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LIST OF BIDDERS

THIS IS TO CERTIFY that I have received from the Bid Server of the Procurement Unit of the Request of Quotation under Purchase Request No. _____,
Dated ____________.

Name of Bidder/Dealer Signature Address Date Received

Required Documents:
 Mayor’s Permit/Business Permit
 (DTI) Department of Trade & Industry
 (SEC) Securities Exchange Commission
 Certificate of PhilGEPS Registration
 Income/Business Tax Return
 Omnibus Sworn Statement

REQUEST FOR QUOTATION


(Negotiated Procurement 53.14)
Please quote your lowest price on the item/s listed below, subject to the General Conditions on this page, stating the shortest time of
delivery and submit your quotation duly signed by your representative not later than ___________________ in the return envelope attached
herewith.

NOTE: 1 . ALL ENTRIES MUST BE TYPEWRITTEN


2 . DELIVERY PERIOD WITHIN _________________ CALENDAR DAYS
3 . WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR FOR
EQUIPMENT FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4 . PRICE VALIDITY SHALL BE FOR A PERIOD OF _________________ CALENDAR DAYS
5 . G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION
6 . BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWINGS CERTIFICATIONS OF THE PRODUCT BEING OFFERED

Item No. ITEM & DESCRIPTION QTY UNIT PRICE/pc

Brand and Model :________________________


Delivery Period :________________________
Warranty :________________________
Price Validity :________________________

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