PURCHASE REQUEST

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster:

Office/Section : PR No.: ______________
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Four-Wheel Drive Tractor 1 3,250,000.00 3,250,000.00
- Direct Injection, Vertical, Water Cooled
- Four(4) cylinders, Diesel Engine
-Rated Power: At least: 95 Hp
- Turbocharged
- Tire Size: Front: At least: 12.4-24"
Rear; At least: 18.4-30"
- Steering System-Haydraulic Power
- Differential: Bevel Gear with lock
-Transmission: 8 forwards, 8 reverse
-PTO Speed:at least 540/2200
- Implements:
Trailing Disc Harrow: At least: 20 pcs.-24" diameter disc
Disc Plow : At least: 4 pcs. -26" diameter disc
- DAR Logo
-With Basic tools and accessories

Provision of After-Sale Service:

1. Company Owned/ authorized after sales service center,
must be located in Cagayan and spare parts readily
available.
2, Product/Brand must have existed in the Philippines
market for a period of at least 10 years.
3. The bidder must be an Authorized Dealer

Purpose:
____________ ABC 3,250,000.00
____________
____________
____________
____________ Requested by: Approved by:
Signature :
Printed Name : CHRISTIAN D. SALES VAL M. CRISTOBAL
Designation : OIC CARPO PARPO II

PURCHASE REQUEST
DEPARTMENT OF AGRARIAN REFORM
Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster:

Office/Section : PR No.: ______________
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Combine Harvester 1 1,750,000.00 1,750,000.00
- Four(4) cylinder, water cooled-Diesel Engine
- Rated Power: minimum of: 68 HP/2700-(PS/rpm)
- Cutter Bar Length: minimum of: 1975
- Gathering Length: minimum of: 2070
- Travelling Speed at least:
Lower-0-0.97, Middle:0-0.1.37, High: 0-1.85
- Rubber Crawler: At least:
width(mm) x Ground control length: 500/1700
Ground Contact Pressure(kPa):17.8
- Speed Shift System-3 range, 3 forward , 3 reverse
- Harvesting Capacity(ha/hr.) minimum of: 0.29-0.6
-Electrical: at least: 12 volts battery strating, lighting
equipment.
- with DAR Logo
-With trailing bed
-With basic tools and accessories

Provision of After-Sale Service:

1. Company Owned/ authorized after sales service center,
must be located in Cagayan and spare parts readily
available.
2, Product/Brand must have existed in the Philippines
market for a period of at least 10 years.
3. The bidder must be an Authorized Dealer

151
Purpose:
____________ ABC 1,750,000.00
____________
For CRFPS project.
____________
____________
____________ Requested by: Approved by:
Signature :
Printed Name : CHRISTIAN D. SALES VAL M. CRISTOBAL
Designation : OIC CARPO PARPO II

151
 PURCHASE REQUEST
DEPARTMENT OF AGRARIAN REFORM
Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster:

Office/Section : PR No.: ______________
Responsibility Center Code : ___________
Total
Stock/ Property No. Unit Item Description Quantity Unit Cost
Cost
Unit Four-Wheel Drive Tractor 2 ### ###
- Direct Injection, Vertical,
Water Cooled
- Four(4) cylinders, Diesel
Engine
-Rated Power: minimum, 67.14
kW(90HP)
- Turbocharged
- Steering System-Haydraulic
Power
-PTO Speed:at least 540 rpm
- Implements: Trailing Disc
Harrow & Disc Plow
-With Basic tools and
accessories

Unit Four-Wheel Drive Tractor 2 ### ###

- Direct Injection, Vertical,
Water Cooled
- Four(3) cylinders, Diesel
Engine
-Rated Power: minimum,
28kW(39HP)
- Steering System-Haydraulic
Power
-PTO Speed:at least 540 rpm
Implements: Rotary Tiller, Disc
Plow, Disc Harrow
and Puddy Wheel
 -With Basic tools and
accessories

###

Conseeder, four(4) rows with

unit 2 ### ###
Fertilizer applicator
-With Basic tools and
accessories
Sub-
###
Total

Purpose:
_______________
_______________
_______________
_______________

Requested by: Approved by:

Signature :
Printed Name : CHRISTIAN D. SALES VAL M. CRISTOBAL
Designation : OIC CARPO PARPO II

PURCHASE REQUEST
DEPARTMENT OF AGRARIAN REFORM
Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster:

Office/Section : PR No.: ______________
Responsibility Center Code : ___________
Total
Stock/ Property No. Unit Item Description Quantity Unit Cost
Cost
Unit Combine Harvester for Rice 2 ### ###
- Four(4) cylinder, water cooled-
Diesel Engine
- Rated Power: minimum,
69HP/2500-(PS/rpm)
- Cutter Bar Length: minimum-
1975
 - Gathering Length: minimum-
2060
- Travelling Speed at least:
Lower-0-0.93, Middle:0-0.1.37, High: 0-1.85
- Rubber Crawler: At least:
width(mm) x Ground control
length: 500/1700
Ground Contact
Pressure(kPa):17.8
- Speed Shift System-3 range
- Harvesting Capacity(ha/hr.)
minimum: 0.25-0.6
-With basic tools and
accessories
- With brand new transport
bed/trailer

Unit Combine Harvester for Corn 2 ### ###

- Four(4) cylinder, water cooled-
Diesel Engine
- Rated Power: minimum,
69HP/2500-(PS/rpm)
- Cutter Bar Length: minimum-
1975
- Gathering Length: minimum-
2060
- Travelling Speed at least:
Lower-0-0.93, Middle:0-0.1.37, High: 0-1.85
- Rubber Crawler: At least:
width(mm) x Ground control
length: 500/1700
Ground Contact
Pressure(kPa):17.8
- Speed Shift System-3 range
- Harvesting Capacity(ha/hr.)
minimum: 0.25-0.6
-With basic tools and
accessories
- With Cornkit
- With brand new transport
bed/trailer
Sub-
###
Total
Purpose:
_______________
_______________
_______________
_______________

Requested by: Approved by:

Signature :
Printed Name : CHRISTIAN D. SALES VAL M. CRISTOBAL
Designation : OIC CARPO PARPO II

PURCHASE REQUEST
DEPARTMENT OF AGRARIAN REFORM
Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster:

Office/Section : PR No.: ______________
Responsibility Center Code : ___________
Total
Stock/ Property No. Unit Item Description Quantity Unit Cost
Cost
Unit Hauling Track 1 ### ###
-Dropside, 20 footer
- Four(4) cylinder, Turbo-
Intercooler- Direct Inject
-Diesel Engine
-20 Footer
- at least 6 speed
- Power Window
- Auto Door Lock
- Airconditioned
- Reverse Buzzer
-With basic tools and accessories

-
 ###

Purpose:
_______________
_______________
_______________
_______________

Requested by: Approved by:

Signature :
Printed Name : CHRISTIAN D. SALES VAL M. CRISTOBAL
Designation : OIC CARPO PARPO II