.d!d'E6dd,

I !J.ad!6e,'Yn.I5il

Cdl'!.ElIdl!.drtleEF,,n.
rhbdrbdr.r$.t{y,6'lltd
rdlc,io6!l$i.!dld,r
hmcnt cr.d l4nm ! hro{d b
^Prne

rlwru*r*Mt!i{a.drld
Prn^r duiN/t.@ (i di ro.&a na

dl[|.llhE.r.tnte.
I
*dncho.rrrn.nc,.'
edfi.'..tr.l*
oiirchL..iE,rh
Mhdlhh.r'|6xd{i

'ldchtdl.d!&i
6drab6 t..'.io*n.r6
(.{de...bli.liFdfu
wdl.lfuG}Irn.th.eddtrlq

'bde...ri.nnhFdeib
d't..tt...dnhFdotd6
w*d&l.-ad.n6!ddM
,@clnl..ltl0'li@dd{lo
turu d EbB h rh. L.t r-.rh m n 5

w!.iitqrd16l...-.dhu.
 !ii
e,r't!6es6a4

r]6ddn ds6rruituanqd

g.fud**@aqI-i.1,'dd{

hkr<de.tu6.i'l.9d's.
!h'dr.thrlel,{Brd

E
.m. iddH,.ldlt|Iq6ly)

$c dldnqmrftdr4d(M'

k4d Lndd.n./.awn ucE.Fr

rndd6.&tofiPl'trfu,e![ l
,slk.6IDrdI't'rrvmiE
idi id,trr.keed.<hr-i

'dd,dEt*,!.i.dh!.i
lrFeitr.,en.dt'{i,{dcll

rE'.dB*16d@Ftu'nl'l,..rx.
'ldanfu..s.ri,i.lle&rb,
l[ddt'*&]lre.idfud
tud a*. *ers u dr-rll se h k k.
niEbr@6 a, (Fdnt b {*.idru

I Jollb.6 Glouo
ffi, t mti:(rr\TIoN_
 WORK At{D
SCHOOL-BASED FE
SY
Ragion: _
Dlvlalon:
Ditl.icl:
lln|. or Sahool:
BE|S School lD:

Obl.cttv.rt To khp.ov. tha ouldtl,onal atalu. ol tho SW and W banatlciarlaa

Edura 85-10ora .ttandaica amom t.rgat banarlciarlas
to lmpiouc thc chlld.rn's he.lth and txrtrldon yrlucr and b.havlor
Parfo.'nanca SY
PROGRA'ACTIVITY'PROJECT lndk{orrlrnft ol
Klnd.r Gr.d. I to 3d -,Ah Ort l.t Otr.
TOTAL TARGET
marauru Gr.d. A of20t6

GAS/STO/Prolect

l. Ptocuarmait (,
NO, O' BFP
Food Commodith! io, School.Br..d Fr.dlng b.n.fclarlaa h
B.na0ctarl€a

(Saa .(ach.d lbts of cornmoditla! bcnelicia es beneficiaies beneficiaries

wlth aatlmatad amout and Cycla t{.nu}
Xlnirar
Gaado I
G[d. 2
Grado 3
Gradc a
Grada 5
Grrda 6
Tot l t{o. ot B.n.llcl.lr..
 Padoilanca Trrget Bensf,cl.rl6 SY
PROGRAI'AC?MTY'PRO,ECT lidh.torrunl ot
Klndar
G'.dr t to 3.d - ath dt l.t Ol' TOTAI TANGET
Iaaura 6r.& 6 ot 2015
R. Oprr.taord Erpan ot

Lint n.t|ca rd Og...dng EtDattaaa

atad€d tists of supdbs
(See
aid mrcrUs wth edimated co6t )
l. OrLntdon of,aLk hoHaaa
Z $rppliaa A m{..i.b .!bLr, to iaadhr! p.ogr.m

(Gasul,k€rcerE, tlel. arracod, r€te(. etc.) LP,G I dr.. LPG t dr.t

coo$m nEiattiL cokin! rEtadair
coirritE (5
gCld!&o.{anr.) oa
ot miEr.lrFl iff.d
filrE uDurf.{ -i.r
{ld,td aat of.!Ll.d
lbadhrg uboaib Godlng l,t.rEib
3. Lnasanra Program ODaradoo
(mini nal t"an8poatatbn 6rpens€s, xercr, and
other p.iority relaH expenscs)

TOTAL EATIXATEO COST

by: n qu..t d By: xot d By:

F..dlng Coordln bt Haod Oislri.t Suoeru'!.tr

 Samob onlv
FINA'{CIAL PLAN
EDlI,lc PROGRAm (SBFP)

Flnancl.l Requiremenb fo, SY RESPOT{Sr

SOURCE
Coal CY CY BILITY REMARKS
TOTAL OF FUI{D
Aaaumpdon SEPT ocr t{ov DEC. JAN. FEB. AR. CET{TER

E ll d.n zoltata-,, tt dtF ,,r. tt d.l. t0 d.!r li ltayr l,d t

Number of
b€n6frciarbs HNC-SuE
xP16.00x120 PES
ARO
days

tr6?dl I
II

-
 Flnancial Requlremenis ior SY RE|'ONAt
souRcE
Coot CY CY Bf,-ITY REUANXS
IOTAT OF FUND
Asuotplioo SEPT ocT. M)V oEc Jll. FEB. IAR. CEI{IER
Numbor ol
beneficiabs
xP2.00x120
days

t r I

r-fl

tltt-Td

GRAIID TOTAL

Funda AvalLbla: Ape.lvad br:

affilot Acca,rn.'/,, fu.t**bt

 OEPART E A OF EOUCATIOI{
CY-PROJECT PiOCUREMEXT ANAGEI EI{T PLAN

NO PROC SOURCE
PROJECf acnwf,Es
OAfE OF FUND Shoppl,g Ut ca conmconglr.ood.ald PrEc
(a'oA)
BLL ng 6n V.tu.)

in yb@s / PPII|F / (Na@ ol Oltd)