Standard Form/Title: REQUEST FOR QUOTATION RFQ No.

:
Procuring Entity: Date:
Office/End-User: BAC Res. No.:
REQUEST FOR QUOTATION
COMPANY NAME:
ADDRESS:
TEL. NO./FAX NO.:
Please quote your lowest price on the items listed below, subject to the Terms & Conditions stated below
and submit your quotation duly signed by your representative not later than _____ of __________.
TERMS AND CONDITIONS:
1. All entries must be typewritten or legibly written.
2. Delivery period within ____________________________ upon receipt
of the approved funded Purchase Order (P.O.).  
3. Warranty shall be for a minimum of three (3) months for supplies &
materials from date of acceptence by the end-user.   __________________
4. Price validity shall be for a period of sixty (60) calendar days.   BAC-Chairperson
5. PhilGEPS Registration ,Certificate,Mayor’s/Business Permit,PCAB
License (Infra.),Income/ Business Tax Return,Omnibus Sworn Statement shall be attached upon submission of the quotation.      
6. Bidders shall submit original brochures showing certifications of the
product, if applicable.
ITEM ITEM & DESCRIPTION UNIT
QTY UNIT
NO. PRICE PRICE

TOTAL
CERTIFICATION:
A. After having carefully read and accepted your B. I hereby certify that I have personally conduc-
General Conditions, I/We quote you on the ted this RFQ and that the prices quoted is/
item/s at prices noted above & hereby certify
that we have stocks of items abovequoted.
__________________________________
Signature over Printed Name
of Supplier's Representative
_____________________________
Tel. No./Cellphone No./Email Address
are true and correct and the signature of the
Supplier's representative is genuine.
___________________________
Signature over Printed Name
of Authorized Canvasser