CBPM 2021 FORM B-5 Request for Quotation for Goods

KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROGRAM

Additional Financing
Office of the Barangay Development Council - Technical Working Group
Barangay: OLD CAMP
Municipality: CAPALONGA
Province: CAMARINES NORTE
Region: REGION V (BICOL)

REQUEST FOR QUOTATION FOR GOODS

(For Posting and/or Personal Serving)

Date: ______________________________

To: _____________________________________________
Address: ___________________________________________

May we request you to indicate your prices for the items listed below. Please return this form to the canvasser in sealed
envelope or submit it to the Barangay Development Council - Technical Working Group (BDC-TWG) at the Barangay
Hall on ____________________________________________________________.

Name of Sub-project: CONCRETING OF STAIR PATHWAY WITH SLOPE PROTECTION

Location: OLD CAMP, CAPALONGA, CAMARINES NORTE
Contract Package No.: 01
Delivery Period (in Calendar Days): 7 Calendar Days
Total Delivery Period: (for staggered delivery only): N/A
Estimated Budget for the Package: ___________________________

Items
Description/Specs of Items Qty Unit Unit Cost Total Item Cost
No.
1 Tarpaulin w/printed information 4'x8' 1.00 sheet
---Nothing Follows---
TOTAL BID AMOUNT Php
AMOUNT in Words:

Note:
1. Only those suppliers of good standing are qualified to join. Supplier of good standing is one who is known in the
community to be in the business of providing the goods or executing the works to be procured; duly registered
with the DTI, SEC or CDA, PCAB (Works only) and has valid business/mayor's permit/municipal license from
the supplier's principal place of business. No outstanding record of blacklisting by any government agency or
local government unit and with relevant experience in completing a single contract of at least 50% of bid
amount. In case of previous or exisitng suppliers to KC-NCDDP sub-projects, they should have satisfactory
performance or completed all contracts awarded. A Copy of a valid DTI Certificate of Business Name
Registraction and Mayor's/Business Permit shall be submitted by the winning supplier prior to signing
of Purchase Order (PO).

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 2. Quotation must be valid and fixed for 30 CALENDAR DAYS.
3. Prices quoted must include taxes and other incidental expenses
4. Supplier is: (To be accomplished by the supplier).
Non-Vat Vat Registered Vat Exempt
5. Cost of delivery:
to include (delivered on designated location) not to include (for Pick-up)
6. Award shall be made:
on per item basis on per package basis
7. A Supplier's conference shall be held at the N/A on N/A.

8. Mode of Payment: By Crossed Check

9. The Estimated Budget for the Package (EBP) is the budget allocated for the package as indicated in the
Community Procurement Plan. However, EBP is not the price ceiling of proposals. Those bidders whose
bids/quotations that exceeded the budget are not disqualified for evaluation. If found to be responsive to the
procurement requirements and fund is available to cover the additional cost, contract award can be made.

10. A supplier who withdraws his quotation during the validity period and/or refuses to accept the award of the
contract without a valid reason will be disqualified for at least 1-year or a period to be determined and
agreed by the Barangay Assembly, from participating in any KC-NCDDP funded community projects.

11. A Notarized Statement that "none of the officers/directors/controlling stockholders/members/owners of the firm
are related by consaguinity or affinity up to the 1st civil degree to the BDC-TWG Chairperson or employees of
KC-NCDDP Regional Program Management Office (RPMO) or National Program Management Office (NPMO)
who have direct access to information that may substantially affect the result of the bidding, such as, but not
limited to the members of the Bids and Awards Committee (BAC), the members of the Technical Working
Group (TWG), the Procurement Team (PT), and the designer/s of the Sub-project" MUST be submitted by the
winning supplier prior to signing of contract/PO. Thus, a supplier affected by the condition/requirement is not
allowed to submit quotation for this package.

12. Only those price quotation/s written in Ball Pen will be accepted as Financial Proposal Sheet/Price Schedule/
Quotation.

___________________________________________
Chairperson, BDC-TWG (SIGNATURE OVER PRINTED NAME)

After having carefully read and accepted your General Conditions, I/We quote you on the item/s at prices written above.

Canvass submitted by:

Registered Owner (SIGNATURE OVER PRINTED NAME)

Registered Business Name: _____________________________________

Date of quotation of the Supplier: _________________________

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