Republic of the Philippines

Province of Pangasinan
Municipality of Bautista
BARANGAY ARTACHO

Bid Quotation Form

Name of Bidder___________________________________. Invitation to Bid Number 2022-12-01. Page 1 of 1

1 2 3 4 5 6 7 8 9 10
Transportation
and Insurance Sales and other
Cost of Incidental
and all other taxes payable if Total Price delivered
Country of Unit price exw Services, if Total Price, per unit
Item Description Quantity costs Contract is Final Destination (col 9)
origin per item applicable, per (col 5+6+7+8)
incidental to awarded, per x (col 4)
item
delivery, per item
item

Purchase of MOTORCYCLE WITH SIDECAR PATROL VEHICLES

Motorcycle with 1 unit
1
Sidecar
  TOTAL  
AMOUNT IN WORDS:

[signature] [in the capacity of]

Duly authorized to sign Bid for and on behalf of .