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oo33-0042{6-003 **r 2o355O3

Irly 29, 202r

*T* Ef I ]Y YUE HARTET AITD ETIIERIRISES **I 1948'8.35

'IT OXE HUIIDRED !!}b THq,lSrxD ETGNT HU'IDRED SEVEIITY E!GrT PESO6 A-'ID 35/TOO
OLY 'IIXETY

o,fiT{ottl,,,*
lrrlr|i.itlrl Hrv6r ;#m.
DV No loo-2021-o7 -2199
JOURNAL ENTRY VOUCHER JEV No 100-2021-07- t 281
Vunicipality rrl' Buenavista Date o7 /30t2021

f collection 17 Check Disbursement f- Cash Disbursement l- othen

ACCOI-]NTING ENTRIES
Responsibility Amcunl
Accounts and Explanation Account Cod€ PR
Center Debil Credir
940-21-500-0 Food Supplies Inventory | -04-M-050 19E,417.00
Cash in Bank - t-ocal Currency, Current Accoun I -01-02-010 r92.878.34
Due to BIR 2-02-0t-010 3,554.46
Due to Other Funds 2-03-01-0t0 1,984.t
STiBSIDIARY ACCOUNT!
'
Food Supplies tnventory - 5% Calamity Fund -04-04-050-(19)-ol
I
II
l t 98,417.0C

Cash in Bank - Philippine V*erans Bank (57o


l -01 -02-010-( l9)-0ol 192,878.3:
Calamity Fund) - 5% Dev Fund
Due to BIR- I
o/o
2-02-01-010-(19)-007 t,771 .5t

Due to BIR- 5%
Due to other Funds - 5% (Local Tax)
2-02-01-010-(r 9)-010
2-03-01-010-(19!02
II t,782.9C

I ,9E4.ti
I
For payment offood supplies for LSI, retuming
OFWs, RHU perosnnel and other personnel
assigned at COVID-19 Task Force Quarantine
fuea/COVID l9 Ligtas Center, this municipality in
the amount of- - - Php
Ag.,".
- 158,480.00
Non-Agric. -
39 ,937 .00
19E,417.00
Less : 5%
39,937.0O I l.l2 =
39,658.04
5

GRAND TOTAI 196,417.00 t9E,417.0(

Prepared By Approved By

R osfirNDA rru{c S TTE S. QUIMZON, CPA


Accounting Clerk I Municipal Acco

lting Rlm Date : 7/302021 Rutr Time 9156:ll AM Exe Date: M23l2021
Prepared By :Rosalinda
AlpBrdix lil
f'sti$S. MTrfi ICIPiLI T1'. or BIJTN..T,uYTI
-15.t':{sra' CERTIFICATION OI{ APPROPRLA.TIONS. FTTNDS AIID OBLIGAT ION
q'iE,+'
OF ALLOTN{ENT {bcr AozF 0r-r,1
nblig;riG-; Nc
Rape* l,r+nreedAmlmr. 19e.4'lT.O3

Pr-teE
B{TIFJFISES
C prtificeiior,.:
Allstrnslt E.gsEE .rJt|lEi.]l,:r
isle I hErEby crfiry $ to tLe trisl.errce sf
Sprqn:rim:, i'cr
501 !s$4+;r-fi 1Ot.11i lfr thp eryrsldrEre'" in ite r::mnt ge{lfled hrein:

HE-ENPC,P,]f.a \'L?-21
EC.}'ITILAA

tttlt urtidpal BidEEt firrr

Certifirsti@
I hrrby c*try' sr rr-r thE ssallsbilig' of ft.rrds t:E thE

LOT erysldiE-res in the srrs.rlt +eclfied hcrBrn:

TMENY ( TR.: rl
LE 4
TcEal sn rs-lxt r*.lueaPd
nrr{ht rs I:LY,ll Lrrre itrr:dred Ninr(}' ElEhr {- ertifi{a!iori:
ThG$srd 5'fl-u Hrindrpd ss.rErteB'i pe:=o5 ord'i
I hEr-eb.-. rEr-iltr thst ti're iilL'finB-rts sre EvsllablE t:s'
F.r.1ue*rr,g Cftluri iLrbliEstlur i E ErLflr.I +rit'l8d hsErn

.1w.,= 1 7q v t,,z
Nsne llrd SignEfi.re l.ftmiripsl Ai.slntmt

Subsidiarv ger

P$troii{r'Ret-gaILE Liquid.*icr,: Ob!igaticri Ino'ea:e


ilesEs5e:)

'tr
EI axo .fT lYBr M.mxnr .lxo
Errtrnpnrrrs
National Hqhwsy, Pablac,on Camer Aqusan
EMttANUElrI. FTNEZA - Proprietor
VAT Reg. TIN '178-846-963-000
(IIII*INITIIITN N9 rssz
sotd to Da.u-%D{A\/IQ\ o*,lvautf 2,Wl
TIN:
Adalras!ai OECATPWD lO l{o. _
C.d Hold..'.
Buslness Styl.:-- Slgn ure:_
Qtv Unit ARTICLES Unit Price Amounl
,o $tlt, Rtot t,qq-
/t kl PN{L bdhdat
rs
rs traU
KI g@4tw 16^
a{0-
3q[, zl
22, yt
6 aQ. 3,6

I II
II
II III
III II
II Total Sal€s {VAT lnclusivo)

Le$: VAT II
VATable Sales Amounl Net ol VAT
VAT Exeflpt Sales
ZeD Rated Sales
tslt,GW- Less : SCIPWD Discount

