Republic of the Philippines

Department of Labor and Employment

Cordillera Administrative Region
Cabinet Hill, Baguio City

CANVASS FORM

GENTLEMEN:
Please quote your price, on the items mentioned hereon and submit your
quotation/proposal/bid to the Property Section, _DOLE-CAR Mountain Province Field
Office at Poblacion, Bontoc, Mountain Province, not later than June 26, 2020 at 10:00
a.m. at which time all submitted sealed quotations/proposals/bids will be opened.
We serve the right to reject any or all quotations/proposals/bids.

Very truly yours,

APOLLO R. LUSPIAN
Authorized Official
ITEM QNTY/UNIT DESCRIPTION UNIT PRICE
WHEELCHAIRS

1 1 piece M-1 Model (stainless)

2 1 piece V-1 Model (stainless)

3 1 piece V-1B Model (stainless)

1 piece V-2E Model (stainless)

4

5 1 piece V-1D Recliner (stainless)

6 1 piece M-1 Model (chrome plated)

7
8 1 piece V-1B Model (chrome plated)

9 1 piece V-1D Recliner (chrome plated)

1 piece Electric Wheelchair

10

11 1 piece Cerebral Palsy Wheelchair

WALKERS

1 piece Walker w/ tire for adult, adjustable and

12 folded

1 piece Walker w/o tire for adult, adjustable and

13 folded

1 piece Walker w/ tire for children, adjustable and

14 folded

1 piece Walker w/o tire for children, adjustable

15 and folded

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 CRUTCHES

Crutches for adults, adjustable and folded

16 1 pair
(stainless)

Crutches for children, adjustable

17 1 pair
(stainless)

Single Cane for adults, adjustable

18 5 piece (stainless)

Single Cane for adults, adjustable

19 5 piece (stainless)

20 5 piece Quad cane (4 legs) for adults

21 5 pair Crutches for adult, adjustable (aluminum)

5 pair Crutches for adults, adjustable (stainless)

22

23 5 pair Crutches for kids, adjustable (aluminum)

24 5 Foldable Walking Stick

EQUIPMENT/TOOLS

1 piece Portable Welding Machine 8x6-300amps

25

26 1 piece Auto Darkening Welding Mask

27 1 piece Acetelyn set with hose

1 piece Portable Acetelyn Tank

28

29 1 piece Table Vice Clamp (Jaw Width: 35mm)

30 1 piece Bench Grinder (3200rpm)

31 1 piece Hand Grinder (125mm angle grinder)

1piece Hand Drill (220v)

32

33 5 pieces Welding Gloves

34 1 set Screw Driver Set

35 1 piece Vice Grip (7 inches, steel)

1 piece Calliper
36

37 2 pieces Linesman Pliers (6 inches)

38 2 pieces Combination Pliers (7 inches)

39 2 pieces Bent Nose Pliers (6 inches)

2 pieces Slip Joint Pliers (6 inches)

40
3 pc. VDE Pliers set (160mm side,
41 1 set 200mm long nose, 180mm combination)

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 42 1 piece 24 oz. Ball Peen Hammer

Pipe Bender (stainless steel, MS 15,

43 1 piece
22mm)

Hydraulic Tubing Bender

44 1 piece (2 inch OD x .188 wall)
1-1/2 inch pipe schedule 40)

45 2 pieces Spoke Range (1.8 X 184mm)

Lathe machine for metal (300mm x

46 2 pieces 490mm)

47 1 piece Chordless Handrill (rechargeable)

Requirements:
1. Quotation exceeding the ABC of Php 478,718.00 will be automatically disqualified
2. Interested suppliers are required to submit the following documents in addition to the Canvass
Form:
a. Mayor’s/Business Permit
b. PhilGEPS Registration
c. Omnibus Sworn Statement
Note: Quotation/Bid with incomplete documents will be automatically disqualified
3. Item/s or services must be delivered within 10 days upon receipt of approved Purchase
Order. A penalty of one-tenth (1/10) of the one percent for every day of delay shall be
imposed on the undelivered item/s.
4. Item/s or services must be delivered at Bontoc, Mountain Province.
5. Item/s must carry standard warranty, if applicable.
6. Defective item/s must be replaced/acted upon within 5 days upon notification.
For DOLE-CAR For Bidder/Supplier
Quotation received in response to the posting:

______________________________
Date:__________________ _______________________________
Name of Establishment/Address
Canvassed by: Signature of Manager/Authorized Representative

TIN:__________________________________
Date:____________________
Contact Number:________________________

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