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MUNICIPALITY OF BALINGASAG Proj. Reference No. PROVINCE OF MISAMIS ORIENTAL Name of Project Repair /Maintenance & Other Expenditures cation of eee LGU-Balingasag, Misamis Oriental Std. Form No. SF - Good 60 Revised on : May 24, 2004 Date i TO Request for Quotation Quotation No. —E—EEEE Establishment / Company Address Please quote your lowest government price ofthe article listed below, subject to the General Conditions on the last page, stating the shotest time of delivery and submit your quotation duly signed by your representative not later than in the return envelope attached herewith, $ EMMA B. MOFAR Note’ BAC Chairman 1. All entries must be written legibly. 2. Delivery period within Calendar Days. 3. Warranty shall be for a period of six (6) mos. For supplies and materials. One (1 ) year for equipment, from date to acceptance by the procuring entity. 4. Price Validity shall be for a period of Calendar Days. 5. G-EPS registration certificate shall be attached upon submission of the qoutation 6. Bidder shall submit original Brochures showing certification of the product being offered. No. ITEM AND DESCRIPTION [QUANTITY UNIT UNIT PRICE 1 | HCFC 123 Liquid Type 6 | units Fire Extinguisher (Brand New) 2 | Dry Chemical Fire Extinguisher 10 | units (Refill) 3 3rand & Model Delivery Period Narranty Price Validity: After having carefully read and accepted your General Conditions, /We ‘quote you on the item at prices joted above. METELO C. JO ‘Canvasser Printed Name and Signature

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