"Annex A"

PRICE QUOTATION FORM

Date: ____________________________

To: THE CHAIRPERSON

Regional Office Bids and Awards Committee (ROBAC) V
National Housing Authority
VGH, Concepcion Grande, Naga City

Sir:
After having carefully read and accepted the terms and conditions in the Request for Quotation, hereunder is our quotation for the item/s as
follows:

Project Title: Ref. No. 2022-D2-017: Procurement of Rental of One (1) Unit Service Vehicle for the Monitoring of the Implementation
of Community Household Socio-Economic Profiling of the PNR-South Long Haul Project, Package 4A Covering Del
Gallego to Naga City, Camarines Sur, Region V
Location: Del Gallego to Naga City, Camarines Sur

Description Quantity Unit Cost Total Cost

• Rental of one (1) unit service vehicle, commuter van 147 working ₱ ₱
with 12-15 seating capacity and latest model (2020 up days
to 2022)
Inclusive of Professional Driver, Fuel, Oil, Industrial
Lubricants and Other Maintenance Cost

TOTAL (Inclusive of VAT) ₱

(Amount in Words)

The above quoted prices are inclusive of all costs and applicable taxes.

Very Truly Yours,

Name/Signature of Representative

Name of Company

Contact No.

Notes:
1. Failure to meet any one of the requirements will result to rejection. Likewise, it is understood that the specifications stated herein are minimum requirements. The
Bidder/Supplier may offer higher specifications or additional items, if any.
2. NHA shall have the right to reject or return the items that will be declared defective.
3. Quoted prices shall be valid for Thirty (30) Calendar Days upon submission of the Price Quotation Form

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