AmounlDuo
II
VAT Amolnl Add: VAT
IOTALAIIiOUNT DUE /51',C
100 Bldb (50x2) m01-5,000
8lR Aufiority b Pint l!s,2AUmUl3!13! >v->1/'
Dsto lssu€d: lagl1zu&9.![J[2Jqe023

w ino PRf{Iti(}
Q!!4 q4!! qly
nt:17$t2$lf.000
@
PRETS CelhlcrrAuthortz.d Rcpr.. t ttv.
Frinly'6 PernaB{A..JEdiraton No. t03irPA13mO(0@005
Oefttssu6dt2-23-2013
F-f lxo.lTlYrr Ma,nxBr lxo
Et{rsnprusEs
Natronal Hrghwry Poblac
EMMANUEL i. FlitEzA - propneror -
on Carmen. AqLSan det No.
\'

triiiillhffih Ne isss
lrta-
Soldto btF,tuvtcr( *. fiugur{ l,l,
TlNl Torrm:
Addaeis5: OgCArPtttD lD No.
Card Hold.rt
ButlnalsStyla:_ Slgnrtulr:_
Qtv Unit ARTICLES Unit Price Amount
5 kt. Ql.a- 3,39)
'ladb-
cw Coollr:a dL 6,za
C6|t J'o,/ G{ ) htcl 'lryc-
fua hihcn , .lz rb q" -fi_
W&t
7 ;&) r.-. YackturcA 6 G,0c
/Q) Pacl<J I>ip.liuo/l 2r't ?s. ?,su
kl Prieal frch stn. t.
2 ,.1
kt F,<sh {hikr 35 aru
ca"[< EWE
MEEETE{Lfr@iEA.E
I
W l4io. cttt VAT 6
VATable Saleg 2 Amount Net ol VAT I
VAF Exempt Sales L€6s : SC/PWD Discounl I
Zoro Rated Sales

VAT Amount /9
Amount Due

Add: VAT I
I
100 Bklb (50x2) 0001-5,000
TOTALA{I,IOUNT DUE I
8rR Aufioriry ro pn ls-2Al/!!gzl!{Il! >*Vv-
oato rssued; la0l!qE[0!r!];!a0L?0?3

w ffitHilS RRD PRI}ITII{G PRESS

THts sai.Es
Cash

BffiJ,m,ifllifl"*onNo
Authodzad Reprcaontetlvo
lo3i'jP20130000tr0o05

[atoEE s{l,L EEva.p fo8 nvE l5l yE aE FSot T}f, oalt or Tp


Appendix 3 )
DISEURSEMENT VOUCHER Fund
GENERALruND
MTiNICIPALITY OF BT,'ENAVIST' DV llo.: 10G2021.07-2I99
LGU D*c:7128t2V21

Payee: El & JY WET MARKET AND ENTERPRISES IDNo./TIN:


CAFOA No.:
50G202r47-159r
Address: CARMEN, ADN Rcsponsibility Ccma.
994G2 I -5004 I
Prrrirdr'' Amormt
For EnErtdlbo.l rfp[- tu lsq, rtrl*tt ffi+ frf, DrEiltd rd dE p.roDd l9t'4l7.0o
.dg[td * OOYIDl0 E IEo (lulr.otlra lilrOOYlD l, lJetlr Glttsr, UI3 (r,7r2.9O)
ilualde.llty h 0r..[nmt d- - - thp ( I,77t.5t)
,tb- - ll+a-.O (l9t4.r?)
lGlarE - ral,-6 lt+alro
l-rltt
,fir,$l Lt - r,w
fr. ,,ru,
,,qal,,oI Lt - rrr.t*o.
rt. lrrlI3
ll -$alz 1.11L
rrlrrr.$
ADouDl Duc 192!7E.3!
A Ccrtlllcdr B Ccrtifiod: c Ccraificd:
Expcorcrcrrh Mvrnccc 6sry, and popriay of srpporting Funds evailable for the pnpose.
vdirl propa, lawfirl ud imrrred udct cuh rdvancc
my direcl rtparviciott. effrif,r [6[{ i1 rulr

s. QrnMzoN, CPA
^.#fi[Bi,,*
uni.,ip.t M.yo. Mnni.itdActo[trDt
SigDr[rE Ot^r Prid.dNar/Poitin Olrr Priorcd d Signatu& Narft/Poditrorl
Hcrd dlhc Dc0Eh.rn (r Ofr.. 6. DqrtEd c. O Eoc Ilcad of tlr D4rtntm cr office

D Approvcd for Prylc*: P f Rccdved Payment:

Prymcor:
Chedr No.:
BuhNure:
I)ac: lt
)uw
f,J JI' XTT MARXET AND ENTf,RPruSE"(
c- '
raiF
SigDdwB OvGt Pri Gd NdrF]?(xirim
SisDrqr o!,s Pirird Nc/Pcitio
tcd Chic'f Et<c.utire

vb to?{fi1 Dslc:

F Accor.tin! ElH.' (S.. Attrchac60


JVP 469

Appendix 17
sqs
PTIRCHASIi REQTIEST

LGU: Buenavista Agusan del Norte Fund: 5% MDRRM Fund 2020 Surplus - SB#1

Department : Mavor's PR No.: 2DU-D1 - 311 Dare: 07 - OL- lDA


Section: FPP :

Item No. tlnit Item Description Quantity Unit Cost Total Cost

I sack Rice,5Okl 40 2,400.00 96,000.00


kl Pork Boneless 95 360.00 34,200.00
3 kt Chicken choice cut 95 240.00 22.800.00
1 kt Hotdog l5 210.00 3,450.00
5 tray Egg per tray l5 250.00 3,750.00
6 cont Cooking oil, 15.5 kl 5 I,300.00 6,500.00
7 cont Soy sauce, l8kl I 1,000.00 t.000 00
8 bag Bihon. l2kl 5 700.00 3,500.00
I pc Pack lunch 2,500 600 15,000.00
l0 pack Spoon disposable by 25's 100 25.O0 2,500.00
ll KI Dried fish 5 350.00 1,750.00
t2 kl Fresh Miki 20 3 5.00 700.00
ll case 3 in I coffee 28g 240's .1 1,750.00 7,000.00
l4 box Disposable cups 8 oz by 1000's I I,700.00 1,700.00

