PURCHASE REQUEST

Entity Name: IPIL NATIONAL HIGH SCHOOL Fund Cluster: REGULAR AGENCY FUND 10

Office/Section : PR No.: 24-08-029 Date:

Responsibility Center Code :
___________

Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.

pcs steel rack (AS-04) 4 7,870.00 31, 480

TOTAL 31, 480

Purpose: For organization of school files.

Requested by: Approved by:

Signature :
Printed Name
VANESSA ESTRERA BRENDA P. MAROLEÑA
:
Designation : SSP-IV
 Err:522
Department of Education
Region VIII
ORMOC CITY DIVISION
IPIL NATIONAL HIGH SCHOOL
Ipil, Ormoc City

REQUEST FOR QUOTATION

RFQ No:
Date: 7/2/2024

SIR/MADAM:

Please quote your lowest price for the following items enumerated below, taking into consideration the following:
TERMS AND CONDITIONS
1. The Approved Budget for the Contract (ABC) is P _________________.
2. Price Quotation should be inclusive of the 5% Final VAT and expanded witholding tax (EWT) of 1%.
3. Any Alterations, erasures or overwriting shall be valid only if they are signed or initialed by the bidder or his/her duly authorized representative/s.

4. Price Quotation should be placed in a sealed envelope and must be valid for a period of 15 calendar days from the date of submission.
5. Supplier warrants that all goods/services/equipment to be provided are acceptable industry standard.
6. Delivery period is within (15) calendar days from receipt of Purchase Order (Please state the number of days of delivery if beyond the required calendar days.)
7. Warranty shall be for a period of six (6) months for supplies and materials, one (1) year for Equipment, from date of acceptance by the procuring entity.
8. All duties, excise, and other taxes, and revenue charges shall be paid by the supplier.

9. Upon the decision of the End-User and BAC, the supplier and its concerned premises may be subjected to ocular inspection and approval of the BAC prior to the
event, if any, shall be awarded the contract.
10. The procuring entity reserves the right to accept or reject any or all quotations and to impose additional terms and conditions as it may deem proper.
11. Award of contract shall be made to the lowest quotation which complies wih the minimum technical specifications and other terms and conditions stated herein.

12. If awarded the contract, processing and payment shall be made only upon a certification by the Head of the Procuring Entity to the effect that the goods/services
have been rendered or delivered in accordance with the terms of this Contract and have been duly inspected and accepted.

13. Refusal to accept an award maybe a ground for imposition of administrative sanctions under Rule XXXII of the Revised IRR of RA 9184.
14. The procuring entity may terminate the contract, in whole or in part, at anytime for unsatisfactory service.

SUPPLIER'S
APPROVED
QTY UNIT DESCRIPTION OF ARTICLES UNIT PRICETOTAL PRICE STATE OF REMARKS
ABC
COMPLIANCE
20 reams paper, vellum, short
14 reams paper, vellum ,long
15 boxes bondpaper, long
15 boxes bondpaper, a4
100 pcs expanded folder (yellow)

Required Documents for the Bidders: 1. Mayor's Permit 3. Income & Business Tax Returns
2. PHILGEPS Number . 4. Omnibus Sworn Statement

Date
JEFFREY PROJO
I have read and understood the Terms and Conditions stated above. By signing SSP-IV
this quote, I hereby agree and bind myself to the Terms & Conditions.

Signature Over Printed Name: ____________________________________ Canvassed by:

Position in Firm: ________________________________________________
Business Address: _______________________________________________ ETHAN WILLIAM SHANNON BOHOLST
Telephone No.: _________________________________________________ Canvasser
 Department of Education
Region No. VIII
IPIL NATIONAL HIGH SCHOOL
Ipil, Ormoc City

Date:

ABSTRACT OF CANVASS

NAME OF SUPPLIER
ITEM QTY. UNIT PARTICULARS SL RUIZ FURNITURE CALUTAN MRKTG PC TOOLS
NO. Unit Cost Total Cost Unit Cost Total Cost Unit Cost Total Cost
1 4 PCS STEL RACK (AS-04) 7,495.00 29,980.00 8,100.00 31,200.00 7,795.00 31,180.00

Mode of Procurement: Shopping

Note: Item # 1 is awarded to SL RUIZ FURNITURE

Total Amount: 29,980.00

GRAND TOTAL 29,980.00

Prepared by: Noted by: Certified Correct:

