Republic of the Philippines

Department of Health
CENTER FOR HEALTH DEVELOPMENT
CaLaBaRZon
QMMC Compound, Project 4, Quezon City 1109
Trunkline: (02)82492000
Email Add: chd4a_doh_calabarzon@yahoo.com

REQUEST FOR QUOTATION

(SHOPPING / SMALL VALUE PROCUREMENT)

DATE JULY 31, 2023

COMPANY : _______________________________
ADDRESS : _______________________________ Purchase Request No. 23-05-093 /094 /095 /096
_______________________________
CONTACT NO: _______________________________ Requesting Unit LHSD-FHU
Mode of Procurement SHOPPING
Sir / Madam :

Please quote your lowest government price for each of the following item(s) specified below. Submit it in a SEALED ENVELOPE
to BAC Secretariat Office not later than AUGUST 2, 2023.

IMPORTANT:
1. Price should be valid for Thirty (30) calendar days.
2. Delivery Period is within THIRTY (30) CALENDAR DAYS from receipt of Purchase Order (P.O.).
3. Warranty shall be for a period of _______ months, if applicable.
4. Total Price quoted is subject to withholding tax.
5. Attach valid (a) Mayor's Permit (b) BIR Registration Certificate (c) Tax Clearance Certificate (d) DTI/SEC Certificate
(e) PhilGEPS Registration/Certificate (f) Revised Omnibus Sworn Statement and (g) Certificate of Product
Registration (CPR) for drugs and medicines, upon submission of the quotation.
6. New suppliers are required to submit a company profile.
7. Submit original brochures showing the product being offered, if applicable.

Item Unit of (Please specify UNIT

No. Measure
ITEM AND DESCRIPTION QTY TOTAL ABC TOTAL PRICE
Origin/Brand/Model) PRICE
3-Layer Vertical Filing Cabinet
Dimensions:46(W)x62(D)x103(H)cm Weight: 33kg
1 UNIT 3 27,600.00
3-Drawer Vertical Filing Cabinet with Anti-Tilt Lock
Mechanism/ KD With Steel Handle Lock
3-Layer Horizontal Filing Cabinet
Dimensions:90(W)x103(H)x45(D)cm Weight: 52kg
2 UNIT 7 87,500.00
3-Drawer Lateral Filing Cabinet with Anti-Tilt Lock
Mechanism/ KD With Steel Handle Lock
Sliding Cupboard
Dimensions: 185(H)x90(W)x40(D)cm Weight: 50kg
With high quality cold-rolled steel plate
3 UNIT Glass/Steel Swing Door feature for easy handling 12 132,000.00
of books, files and other paraphernalia
With Key locks, 2 keys per lock
Knock-down structure, Adjustable shelves
Bookshelf (Open Type)
4 UNIT Dimensions: 93(W)x20(D)x185(H)cm 1 8,200.00
Weight: 32kgs 5-Layer Open Shelf Bookcase
>>> nothing follows<<< 255,300.00

After having carefully read and accepted your general conditions, I/We quote you on the item at prices noted above.
__________________________________
Supplier's Signature over Printed Name
__________________________________
Date
DOH4A-BAC-RFQ-SSVP-Rev1