SUPPLY REQUEST

RFQ NUMBER: SA007-0029 DATE: 27/04/2021

REQUESTED BY: Ahmed Ishaq POSITION: HSE Manager

NR COD. JDE DESCRIPTION U.M. Q.Ty PICTURES / REMARKS

1 HELMET STICKER - HSE INDUCTION NR 300

2 HELMET STICKER - FIRE WATCH NR 100

3 HELMET STICKER - FLAGMAN NR 100

4 HELMET STICKER - STANDBY MAN NR 100

5 HELMET STICKER - FIRST AIDER NR 30

6 HELMET STICKER - GAS TESTER NR 25

 7 HELMET STICKER - WORK AT HEIGHT NR 100

8 HELMET STICKER - CONFINED SPACE NR 200

9 HELMET STICKER - SICIM LOGO NR 200

FINAL DESTINATION PROJECT REFERENCE

DAMMAM SA006
JIZAN SA007

REQUEST REASON
A - To restore Warehouse Stocks C - Veheicles Equipment E - Software
B - Specific Project Requirements D - Other Equipment F - Other (Specify): Yard Facilities

EXPEDITING LEVEL
LOW MEDIUM HIGH

ACCOUNT ATTRIBUTION
V- Sales Account X- View/Approval Others (Remark):
N- Rents Account A- Other (Specify on Remarks)

CERTIFICATE REQUEST (SPECIFY ON REMARKS THE TYPE OF CERTIFICATE) YES NO

REMARKS

REQUESTOR SIGNATURE PROJECT MANAGER SIGNATURE PROCUREMENT MANAGER SIGNATURE

QUOTATION RESUME
Industrial Devices ALMAHAT BIDDER 3
ITEM UNIT PRICE TOTAL PRICE ITEM UNIT PRICE TOTAL PRICE ITEM UNIT PRICE TOTAL PRICE
1 0.50 SAR 150.00 SAR 1 0.50 SAR 150.00 SAR 1 0.00 SAR
2 0.50 SAR 50.00 SAR 2 0.50 SAR 50.00 SAR 2 0.00 SAR
3 0.50 SAR 50.00 SAR 3 0.50 SAR 50.00 SAR 3 0.00 SAR
4 0.50 SAR 50.00 SAR 4 0.50 SAR 50.00 SAR 4 0.00 SAR
5 0.50 SAR 15.00 SAR 5 0.50 SAR 15.00 SAR 5 0.00 SAR
6 0.50 SAR 12.50 SAR 6 0.50 SAR 12.50 SAR 6 0.00 SAR
7 0.50 SAR 50.00 SAR 7 0.50 SAR 50.00 SAR 7 0.00 SAR
8 0.50 SAR 100.00 SAR 8 0.50 SAR 100.00 SAR 8 0.00 SAR
9 0.50 SAR 100.00 SAR 9 0.50 SAR 100.00 SAR 9 0.00 SAR
TOTAL AMOUNT: 577.50 SAR TOTAL AMOUNT: 577.50 SAR TOTAL AMOUNT: 0.00 SAR
YES YES YES
SUGGESTED SUGGESTED SUGGESTED
NO NO NO

REMARKS REMARKS REMARK

Payment 45 days Credit Payment in Advance
Ex-Supplier New Supplier
Delivery in 2 Days Delivery in 3 Days

Signature for approval Signature for approval Signature for approval

Signature for approval Signature for approval Signature for approval