CBPM 2021 FORM B-11 Purchase Order for Goods

KALAHI-CIDSS NATIONAL COMMUNITY-DRIVEN DEVELOPMENT PROGRAM

Additional Financing

Office of the Barangay Development Council – Technical Working Group

Barangay: Mana
Municipality: Malita
Province: Davao Occidental
Region: XI

PURCHASE ORDER FOR GOODS

(Community Shopping)

Name of Supplier: MARY ANN CABARUBIAS CONST. SUPPLY P.O. No. 001

Address: Barangay Poblacion, Malita Date:

_________________________________________

In accordance with the quotation dated July 21, 2023 the Barangay Development
Council Technical Working Group (BDC-TWG) of Barangay Mana requests you to
supply and deliver the items detailed below.

Item No. Description/Specification Quantity Unit Unit Price Total Amount

1 Nylon #16 15.00 rolls
2 Transparent Hose Size 5/16 10.00 m
3 CW Nails #4 5.00 kgs
4 Portland Cement 40kg 262.00 bags
5 12mm x 6m DRB 34.00 lengths

6 10mm x 6m DRB 317.00 lengths

7 G.I Tire Wire #16 15.00 kgs
8 Hacksaw Blade 15.00 pcs
9 1/4 thk x 4’ x 8’ Ordinary 14.00 sheets
Plywood
10 CW Nails #3 11.00 kgs
11 -Reflectorized Vest 15.00 pcs
12 -Caution Tape 2.00 rolls

TOTAL AMOUNT P
AMOUNT IN WORDS:

TERMS AND CONDITIONS: Deliver to Barangay Mana on or before ___________.

In case of delay in delivery Liquidate Damages (LD) will be deducted to the final
payment. The basis of computation of LD is one percent (1%) of the cost of all the

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CBPM 2021 FORM B-11 Purchase Order for Goods

goods, scheduled for delivery or to be performed , after the deadline until completion
of other deliverables. Number of days shall be based from the agreed completion
date (or deadline of delivery) until the completion date (or full delivery) regardless of
progress (or delivery made) in between the agreed completion vs. actual completion
date (weekends, and holidays included); otherwise, 1/10 of 1% for contracts higher
than 10M.

Payment Mode is cross-checked upon acceptance of completed delivery.

The BDC-TWG reserves the right to accept or reject any part of the items delivered
which are not in accordance with the specifications.

Very truly yours,

(Signature Over Printed Name) Date: _______________

Chairman, BDC-TWG

Funds Available:

(Signature Over Printed Name) Date: _______________

Barangay Treasurer

Conforme:

(Signature Over Printed Name) Date : _______________

Registered Owner/Authorized Representative

Prepared by: Approved by:

(Signature Over Printed Name) (Signature Over Printed Name)

Procurement Team Member BAC Chairperson

Inspected/Tested by:

(Signature Over Printed Name) Date: _______________

Monitoring and Inspection Team

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CBPM 2021 FORM B-11 Purchase Order for Goods

Received by:

MARY ROSE B. ROSAL Date: _______________

Storekeeper/Bodegero

Note: For staggered delivery and staggered paymen t, pleas ensure that each
delivery period must have separate Inspection and Acceptance prior to payment.

TERMS AND CONDITIONS

1. All prices quoted herein are valid, binding, and effective at least within forty
five (45) calendar days (the number of days may vary depending on the
period of delivery) from the date of quotation.

2. AWARDEE shall be responsible for the source (s) of his

supplies/materials/equipment and shall make deliveries in accordance with
schedule, quality, and specifications required in the Purchase Order. Failure
by the AWARDEE to comply with the same shall be ground for cancellation of
the award and purchase order and for re-awarding the PO to the
ALTERNATE AWARDEE.

3. Subject to the provisions of the preceding paragraph, where AWARDEE has

accepted a Purchase Order but fails to deliver the required product(s) within
the time called for in the same Order, shall be extended a maximum of
fifteen (15) calendar days under liquidated damages to make good his/her
delivery. Thereafter, if AWARDEE has not completed delivery within the
extended period, the subject Purchase Order shall be cancelled. The
DEFAULTING AWARDEE is subjected to disqualification in any KC-NCDDP
AF procurement, without prejudice to the imposition of other sanctions.

4. All deliveries by the supplier/contractor shall be subject to inspection and

acceptance by the BDC-TWG through Roberto Villacruz. All necessary
laboratory tests undertaken by the BDC-TWG through Roberto Villacruz on
the item(s) shall be for the account of the supplier/contractor.

5. Rejected deliveries shall be construed as non-delivery of product(s)/item(s)

ordered and shall be subject to liquidated damages , subject to the terms and
conditions prescribed under paragraph 4 hereof.

6. Supplier shall guarantee his deliveries to be free from defects . Any defective
item(s)/product(s) , therefore, that may be discovered by the BDC-TWG
through Milagros L. Gonzaga within three (3) months after acceptance of the
same, shall be replaced by the supplier within five (5) calendar days upon
receipt of a written notice to that effect.