Total r99.850.00
Purpose: Food for LSI, returning OFWs, RHU personnel and other personnel assigned at COVID-I9 Task Force Quarantine
fuea/COVID Li6as Center

Requested by Cash labil Approved py:

Signature :
Printed Name n,,ktK{tos*os 'tH A ,,{t(fln
flunicrpal Mavor
( "n
Municipal Mayor
Deslgnation :
h .o^.*{

JUL 21 2
t
G
BY'COA L'IT
Lrt i'.
r't G l,tu"f -
f$e' ' ,,^^+&.-1, ,^t
DATE:
"Pr'*-' ';;, r
ft/"4^- .&J&
E ,,if A ) 0^^*.a^I^i
': D ATP: a"-t zo-f a6.p
61, I
h;r^h
Yv"\ t,
,j|

Appen .x 19

PURCHASE ORDER
Buenavista, Agusan del norte

Supplier: EJ&JY WET MARKET AND ENTERPRISES P.0. No, : 202t-07-120


Drte : July 19, 2021
Address: Carmen, Agusan del None Mode of Procurement : Small Value Procurement
TIN : BAC RESO NO. 468-202t
P,R No: 202t-07-399
P.R Amount: 199,850.00
P.R Date: July 2, 2021
Gentlemen:
Please fumish this Office the following articles subject to the terms and conditions contained herein

Place of Delivery : LGU Buenavista Delivery Term : Seven (7) calendar days
Dat€-of DeliYery : 1'zt-'nu Payment Term : Upon Check Issuance

,-stocL/ Description
Unit Quantity Unit Cost Amount
Property No,
I sack Rice,50kl L ,,fAwr-a Ara> 40 2,400.00 96,000.00
2 kl Pork Boneless 95 360.00 34,200.00
., kl Chicken choice cut 95 240.00 22,800.00.
4 kl Hotdog L./^Jel iur\r) l5 220 00 3,300.00
5 tray Egg per tray l5 242.00 3.630.00
6 cont Cooking oil, 15.5 kl 5 1,240.00 6,200.00
7 cont Soy sauce. t stt ( f/r{ A,^a,n) I 775.00 775.00
,1
8 bag Bihoq l2kl Crnldr^\ 5 696.00 3..180.00
9 pc Pack lunch 2500 6.00 15,000.00
l0 pack Spoon disposable by 25's 100 25.00 2,500.00
lt kl Dried fish 5 3 70.00 1,850.00
t2 kl Fresh Miki 20 35.00 700.00
l3 case 3 in I coffee 28g 2 a}'s (-7rann^,1 hrl"h) 4 I,736.00 6,944.00
l4 box Disposable cups 8 oz by 1000's I 1,038.00 1,038.00
Total 198,{ 17.00

( Total Amount in Words) One Hundred Ninety Eight Thousand Four Hundred and Seventeen Pesos

ln case offailure to make the full delivery within th e time specified above, a penalty of one-tenth (l/10) ofone percent for every
day ofdelay shall be imposed on the undelivered item/s.
IN trGtrE\7tr]RI
Conforme
ht ,r, i"rfr#"# n#JfBnr*n.
JN: frNlA Ifiunicipal Mayor
Signature over Name of Supplier BY: COA AD
vr)
Da

(ln case ofNegotiated Purchase pursuant to Section 369 (a) of 7160, this portion must be accomplished.)

Certified Conect
Date I
Secretary to the Sanggunian

$ i0){A"i iJ,.i,
(Mayor's) -._ .
Republic of the Philippines
PROVINCE OF AGUSAN DEL NORTE
Municipality of Buenavista

Bids and Awards Committee

BAC RESoTUT|ON NO. 458 - 2021


.,A
RESOTUTION RECOMMENDING TO AVAIL SMAtt VATUE PROCUREMENT FOR THE PURCHASE
OF GOODS FOR THE QUARANTINE AND ISOTATION FACITITY, THIS MUNICIPAI-ITY"

WHEREAS, the Local Government Unit of Buenavista has already established the application of
R.A. 9184 in all its form of procurement;

WHEREAS, small value procurement is procurement of (a) goods not covered by shopping under
section 52 of the IRR of RA 9184, (b) infrastructure projects, and (c) consulting services, where the amount
involved does not exceed the threshold provided under Annex "H" of the IRR of RA 9184;

WHEREAS, procurement of goods not covered by shopping is one of the situations that resort to
small value procurement as an alternative method of procurement;

NOW THEREFORE, be it resolved, as it is HEREBY RESOwED by the Bids and Awards Committee
duly assembled to recommend small value procurement for the purchase of goods for the q uarantine and
isolation facility, this municipality;

RESOLvED FURTHER, that copies of this resolution shall be furnished to the concerned offices for
information and appropriate action.

