Republic of the Philippines

CENTRAL LUZON STATE UNIVERSITY

Science City of Muñoz, Nueva Ecija

PROCUREMENT SECTION

REQUEST FOR QUOTATION

Tel/Fax: (044)456-5652 Email: bac_sec@clsu.edu.ph

Company Name: Quotation Number

Address: Date

TIN Number: P.R. NO.

Tel/Fax: Mode of Procurement SHOPPING [Sec. 52.1b]

Email Address:

Bidder’s PHILGEPS REGISTRATION “Manufacturers, suppliers, distributors, contractors, and/or consultants

CERTIFICATE NO. __________________________________ are MANDATED to register with PhilGEPS and provide a PhilGEPS
Valid Until:_________________________________________ Registration number… as a condition for award of the contract.”
Please see GPPB Resolution No. 30-2013 dated 25 October 2013.)

INSTRUCTIONS / NOTE TO BIDDERS:

1 Please indicate the following information in your bid: a) Company name, Address, Tel/Fax nos.; b) PhilGEPS Registration Certificate No. and date of validity; c) Bidder's offer
(technical specifications / brand)per item; d) unit & total price; e) Name of bidder's authorized representative; and f) Signature & date.
2 Download this Open Canvass Form from the PhilGEPS website before the closing date
3 Bids/quotations may be submitted thru fax, email or directly to the BAC Secretariat Office on or before the deadline of submission of bids and requirements.
4 Suppliers are required to submit the following prior to the notification by the BAC of the award: a) Valid and Current Mayor’s / Business Permit; and b) Valid and Current
PhilGEPS Registration Certificate / Number.
5 Bids should be valid for 45 days counted from the deadline of submission
6 Delivery Period: __________________________ upon receipt of Purchase Order
7 Term of Payment: CHARGED ACCOUNT, unless specified
8 The total price quoted above is subject to withholding tax and payable check

DEADLINE OF SUBMISSION: ____________________________________

Late Quotation Shall not be accepted.

ITEM Bidders Offer: (Technical Specs/ UNIT PRICE

TOTAL ABC ITEM & SPECIFICATION UNIT QTY.
NO. Brand / Model)

LABORATORY SUPPLIES

Raw Materials for AMTEC TEST KG 20

(Dried Cacao Beans)

BY THE AUTHORITY OF THE

PROCUREMENT OFFICE
Supplier’s Representative (Print Name) RONNIE L. GUTIERREZ
Chief, Procurement Office
Signature / Date
Canvasse By:______________________________________
Date: ______________________________________________

ADM.ADS.PRO.F.001 (Revision No. 1; October 9, 2017)