ISABEL D. GUAPE JEFFREY PROJO JOSEFA C. NELMIDA BRENDA P. MAROLEÑA
BAC Secretariat BAC Chairman BAC Vice Chair SSP -IV

DANILYN S. VILLACORTE FRANCISCL V. CALUB LESTER P. BERNARDINO ELIZABETH G. ALICAYA

BAC Secretariat BAC Member BAC Member BAC Member
 PURCHASE ORDER
Department of Education
Region No. VIII
Ormoc City Division
IPIL NATIONAL HIGH SCHOOL
Ipil, Ormoc City

Supplier : JRL SCHOOL AND OFFICE SUPPLIES P.O. No. : 24-02-007

Address : ORMOC CITY Date :
TIN : Mode of Procurement : Shopping
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : IPIL NATIONAL HIGH SCHOOL Delivery Term : ________________________

Date of Delivery : Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
reams paper, vellum, short 20 250.00 5,000.00
reams paper, vellum ,long 14 250.00 3,500.00
boxes bondpaper, long 15 1,250.00 18,750.00
boxes bondpaper, a4 15 1,150.00 17,250.00
pcs expanded folder, long (yellow) 100 25.00 2,500.00

(Total Amount in Words) 47,000.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for
every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

__________________________
Signature over Printed Name of Supplier BRENDA P. MAROLEÑA
___________________________ SSP-IV
Date

Fund Cluster : REGULAR AGENCY FUND 101 ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
ELVIE LLAMAS
AO II
 PURCHASE ORDER
Department of Education
Region No. VIII
Ormoc City Division
IPIL NATIONAL HIGH SCHOOL
Ipil, Ormoc City

Supplier : UNI-REAL TRADING P.O. No. : 21-11-085

Address : Osmeña St., Ormoc City Date : 11/22/2021
TIN : Mode of Procurement :
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : IPIL NATIONAL HIGH SCHOOL Delivery Term : ________________________

Date of Delivery : Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
pc Flourescent ballast 40 watts 6 185.00 1,110.00
0 2 gang electrical switch 10 120.00 1,200.00
0 2 gang electrical outlet 10 120.00 1,200.00
meter #14 PDX wire 35 45.00 1,575.00

(Total Amount in Words) Five Thousand Eighty Five Pesos 5,085.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for
every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

__________________________
Signature over Printed Name of Supplier ELENA ANGELITA C. SIOS-E
___________________________ SSP-III
Date

Fund Cluster : REGULAR AGENCY FUND 101 ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
ARACELI T.MERALLES
Senior Bookeeper
 PURCHASE ORDER
Department of Education
Region No. VIII
Ormoc City Division
IPIL NATIONAL HIGH SCHOOL
Ipil, Ormoc City

Supplier : P.O. No. :

Address : Date :
TIN : Mode of Procurement :
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : IPIL NATIONAL HIGH SCHOOL Delivery Term : ________________________

Date of Delivery : Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
0 0 0 0.00 0.00
0 0 0 0.00 0.00
0 0 0 0.00 0.00
0 0 0 0.00 0.00

(Total Amount in Words) 0.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for
every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

__________________________
Signature over Printed Name of Supplier ELENA ANGELITA C. SIOS-E
___________________________ SSP-III
Date

Fund Cluster : REGULAR AGENCY FUND 101 ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
ARACELI T.MERALLES
Senior Bookeeper
 Republic of the Philippines
Department of Education
Region No. VIII
IPIL NATIONAL HIGH SCHOOL
Ormoc City

NOTICE OF DELIVERY

P.O No. 24-02-007 Date: 12/30/1899 P.R. No. 24-08-029 Date:

Invoice No. Date: Date of Delivery:

Name of Supplier: JRL SCHOOL AND OFFICE SUPPOffice/Project: IPIL NHS

ORMOC CITY Ipil, Ormoc City

Qty Unit ITEMS/ARTICLES DELIVERED UNIT PRICE TOTAL COST

20 reams paper, vellum, short 250.00 5,000.00
-
-
-
-
-

TOTAL COST 5,000.00

MARLYN G. BURLAS
Des.Supply Officer

RECEIVED:
Auditor's Office
Accountant's Office
Requisitioning Officer
 INSPECTION AND ACCEPTANCE REPORT