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CBPM 2021 FORM B-11 Purchase Order for Goods

7. In case of delay in delivery, Liquidated Damages (LD) will be deducted to the

final payment. The basis of computation of LD is one percent (%) of the cost
of all the goods undelivered, after the deadline until completion of the
deliverables. Number of days shall be based from the agreed completion date
(or deadline of delivery) until the actual completion date (or full delivery)
regardless of progress (or delivery made) in between the agreed completion
vs actual completion date (weekends, and holidays included); otherwise, 1/10
of 1% for contracts higher than 10M.

8. In no case shall the sum of liquidated damages exceed ten percent (10%) of
the contract amount. If it does, the contract is deemed automatically
terminated by the C/BSPMC, without prejudice to other courses of action and
remedies available to it.

9. All duties, excise and other taxes and revenue charges, if any, shall be for
the supplier’s/contractor’s account.

Instructions to the User:

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CBPM 2021 FORM B-11 Purchase Order for Goods

KALAHI-CIDSS NATIONAL COMMUNITY-DRIVEN DEVELOPMENT PROGRAM

Additional Financing

Office of the Barangay Development Council – Technical Working Group

Barangay: Mana
Municipality: Malita
Province: Davao Occidental
Region: XI

PURCHASE ORDER FOR GOODS

(Community Shopping)

Name of Supplier: LDM METAL CRAFT P.O. No. 006

Address: Aplaya, Digos City Date:

_________________________________________

In accordance with the quotation dated July 19, 2023 the Barangay Development
Council Technical Working Group (BDC-TWG) of Barangay Mana requests you to
supply and deliver the items detailed below.

Item No. Description/Specification Quantity Unit Unit Price Total Amount

1 Brass Marker (H=18” x L24” x T= 1.00 unit
3/32”, refer to specs/ approved
drawing plans

TOTAL AMOUNT P
AMOUNT IN WORDS:

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CBPM 2021 FORM B-11 Purchase Order for Goods

TERMS AND CONDITIONS: Deliver to Barangay Mana on or before ___________.

In case of delay in delivery Liquidate Damages (LD) will be deducted to the final

6
CBPM 2021 FORM B-11 Purchase Order for Goods

KALAHI-CIDSS NATIONAL COMMUNITY-DRIVEN DEVELOPMENT PROGRAM

Additional Financing

Office of the Barangay Development Council – Technical Working Group

Barangay: Mana
Municipality: Malita
Province: Davao Occidental
Region: XI

PURCHASE ORDER FOR GOODS

(Community Shopping)

Name of Supplier: KLW EDUCATIONAL & OFFICE P.O. No.5 005

SUPPLIES

Address: Barangay Poblacion,. Malita, Davao Date:

Occidental
_________________________________________

In accordance with the quotation dated July 20, 2023 the Barangay Development
Council Technical Working Group (BDC-TWG) of Barangay Mana requests you to
supply and deliver the items detailed below.

Item No. Description/Specification Quantity Unit Unit Price Total Amount

1 Steel Cabinet 4 Layers (W45.2 x 1.00 unit 15,160.00 15,160.00
D62 x H133.1 cm
2 8.5in x 13in Bond Paper Gsm 70 7.00 reams 300.00 2,100.00
3 Ballpen (Black) 15.00 pcs 78.00 1,170.00
4 Staple No. 35 2.00 pcs 585.00 1,170.00
5 Staple Wire No. 35 2.00 pcs 60.00 120.00

TOTAL AMOUNT P 19,720.00

AMOUNT IN WORDS: Nineteen Thousand Seven Hundred Twenty Pesos Only

KALAHI-CIDSS NATIONAL COMMUNITY-DRIVEN DEVELOPMENT PROGRAM

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CBPM 2021 FORM B-11 Purchase Order for Goods

Additional Financing

Office of the Barangay Development Council – Technical Working Group

Barangay: Mana
Municipality: Malita
Province: Davao Occidental
Region: XI

PURCHASE ORDER FOR GOODS

(Community Shopping)

Name of Supplier: JERLY COCO AND GEMELINA LUMBER P.O. No. 003

Address: Barangay Poblacion,. Malita, Davao Date:

Occidental
_________________________________________

In accordance with the quotation dated July 20, 2023 the Barangay Development
Council Technical Working Group (BDC-TWG) of Barangay Mana requests you to
supply and deliver the items detailed below.

Item No. Description/Specification Quantity Unit Unit Price Total Amount

1. 2” X 3” X 12’ Coco Lumber 90.00 bd. ft.
(length)
2. 2” X 2” X 12’ Coco Lumber 1,000.00 bd. ft.
(length)
3. 2” X 4” X 12’ Coco Lumber 64.00 bd. ft.
(length)

TOTAL AMOUNT P
AMOUNT IN WORDS: