TECHNICAL EVALUATION FORM

PR No.: PR21-101365 , PR21-101366

Date: March 02, 2023

Please see attached proposals received from bidders for your review and evaluation based on your technical requirements. You are hereby given two (2)
working days to submit the result of your evaluation.
Instructions:
Kindly indicate C (for Complying) if the technical specifications, scope of work, methodology and expected results of the specific proposal satisfactorily meets the key requirements
for the goods and/or services requested in the PR, NC (for Non-Complying) if the technical specifications, scope of work, methodology and expected results of the specific proposal
do not meet the key requirements for the goods and/or services requested in the PR, or NQ (for No Quote) if supplier has no offer.
(Note: If rated as NC, please give a short explanation why the proposal is Non-COmplying on the Remarks section below.)

SUPPLIER SUPPLIER SUPPLIER SUPPLIER

PR No. S/No. DESCRIPTION / SPECIFICATION QUANTITY UOM SUPPLIER B
A C D E
RECTIFIER, BRAKE, INTORQ, TYP BEG 261 555, 13046441, HALF WAVE,
21-101365 1 20 PC C C C C C
555V, 0.75A

RECTIFIER, BRAKE, SIEMENS, PART NO.: 175823, VMAX: 600, VRRM:

21-101366 2 12 PC C C C C C
1500V, IFAVM: 1.15A

REMARKS/RECOMMENDATION:

Evaluated by: Approved by: Received by:

Malvin Napao Leon Buhr

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Date: March 2, 2023 Date: Date