Entity Name: IPIL NATIONAL HIGH SCHOOL Fund Cluster: REGULAR AGENCY FUND 101

Supplier: JRL SCHOOL AND OFFICE SUPPLIES IAR No.:

P.O. No./Date: 24-02-007 12/30/1899 Date:
Requisitioning Office/Dept.: Supply Office Invoice No.: 0839
Responsibility Center Code: Date: 12/30/1899
Stock/ Property
No. Description Unit Quantity

paper, vellum, short reams 20

INSPECTION ACCEPTANCE

Date Inspected: _________________________ Date Inspected: _________________________

Inspected, verified and found in order as to Complete

quantiy and specification
Partial (pls. specify quantity) _________

CARLBEN D.CUICO/ROSAL O. TULIN MARLYN G. BURLAS

Inspection Officer/Inspection Committee Des. Supply Officer
UND 101
 Annex G-9
REQUISITION AND ISSUE SLIP
Ipil National High School
(Agency)

Division: Ormoc City Responsibility Center: Date:

Office: Ipil National High School Code: Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks
reams paper, vellum, short 20
Purpose:
0

Requested by: Approved: Issued by: Received by:

Signature
Printed Name VANESSA ESTRERA ANNABELLE A. PALACIO MARLYN G. BURLAS MARVIE NUÑEZ
Designation 0 SSP-I Des. Supply Officer SST-II
Date #NAME? #NAME? 9/7/2020 9/7/2020

Stock No. Unit Description Quantity Remarks

ream A4 size Bondpaper Sub 20
Purpose:
For Reproduction of Modules

Requested by: Approved: Issued by: Received by:

Signature
Printed Name MARLYN G. BURLAS ANNABELLE A. PALACIO MARLYN G. BURLAS ALUNA MAE APAS
Designation Supply Officer SSP-I Des. Supply Officer SST-I
Date 8/10/2020 8/10/2020 9/7/2020 9/7/2020

Stock No. Unit Description Quantity Remarks

ream A4 size Bondpaper Sub 20
Purpose:
For Reproduction of Modules

Requested by: Approved: Issued by: Received by:

Signature
Printed Name ELENA ANGELITA C. SIOS-E MARLYN G. BURLAS
Designation SSP-III Des. Supply Officer
Date
 Appendix 9-11

ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT

Department of Education
Region No. VIII
Ormoc City Division
IPIL NATIONAL HIGH SCHOOL
Ormoc City

No. ________

Quantity Unit Description Property No.

20 reams paper, vellum, short
#NAME?
S/N: NXHAFSP00190404E153400

Received by: Received from:

FRANCISCO V. CALUB MARLYN G. BURLAS

Signature Over Printed Name Signature Over Printed Name

SCHOOL PAPER ADVISER SST-II/ Des. Supply Officer

Position/Office Position/Office

November 12, 2019

Date
AS
 INVENTORY CUSTODIAN SLIP
Department of Education
IPIL NATIONAL HIGH SCHOOL
Ormoc City

ICS No. _______________

Inventory Item
Qty Unit Description Unit Cost
No.
20 reams paper, vellum, short
#NAME?
S/N: NXHAFSP00190404E153400

Received by: Received from:

FRANCISCO V. CALUB MARLYN G. BURLAS

Signature Over Printed Name Signature Over Printed Name

SCHOOL PAPER ADVISER SST-II / DES. SUPPLY OFFICER

Position/Office Position/Office
11/12/2019 11/12/2019
Date Date
 Appendix 60
WASTE MATERIAL REPORT

Department of Education
IPIL NATIONAL HIGH SCHOOL
Ormoc City Division
Ormoc City

Place of Storage Supply Office Date:

ITEMS FOR DISPOSAL

RECORD SALES
ITEMS QTY UNIT DESCRIPTION
O.R. No. Amount

x-x-x-x-x-x-x-x-x-xNothing Follows-x-x-x-x-x-x-x-

TOTAL 0.00
Certified Correct: Disposal Approved:

HERACLEO C. JUBA
Property Officer
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:

Item Destroyed
Item Sold to private sale
Item Sold to public auction
Item Transferred without cost to ______

Property Inspector: (Name & Signature) Witness to disposition:

ELMERITO T. GEMEDA EVELYN D. LUNA

School Inspector Disbursing Officer