Adopted and approved this 9'h day of July, 2021 in Buenavista, Agusan del Norte

ev@aseas
End User

G*
CETIA M. BOTONGON GERWY LERA HELEN PORTIA BONTITAO
BAc chairperson BAC Vice' atrman BAC Me er

GE tYN T. ATONTON MARIA ER . qUIJANO

BAC Member BAC Member

Approved:

o,$T"T(*,*
Vlunicipal Mayor
viJ,
"r l/ .*
t
Republic of ihe Philippines
Province of Aguson del Norle
Municipolily of Buenovisto

NOTICE OF AWARD

)uly 19 ,2021

JINKY R. FINEZA
Proprieiress
EJ & JY Wet Morket & Enterprises
Cormen, Aguson del Norle

Deor Modom:

We would like to notify you thoi the supply ond delivery of Food Supplies 1o be used os
Food for Locolly Slronded lndividuol (LSl), Returning OFWs, RHU personnel ond other
pesonnel ossigned ol COVID-19 Tosk Force Quoroniine Areo/COVID Ligtos Center; this
municipolily is hereby oworded to you os the lowesl colculoled responsive quototion ot
o controcl price equivolent to One Hundred Ninety Eight Thousond Four Hundred ond
Sevenleen Pesos (Php 1t8,417.00). You ore lherefore required wiihin seven (/) doys
from the receipl of this notice of oword to formolly enter into controcl wilh us.

Very truly yours,

o,,{'fufrnorro,
MUnicipol Moyor

?h
ocknowledge the receipt of lhis notice on
I

-.//btLJ f.- 74NGrn


f,
Nome of the RePrese ntotiv OAIE:
lalSlcS?tt-.=:
Authorized Signoture

Buenavista, Agusan del Norte


' Hall, Rizal Avenue,
Municipal
(085) 3/(}4500
8t2t2021 PhiIGEPS
lose window

GEPS
Governmcnl Elc(Sronic
Grrtral Portal for
firilirDarc GoY..rm€nt
P]lclrar'lInt ODDurtunitics

Award Notice Abstract (Ref No.: 3182035) Status: Posted

eference l{umber: iru IctPALtw oF BuEirAvIsTA, AGUSAN DEL ORTE ward Type:
Municipal Government Center,Brgy 3 Poblacion,Buena Buenavista Agusan Del
428717 Norte, Caraga, Philippines ward Notice
grocclY itGms
I Number: rdee i Contact Person : act Amount:
UBTA 21.123 AND JY WET MARKET & lenprss,+rr.oo
Emmanuel Tac-al Fineza
NTERPRISES
id otice Title: ress : Da3ignatlon : lAward Date:
lacion Carmen Agusan Del Norte, Proprietor
UPPLY AND DEUVERY OF araga, Philippines 19-J ul-2021
OOD SUPPUES TO BE Publish Date:
SED FOR I.SI, ne ftem 2-Aug-2021
Product/Service/Proiect Name Budqet
RNING OFWS, RHU 1 qrocery items, food supplies, 50000000, 1, Lot Phpr99,850.00 Last Updated:
ERSONNEL AND OTHER 2-Auq-2021
ERSONNEL ASSIGNED AT ason for Award : By:
est Calculated and Responsive Quotation
OVID.19 TASK FORCE Eden Rose V Calo
UARANTINE Created:
REA/COVID UGTAS 2-Avq-2021
ENTER r
pproved Budget:
hp199,850.00 ew Documents:
curement Mode:
\ egotiated Procurement -
mall Value Procurement
Sec.53.9)
assification:
oods
te9oryr
ood Stuff
pplicable Procurement
s

mplementing Rules and


ulations
unding Source:
overnment of the
ilippines (GOP)
ng Instrument:
eneral APProPriations Act
rea of Dclivery:
usan Del Nofte

elivery Period:
Day/s
act Person:
en Rose Calo
eated BY:
den Rose Calo

))
(
Et'l
tll)rhllIrIi
Republic of the Philippines
Province of Aguson del Norte
Municipolity of Buenovislo

NOTICE TO PROCEED

July 19.2021

JINKY R. FINEZA
Proprietress
EJ& JY Wet Morkel & Enterprises
Cormen, Aguson del Norte

Deor Modom:

The oltoched Conkocl Agreement hoving been opproved, notice is hereby given lo
EJ & JY Wet Morkel & Enterprises for lhe supply ond delivery of Food Supplies to be used
os Food for Locolly Slronded lndividuol (LSl). Retuming OFWs, RHU penonnel ond other
personnel ossigned ot COVID-I9 Tosk Force Quorontine Areo/COVID Ligtos Center, in
lhis municipolily effective July 19, 2021 .

Upon receipl of lhis nolice to proceed, you ore responsible for performing the services
under the terms ond conditions of the ogreement ond in occordonce with the
implementing schedule.

Pleose ocknowledge receipt ond occeptonce of this notice by signing boih copies in
the spoce provided below. Keep one copy ond return the other copy to the
Municipolily of Buenovislo, Buenovisto, Aguson del Norte.

Very lruly yours,

o,n{E$ffosro,
Muhicipol uoyor

I ocknowledge the receipl of this nolice on l7


L ),
Nome of the RePreseniolive
.trilRY "n
.H"aA tft; L
G

t.t '
Auihorized Signoture I
Municipal Hatl, Rizal AYenue, Buenavista, Agusan del Norte
(085) s434500
8t212021 PhiIGEPS

ose Window

GEPS
Goveanment Electronic
..
Ca.ttral Portal to?
thifirtan€ Govcrnrn€nt
,rlcllrGrnant Oppurtuoiti€s

Award Notice Abstract (Ref o,: 3182035) Status: Updated

ce Number: iIUNICIPALIW OF BUENAVISTA, AGUSAN DEL ORTE ward Type:


Municipal Government Center,Brgy 3 Poblacion,Buena Buenavista Agusan Del
424111 Norte, Caraga, Philippines r,!a rd Notice
grocery items
I Number: AwardeeI Contact Person : ntract Amount:
UBTA 21.123 EJ AND ]Y WET MARKET & p198,417.00
Emmanuel rac-al Fine2a
ENTERPRISES
id Notice Title: Addr.ss: Dcsign.tlon: ward Date:
Poblacion Carmen Agusan Del Norte, proprietor
UPPLY AND DELIVERY OF Caraga, Philippines 19-lul-2021
OOD SUPPLIES TO BE ublish Datel
SED FOR LSI, Line Item 2-Aug-2021
# Product/Service/ Proiect Name Budqet
RNING OFWS, RHU 1 grocery items, food supplies, 50000000, 1, Lot Php 199,850.00 ate Last Updated:
RSONNEL AND OTHER 2-Aug-2021
RSONNEL ASSIGNED AT on tor Award : ontrrct llumber:
Calculated and Responsive Quotation
D-19 TASK FORCE 021- 041
INE Proceed Dater
A/COVID UGTAS 19-lul-2021
NTE R ontract Effe€tivity
Budget: Date
p199,850.00 20-l ul-2021
rocutement Mode: End Date:
egotiated Procurement - 6-l ul-2021

all Value Procurement ated By:


Sec.53.9) en Rose V. Calo

lassification: Created:
2-Aug-2021

ry prover:

Stuff
icable Procurement ew Documents:

les: 4

mplementing Rules and


ulations
Source:
overnment of the
ilippines (GoP)
nding fnstrument:
eneral ApProPriations Ad
of DeliverYl
usan Del Norte
elivery Periodr
Day/s
ct Person:
den Rose Calo
d By:
den Rose Calo

PA nt
ntf-:
s..o
Republic of the Philippines
Province of Aguson del Norle
MUNICIPATITY OF BUENAVISTA

@fu *dJ%*.r,rt @orarunee

CERTIF CATION

TO WHOM ITMAY CONCERN:

This is to certify thot lhe procurement for the purchose of goods for the
Quorontine ond lsolotion Focility, this municipolity is posted on July 02,2021 ot o
conspicuous ploce/bulletin boord reserved for this purpose in the premises of the
Procuring Entity for seven (7) colendor doys.

lssued this 9th doy of July. 2021 in Buenovislo, Aguson del Norte, Philippines.

Prepored by: Posted by:

NEMESIA
@frv"l
4
PEJANA vtRGtuo . MATURAN
BAC Secretoriot Postin Clerk

Certified by:

a
CEIIA M. BOTONGON
BAC Choirperson

rrlRE: -
a

Republic of lhe Philippines


PROVINCE OF AGUSAN DEL NORTE
i unlclpollly ol Buenovlslo

cBi"[s an I Awarfs Committee


CERTIFICATION

IO WHOM IT MAY CONCERN:

This is to certify thot the


NOTICE OF AWARD issued to EJ & JY WET MARKET &
ENTERPRISES for the supply ond delivery of Food Supplies to be used os Food for
Locolly Stronded lndividuol (LSl), Returning OFWs. RHU personnel ond other personnel
ossigned ot COVID-19 Tosk Force Quoronline Areo/COVID Liglos Center; this
municipolity ls posled on July 19,2021 ol o conspicuous ploce reserved for lhis
purpose in the premises of the Procuring Eniiiy.

lssued on this I 91h doy of July 2021 ot Buenovisto, Aguson del Norle,
Philippines.

Prepored by: Posled by:

(kt *zt
NEMESTA a0p}aNe VIRGILIO MATURAN
BAC Secretoriot Posti Clerk

Certified by:
a^
CETIA M. BOTONGON
BAC ChoirPerson

; AfEr
--
; ,

@-**#ffi'm*;,**
Repubxc ol the Philippin€!,

\-'
The Locol Govemmenl of Buenqvislo, lhrough ifs Bids ond Awords Commitlee (BAC) willundertqke SmollVolue
Procurement for lhe "Purchose of Food Supplies", in occo.donce with Seclion 53.9 of lhe lmplemenling Rules of
Republic Acl No.9184.
Projec,
Purpose
Nome of :
,
Purchose ot Food Supplies

!"3$,ft1J?il['3j]:.1,i:'f:",HiH"tll,"Lffi;nne,
ossisned or

tocolion ;
Buenovisto, Aguson del Norle
Specificotions :
Purchose of Food Supplies
Apcroyed Budget for lhe Conrrocl : One Hundred Ninety-Nine Thousqnd Eighl ltundred ond Fifty Pesos (Php 199,850.00)
Delivery Dote : Seven (7) working doys
lnleresled supplieG ore required to submil theirvolid ond cunenl Moyo/s Permil, olher business perlinent
documenls such os PhiIGEPS Regishotion Certilicote, ond price quotolion {Annex 'A').

Submission of quololion ond eligibility documenh is ol Municipol Holl. Municipolity of Buenovislo,


Brgy. Poblocion 3, Buenovislo. Aguson del Norle. Open submission moybe submitted monuolly.

For inquiry, you moy contocl us ol lel. {085) 304 2798

Verv lrulv vours.

CETIA M. BOIONGON
BAC Choirrnon

o? -n -2DU PRICE QUOTATION TORM


Dole
5rr/Modom:
After hoving corefully reod ond occepted lhe lerms qnd condilion in the Requesl for Quotolion,
herein below is our quotolion/s lor lhe item/s os follows:
T
t __ Desdiplion Quanti Unit Untl Corl Tolol Corl
Rice, 50kl
Pork Boneless
40
95
sack
kl
4
41 0t
I
--r 9G-o@,
al,wo'
l
_l
oq gub
Chicken choice cut kl
I
L|, -
Hotdog 15 kl
3,49o -
I
Egg per trey 15 tray 362
Cooking oil, '15.5 kl 5 cont ,
Soy sauce, 18kl 1 cont ,tr-
Bihon, 12kl bag
Pack lunch 2500 pc 6.
Spoon disposable by 25's 100:- ?,cn^pack 9t. -

Dried fish +
5
b- I
20
I- r.8s--kl
,foo-
kt
31r
Fresh Miki I

3 in 1 coffee 289 240's


rl
+
I
L%-l-Lqg-
-- _Lag4
- \ l*@s.
case
box
Disposable cups 8 oz by 1000's
I

lll
iouu nA,4r1- -l 1

Amounl in Words 6t ! ;tir4 -ya fu"4a4-/ W h4'Ywl k^'e"-t'''^


Ihe obove{uoted inclusive of ^r44J4
d ond Qp[cci,e to(eJ'
cosis

veay truV yours

J y-\l FrN
onle &

?J-IJ a N<, 7 4j,1.4


4el
Nome ol compqny DATE:
dolo
Philgeps Regislro
' certificole Num ber
oatl 2tG81tC(
Busi ness Phone Numbel
Reputlic ol lhe PhiEppiae!

^rt*N-/ ',i:f"'sxT'-ffi'lf \v
Gffi-m,on ;; d;;;; @;nmittre
\E / REeuEsr FoR ouorATroN
The Locol Govemmenl of Buenovistq, lhrough ih Bids ond Awords Commitlee {BAC) will undertoke SmollVolue
Procuremenl tor lhe "Purchose of Food Supplies" , in occordonce wilh Section 53.9 of the lmplemenling Rules of
Republic Act No.9184.
Projec,
Putpase
Nome of :
'
Purchose of Food Supplies

L'#,$11'l;!?lIJ.'."Jy:i[: rffu,ili,n"[,":o":I;""'' "ssisned


at

locorion :
Buenovislo, Agusqn del Norte
Specificotions :
Purchose ol Food Supplies
Approved Eudget fq the Conhoct : One Hundred Ninev-Nine Thousond Eight Hundred ond Fifty Pesos (Php 199,850.001
Delivery Dote : Seven (7) working doys
lnterested suppliers ore required lo submil their volid ond cunenl Moyo/s Permil, other business perlinenl
documenls such qs PhiIGEPS Registrotion Ceriificole, ond price quolotion {Annex "A'1.

Submission oI quolotion ond eligibiliiy documents is ot Municipol Holl. Municipolity of Buenovislo.


Brgy. Poblocion 3, Buenovislo, Aguson del Norle. Open submission moybe submitted monuolty-

For inquiry, you moy conlocl us oi lel. (085) 304 2798

Very lruly yours,


G".-
i
CEUA . BOTONGON
BAC Choir)on

1-n- b?J PRICE QUOTATION FORM


Dole
5r/Modom:
AFler hoving corefully reod ond occepled lhe lerms ond condilion in lhe Requesl lor Quolotion,
herein below is our quololion/s for the ilem/s os follows:

Description
-l Quo n I unit Unll Coit lolqlco3l
Rice.50kl 40 sack qt6.00 qb,b@.wl
Pork Boneless 95 kt 2"9'@ Zt+.)@o.Abi
Chicken choice cut 95 kt 7qo.@ 22:,Naa
Hotdog
Egg per tray
'15

15
KI

tray
o0
@
-Z!719
Z ,516.@)
4
Cooking oil, 15.5 kl cont ,Tqo -oo G ep
Soy sauce, 18kl 1 cont 1 @ 9t)
Bihon, 12kl 5 bag bqg.w z,qqo.@a
Pack lunch 2500 pc l" 15,aoo-(eo
Spoon disposable by 25's 100 pack L9.@ qoo.
Dried fish 5 kl @ 00. A<)
Fresh Miki 20 kt 35.W) w 0o
3 in 1 coffee 289 240's 4 case 5s.@ OP .ta
Disposable cuPs 8 oz by 1000's 1 box 1,0@.oo I ,oGO.
I

__r
I

l_ TOTAL tPq &5&


Amount in Words

Ihe obove-quoted irch]sive of cd costs ond opp{coble lcD(es'

L
qme &
tli
fl,l tJtluor,
pony
eJ UATE: -
$ig,''" ' "'"* '
Philgep5 Regisholion Certificole Number

Business Phone Number


1 Repubtic ot the phifppines
province ot AS[E@ oeJ Nq,e
/'r. \\-, rrd.{!E$v d lu.novHo
V
ffiL-ryrbn an! gbarbs GotrmifteP
\8 7 REeuEsr roR ororo,o*
The Locol Govemmenl of Buenovislo. lhrough ils Bids ond Awords Commitlee (BAC) willundertoke SmollVqlue
Procuremenl lor the "Purchose of Food Supplier", in occo.dqnce wilh Seclion 53.9 of fhe lmplementing Rules of
Republic Acl No. 9184.
Pror'ec,
Purpose
Norne of : Purchose of Food Supplies

L?i$f1|1;l?ilJ""3.lli,,1l! i:ffl$"iJfl;,1,i:t::rsonner
ossisned or

Locolion : Buenovislo, Aguson del Norle


Specificolions :
Purchose of Food Supplies
Approved Budget fq lhe Conrroct : One Hundred Ninely-Nine Thousqnd Eighl Hundred ond Fifty Pesos {Php 199,850.00)
Oelivety Dote : Seven (7) wo*ing doys
lnteresled suppliers ore required lo submit their volid ond cunenf Moyor's Permil, other business perlinenl
documenls such qs Ph|IGEPS Regislrotion Certificote, ond price quototion {Annex "A").

Submission ot quololion ond eligibiliv documenls is ol Municipol Holl, Municipolity ot Buenavisto,


Brgy. Poblocion 3, Buenovislo. Aguson del Norle. Open submlssion mqybe submitted monuolly.

For inquiry, you moy conlocl us ol lel. {085) 304 2798

Very trulv vours,

crul r . sblolrcoN
BAC Choirmon

)-n - PRICE QUOTATION FORM


Dote
5rr/Modom:
After hoving corefully reod ond occepled lhe lerms ond condilion in lhe Request for Quototion,
herein below is our quololion/s lor lhe item/s os follows:

I
Descriplion Quon I u^i Unil Coil --r fotqtEost
Rice, 50kl 40 sack 2 1Q ,Eoo
Pork Boneless lnl otbb ofltUlS
Chicken choice cut 95 kt 2*o 22,W
l
og 15 kt 2AE 7,4r
EgqPe't'?Y lr"vl 7qg ,
-1-
7rU?9
iCooking oil, 15.5 kl conl b

ce, 18k1 - 1 lcontl 1c+ I --1""1e


?!?
Bihon, 12kl --+- 1

Pack lunch
t zsooffi
Spoon disposable by 25's I too- j pacx I 2+ | 1,?oo
fish ----t-
5
--J-
kt
Zo 1
to79
Miki
----f--
20 kt
--l- 11 ?lo
3 in 1 coffee 289 240's i
4 €se lAbb D

Disposable cups 8 oz by 1000's I box \lt j 0u, = I

---l
l
tt
L
TOTAL w
Amount in Words

oboveqroled ptjces oe indusive of c* coslg ond opp[coble lo(es'

r
The

Very lruly yours

0rh Ctl Uq o '1 i)


ome & olure presenlolive 4 ).,
t'/90
tt c2L flDil
Nome / pony

Philgeps Regis holion C erlificote N umber

Businest Phone Number


Rep I, of the Philippines
) PROVINCL JF AGUSAN DEL NORTI
Municipality of Buenavista
OFFICE OF THE MUNICIPAL MAYOR
ABSTAACT OT QUOIATTON

EJ&JY Wf,T MARKET AND


MHAI SINT]LOC STORE DANSOY'S CiO.ERY
NO QTY UNIT DESCRIFTION ENTERPRISf,S ': ::

Unit Price Amount Unit Price Anrount Unit Price Amourit'


1 40 sack Rice.5Okl 2,400.00 96,000.00 z,4t5.oo 96,600.00 2,420.00 96,800 00
1 95 KI Pork Boneless 360 00 34,200.00 360.00 34,200.00 365.00 34,675.00
l 95 kl Chicken choice cut 240.00 22,800.00 240.00 22.800.00 240 00 22,800.00

) l5 kl Hotdoq 220.00 3,300.00 225 00 3,375.00 225.00 3,3 75.00


) l5 tray Egg per tray 242.00 3,630.00 235.OO 3,525.00 245.00 3.675.00
6 5 cont Cooking oil, 15.5 kl 1.240.00 6,200.00 1,290.00 6,450.00 1,290.00 6,450.00
7 I cont Soy sauce, l8kl 775.00 775.00 785.00 785.00 787.00 787.00
E 5 bug Bihon, l2kl 696.00 3.480.00 698.00 3,490.00 690.00 3,450.00
9 2500 pc {eack lunch 6.00 15,000.00 6.00 15,000.00 6.00 15,000.00
t0 100 pack Spoon disposable by 25's 25.00 2,500.00 25.00 2,500.00 27 .00 2,700.00
ll 5 kl Dried fish 370.00 1,850.00 380.00 1,900.00 390.00 1,950.00
t2 20 kl Fresh Miki 35 00 700.00 3 5.00 700.00 37.00 740.00
l3 1 case 3 in I coffee 28g 240's 1,736.00 6,944.O0 1,75 5.00 7 .020.00 1,760.00 7,040.00
t4 I box Disposable cups 8 oz by 1000's 1,038.00 1,038.00 I,060.00 1,060.00 1.063.00 I,063.00

) TOTAL 198,,t17.00 t99..105.o0 200.505.00

I HEREBY CERTIFY that the above price were the price qouted by the aforementioned, the above supplies awarded to EJ & WET MARKET AND ENTERPRISES
being the only store having qouted the I price obtained in the locality 'Y

G^
CELIA M. BOLONGON
BAC Chairman
GERW
BAC Vi
L LLERA
hairman
HELEN PORTIA
BAC Me
. BONTILAO
ber
w
GERT RpLYN T. NATONTON
BAC Member
A/4ARl
,lilao,;;r".^
frnN/or#N.
BAC Member
euIJANo

CLAIRE OTANO BRYA . GERMANO ISA . ORAIZ, JR.


G
lslP

EPS Gantral Portal ,or


ItlliD9ine Govcrnrnent
F}lcofGmant ODDurtunities
rry. Philippine Govcrnmcnt Electronic Procurrfiterrt S!r$6ft

Bid Notice Abstract


Request for Quotation (RFQ)
Rcference Numbcr 7836614
Procuring Entity MUNICIPALIry OF BUENAVISIA, AGUSAN DEL NORTE
Title SUPPLY AND DELIVERY OF FOOD SUPPUES TO BE USED FOR LSI, RETURNING OFW'S, RHU
PERSONNELS & OTHER PERSONNEL ASSIGNED AT COVID.l9 TASK FORCE QUARANTINE
AREA/COVID UGTAS CENTER

Arca ot Dclivcry Agusan Del Norte

Solicitation Number: LGUBTA 21.123 Status ActiYe

Trade Agreement: Implementing Rules and


Requlations
Procurement Mode: Negotiated Procurement - ated Components 1
Small Value Procurement
(Sec.53.9)
Classification: coods
Bid Supplements 0
Category: Food Stuff

Approved Budgct for the PHP 199,850.00


Contract:
Detivery Pcriod: 7 Day/s Document Request List 0

Clicnt Agency:

Date Published t3l07/202


Contact Person: Eden Rose V. Calo
General Services offlcer -
Desiqnate
Municipal Govemment
Center,Brqy 3 Poblacion L.st Updated / Time l3/O7/202100r00 AM
Buena
vista, Agusan del Norte
Buenavista
Agusan Del Norte
Philippines 8601 cl(}sing Date ,/ Time 16/07/2021 09:OO
63-85-3434500
53-85-3435271
denvcalo7377@gmail.com

Description

40 sack Rice, 50kl


95 kl Pork Boneless
95 kl Chicken choice cut
15 kl Hotdog
15 tray Egg per tray
5 cont cooking oil, 15.5 kl
I cont Soy sauce, 18kl
5 bag Bihon, 12kl
2500 pc Pack lunch
100 pack Spoon disposable by 25's
5 kl Dried fish
20 kl Fresh Miki
4 case 3 in 1 coffee 289 240's
1 box Disposable cups I oz by 1000's

Line Items

1 grocery items food supplies 1 Lot 199,850.00

Pre-bid conference

rs/07/2021 9r00:00 AM BAC CONFERENCE ROOM

r::"
-LF
Created by Eden Rose V. Calo
Date Creatcd L2/O7l2O2L
I rspts('f ror- ^tN It ^t('('li tvt"ll'c D
Buenavista, Agusan del Norte
LGU

Supplier: EJ&JY WEr MARKET AND ENTERPffiES A.RNo: tA-2027420


P.O No.: 2O2L47420 lnvoice No.: Date
R€quisitioningOffice: Mayor's

STOCK
UNIT tTEM/DESCRtPTtON QUANTITY
NO.
-l
l sock Rice, 50kl 40
t 2 kl
I
Pork Boneless
t
95

3 kt Chicken choice cut 95

4 kl Holdog I5

7
I koy

conl

con'l
Egg per troy

Cooking oil, I 5.5 kl

Soy souce, 18kl


r5

8 bog Bihon, 12kl 5

9 pc Pock lunch 2500

r0

ll
12
I
-t
pock

kl

k
Spoon disposoble by 25's

Dried fish

Fresh Miki
100

20
J
r3 cose 3 in I coffee 289 240's 4
------r----- --
l4 box Disposoble cups 8 oz by 1000's I

Date lnspected +l,tlNr1 Date Received +lztl-nu


( .f Complete

( ) Partial(Pls. uantity)

*4
/
EDET9AOSE V. CAt O EI.MER roc
Generol Services Officer-Designole Municipol Adminislrotor

uAlE'--.-
'{*
l,
l\,t
I
Appendix 48

REQTIISITION AND ISSTIE SI,IP

LGU: Buenavist4 Agusan del Norte Fund: 57o MDRRM Fund 2020 Surplus - SB #l

Department: Mavor's FPP Code:


Section: RIS No.: 2021-07-420
.rozl
Date: 7 - 2l-
REQUISITION ISSTI ANCE
Stock No. I Init Description Qty Qty Remarks
I sack Rice, 50kl ,t0 ,10

2 kl Pork Boneless 95 95

3 kl Chicken choice cut 95 95

4 kl Hotdog l5 l5
5 Eay Egg per tray l5 t5

6 cont Cookhg oil, 15.5 kl 5 5

7 cont Soy sauce, l8kl I I

8 bag Bihon, l2kl 5 5

9 pc Pack lunch 2500 2500

t0 pack Spoon disposable by 25's 100 100

II kl Dried fish 5 5

t2 kl Fresh Miki 20 20

l3 case 3 in I coffee 28g 240's 4 4

t4 box Disposable cups 8 oz by 1000's I I

Purpose: Food lor LSI, retuming OFWs, RHU personnel and other personnel assigned at COVID- 19 Task Force
Quarantine Area/COVID Li gtas Center

Requested Issued by Recerved


Signature:

Printcd Namc: AGASPAS AM ASPAS


4
EDE NIosE v. CALO ELMER LOC
M M M GSO- ate Admiristrator

v
rt
/w"r- .rT Wnr ManreT .lrro Exrrenpnrsrcs National Highway. Poblacion Carmen, Agusan del Norte
EITIMANUEL T. FINEZA - Proprietor
VAT Reg. TIN 178€46963{00

DELIVERY RECIPT N9 09?1

Delivered to
TIN
[hl,t huendurT* o^t 1fz4uu
Address: Terms:

QTY UNIT DESCRIPTION


.$tx &te kl. Sa dfid
qs N Po<k bcndss
qs H .lroie tt^l
E kl ldaaq ( fztdr,
*ar *^
c Urrl- Aokt Orl rsJ
I c.{nl - h ,fa4c€ /s ?lt-lrn
(l hatt Lko
t2 kl- /e-
a Eoo pc Pa& lu,nd^
to not* € nn dt 2{ {
g 'kl r)2
2n kl
4 CeJl 3,nl ir.

I boy b f 8ot /,tb (

Received the above items in good order and conditnn


25 Bktb (5e2)m01-1.2$ Received By:
8lR Autto.ny b Print l{o. 2AU00022{I}5{
oab lssued: E2LE-E&J0q0qlg2@!
RnD PR flDG PnESS, LDrr.4 &Ar.n CIy hffis Pemet€nlLqE(ndlon
€ n+ t7sr2+taGo00 0* hisued: 01&2t19
tb. 9000000fr)10

111IS DELIVERY RECEIPT SHALL BE VALID FlR Fn/E 6) YEARS I.ROM AHE DT{IE OF AIe
a

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