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: UBANG
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 BARANGAY ROAD

Location: UBANG, 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' 2.00 sheets
---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).

Page 1 of 4
 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.

___________________________________________
Chaiperson, 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: _________________________

Page 2 of 4
 OFFICE OF THE BARANGAY DEVELOPMENT COUNCIL- TECHNICAL WORKING GROUP
KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROJECT - ADDITIONAL FINANCING
EMERGENCY COMMUNITY PROCUREMENT PLAN (ECPP)

Barangay: Ubang Name of Proposed Community Project: CONCRETING OF BARANGAY ROAD Date Prepared: 24-Nov-22
Municipality: Capalonga Community Project Duration: 62 Calendar Days
Province: Camarines Norte Total Project Cost: PHP 1,343,982.75

Mode of Implementation: COMMUNITY FORCE ACCOUNT

PROCUREMENT SCHEDULE OF POSSIBLE CONTRACTOR/ COMMENTS/

PACKAGES PACKAGE ITEMS QTY UNIT UNIT COST TOTAL
METHOD PROCUREMENT SUPPLIERS REMARKS

I PROJECT SIGNAGE REAL DIGITAL PRINTING,

Tarpaulin w/ printed Information 4'x8' 2.00 sheet 1,000.00 2,000.00 Chargeable to
CSG JANUARY 2023 AUNTIE MAY PRINTING PRESS,
1st tranche
SUB TOTAL 2,000.00 FREDRICH PRINTING
II HARDWARE MATERIALS
Aggregate Base Course 94 cu.m. 1,300.00 122,200.00
Portland Cement (Type 1) 1098 bags 310.00 340,380.00
Washed Sand 74 cu.m. 1,600.00 118,400.00
Crushed Gravel (3/4") 122 cu.m. 1,900.00 231,800.00
Nylon #80 4 kgs. 480.00 1,920.00
Flat bar 3" x ¼'' thk. X6m 1 pc. 1,250.00 1,250.00
Asphalt Filler 50 kgs. 350.00 17,500.00
2" x 6" x 12' Coco Lumber 72 pcs 360.00 25,920.00
2" x 3" x 12' Coco Lumber 72 pcs 180.00 12,960.00
10 mm dia. x 6m RSB 14 pcs. 265.00 3,710.00 Chargeable to
16 mm dia. x 6m RSB 31 pcs 585.00 18,135.00 COMPADRE HARDWARE, RM 1st and 2nd
CSG JANUARY 2023 QUINTELA ENTERPRISE, BMG tranche; for
Empty Cement Bags 500 pcs 8.00 4,000.00 COMMERCIAL Cluster MATA
8ft. Laminated Sack (40kg - 100m/roll) 36 m 100.00 3,600.00 clearance
4" CWN 8 kgs. 120.00 960.00
3" CWN 8 kgs. 120.00 960.00
Empty PVC Container (20 liters) 4 pcs. 230.00 920.00
Empty PVC Drum (200 liter capacity) 4 pcs 2,800.00 11,200.00
2" x 3" x 12' Good Lumber 16 pcs 300.00 4,800.00
2" x 2" x 12' Good Lumber 2 pcs 200.00 400.00
4" CWN 4 kgs. 120.00 480.00
1" CWN 2 kgs. 120.00 240.00
1/4" thickness x 4' x 8' Marine Plywood 2 sheet 480.00 960.00
Quick Dry Enamel, White 2 liters 320.00 640.00
 Portland Cement (Type 1) 8 bags 310.00 2,480.00
16 mm dia. x 6m RSB 2 pcs. 585.00 1,170.00
4" x 8" x 16" CHB 15 pcs 20.00 300.00
#16 GI Tie Wire 2 kg 100.00 200.00
Flat Latex (white) 1 liter 160.00 160.00
Semi-Gloss Latex (white) 1 liter 200.00 200.00
Concrete Neutralizer 1 liter 100.00 100.00
Chargeable to
3" paint brush 2 pcs 94.00 188.00 COMPADRE HARDWARE, RM 1st and 2nd
Disposable Face Masks - 3 ply non-woven; CSG JANUARY 2023 QUINTELA ENTERPRISE, BMG tranche; for
Integral nose plastic coated strip with 3mm 5 boxes 75.00 375.00 COMMERCIAL Cluster MATA
latex-free round elastic earloop (50pcs/box) clearance

Hand Gloves with rubber coating 50 pair 55.00 2,750.00

Rubber Boots 4 pair 420.00 1,680.00
Round Construction Shovel (heavy duty) 6 pcs 600.00 3,600.00
Wheel Borrow (heavy duty) 2 units 3,000.00 6,000.00
Fabricated Steel Beam Molds (6" X 6" x 21") 3 units 2,000.00 6,000.00
SUB TOTAL 948,538.00
III EQUIPMENT RENTAL No. of Days No. of Units Unit Cost
Portable Plate Compactor (FOL & Operator
10.00 1.00 2,800.00 28,000.00
included) LHEY HARDWARE & SARI-SARI
Chargeable to
CSG JANUARY 2023 STORE, BOTCHOY HARDWARE, JJ
One-Bagger Concrete Mixer (FOL and Operator 1st tranche
18.00 1.00 3,000.00 54,000.00 & MAY HARDWARE
included)
SUB TOTAL 82,000.00
IV STEEL FILING CABINET
MM FULGUERAS
Steel Filing Cabinet (Vertical Standing 4 layers MERCHANDISING,ALSONS
1.00 set 11,000.00 11,000.00 Chargeable to
with lock) CSG JANUARY 2023 TRADING, DVS DOLOR
1st tranche
MARKETING, INC., WILLY &
SUB TOTAL 11,000.00 SONS, INC., RRK MARKETING
V PROJECT MARKER
Project Marker (45cm x 60cm x 5mm REAL DIGITAL PRINTING,
acrylic sheet marker with info and 4 pcs 1.00 set 12,000.00 12,000.00 Chargeable to
CSG MARCH 2023 AUNTIE MAY PRINTING PRESS,
wall spacer) 2nd tranche
FREDRICH PRINTING
SUB TOTAL 12,000.00
GRAND TOTAL 1,055,538.00

Prepared by: Reviewed by 1,055,538.00 Approved by:

LUIS H. GRAJO ENGR. JOPHETH S. RELUCIO LOUIE M. MACABUHAY

PT Head Technical Facilitator BDC-TWG Chairperson