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PURCHASE REQUEST

Administrative Office and


Office : PR No. : CBCF-2021-xxx Date. :
Competition Enforcement Office
Information and Communication Technology Division and
Division: Activity Code:
Monitoring Investigation Division
Date : 7/xx/2021
Item Stock Unit Item Description Quantity Estimated Cost
No. No. Unit
Lot 1 Digital Forensic Equipment
1.1 Unit Data Extractor/ Duplicator 1 ₱ 223,214
One unit Portable Server (Laptop type), and 3 units All-in-One
1.2 Set Workstation, including all software, cables, connectors and 1 ₱ 870,536
peripherals
Lot 2 Mobile Forensic Equipment
Mobile Forensic Equipment, cables and other peripherals,
2.1 Set including laptop computer 1 ₱ 1,607,143

2.2 Unit Intelligent Book Scanner 1 ₱ 62,500


2.3 Unit Portable All-in-One Printer 4 ₱ 26,786
2.4 Unit Portable Printer 2 ₱ 26,786
2.5 Unit 1TB, Solid State Device (SSD) Portable Drive 5 ₱ 17,857
2.6 Unit 2TB, Solid State Device (SSD) Portable Drive 3 ₱ 39,286
Lot 3 Digital Forensic Discovery, Extraction and Analysis Software
Digital Forensic Discovery, Extraction and Analysis Software,
3.1 License 1 ₱ 1,875,000
Main License
Digital Forensic Discovery, Extraction and Analysis Software,
3.2 License 5 ₱ 92,857
License for Reviewer
Total (Net of Tax)
12% Value-Added Tax (GOP Counterpart)
x x x x nothing follows x x x x
All procurement of goods and consulting services, to be financed by Asian Development Bank under Loan No 3878-
PHI will be undertaken in accordance with ADB's Procurement Policy (2017, as amended from time to time) and
Procurement Regulations for ADB Borrowers for Goods, Works and Nonconsulting and Consulting Services (2017, as
amended from time to time).

2 Xx - Lot Purchase - Per Item Purchase Total Estimate:


x complement PCC's ICT and CEO needs for its staff and project management unit and to support delivery of knowledge sh
To
Purpose :
activities online to ensure continuity of learning and awareness on competition amidst the pandemic.
Source of Fund : ADB Loan 3878-PHI: Capacity Building to Foster Competition Project & GOP Counterpart for Taxes
End-User(s) : ICTD and CEO
Name of Property (in case of repair) : Plate No./Serial No.:
Mode of Procurement per APP: Open Competitive Bidding WFP Line Code. :

The aforementioned supplies are : Included in the Annual Procurement Plan submitted to Administrative and Legal Office
Available at PS DBM Not available at PS SBM
3
The amounts of PhP____________________ and PhP___________________ had been earmarked in our SARO No. SARO-BMBC-
_____________________ and FY ________ Appropriations pursuant to Republic Act No. 11520 with Availability of Allotment Nos. ADB-__________ and
_______________, respectively, valid from __________________ to _____________________.

The actual obligation for this transaction through issuance of ORS must be incurred until ______________________, while the delivery, inspectio
payment shall be made not later than ______________________________ pursuant to Section 62 of the FY 2021 GAA General Provisions.

BERNARD L. TINONAS
Chief, Budget Division
4 Requested By: 5 Approved/Certified By:
Signature
Printed Name Allan Roy D. Mordeno KENNETH V. TANATE
Chief/Information Technology Officer III
Designation Executive Director
Information and Communication Technology Division
Date: Date:
4 Requested By:
Signature
Printed Name Ferdinand B. Redulla
Designation Director III, CEO
Date:
Reviewed/Cleared by: Date: __________________________
Estimated Cost
Total

₱ 223,214.29

₱ 870,535.71

₱ 1,607,142.86

₱ 62,500.00
₱ 107,142.86
₱ 53,571.43
₱ 89,285.71

₱ 117,857.14

₱ 1,875,000.00

₱ 464,285.71
₱ 5,470,535.71
₱ 656,464.29

₱ 6,127,000.00
o support delivery of knowledge sharing
pandemic.
Balance of Budget:
eqpt ₱ 4,055,465.28
software ₱ 2,962,195.02
total ₱ 7,017,660.30
total estimate (PR) ₱ 6,127,000.00
e and Legal Office Remaining Budget ₱ 890,660.30
Per PAM:
ARO No. SARO-BMBC- Budget $128,000.00
tment Nos. ADB-__________ and ₱6,231,936.00
NCA Rate 48.687

_____, while the delivery, inspection and


General Provisions.

BERNARD L. TINONAS
Chief, Budget Division
ved/Certified By:

KENNETH V. TANATE
Executive Director

______________
#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!

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