Name of Procuring Entity Revised on : Standard Form/Title : COMPANY NAME ADDRESS TEL. NO./FAX No. : Republic of the Philippines DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS Tarlac 1st District Engineering Office Parsolingan, Gerona, Tarlac Purchase Request No. : 2014-025 Date : May 22, 2014 REQUEST FOR QUOTATION Office/End-User : DPWH-Tarlac 1st DEO : : : Request for Quotation No. Date : 2014-022 : May 27, 2014 TIN No. Please quote your lowest price on the item(s) listed below, subject to the Terms and Conditions stated below and submit your quotation duly signed by your representative not later tha 10:00 A.M. of June 5, 2014 the return envelope attached herewith.To the BAC Secretariat, Parsolingan, Gerona, Tarlac. TERMS and CONDITIONS : 1. All entries must be typewritten or legibly written. 2. Delivery period within _ Two TERMS and CONDITIONS : (2) w.d. upon receipt of the approved funded Purchase Order (P.O). Administrative penalties pursuant to Sec. 69 of the Revised 1. All entries must be typewritten or legibly written. IRR-RA 9184 shall be imposed for non-delivery without valid reason. 2. Delivery period within ________________ upon receipt of the approved funded 3. Warranty shall be for a mininum of three (3) months for supplies & materials; one year Purchase Order (P.O) for Equipment from date of acceptance by the end-user. 3. Price Warranty shall be for for days. supplies & materials; one 4. validity shall be a formininum a periodofofthree sixty (3) (60)months calendar year for Equipment date of acceptance by the shall end-user. 5. G-EPS Registrationfrom Certificate/Mayor's Permit/DTI be attached upon submission of 4. Price validity the quotation . shall be for a period of sixty (60) calendar days. 5. Bidders G-EPS Registration shall be showing attachedcertifications upon submission the 6. shall submit Certificate original brochures of theofproduct,applicable quotation. 7. the brand for brochures each itemsshowing being offered. 6. Please Biddersindicate shall submit original certifications of the product, if 8. The approved budget ceiling for this procurement is PhP 330,297.44 applicable. Item ITEMS & DESCRIPTION No. 1 GRASS CUTTER, 4 Stroke Cycle (Branded) 2 T-SHIRT, Long Sleeve with Logo, Color: Orange QTY. UNIT 8 unit 242 pc. 3 REFLECTORIZED TRAFFIC SAFETY VEST 50 pc. 4 TRAFFIC CONE, Rubber 100 pc. HERMON G. INES Caretaker, Assistant District Engineer BAC-Chairman UNIT PRICE TOTAL PRICE x-x-x TOTAL : Brand and Model: Delivery Period Warranty : Price Validity : : After having carefully read and accepted your General Conditions, I / We quote you on the item(s) at prices note above. If the space for Delivery Period, Warranty and Price Validity are left blank, it means that I concur with the Terms and Conditions specified by DPWH. Printed Name / Signature / Date Tel. No. / Cellphone No. / E-mail Address Page 1 of 1