Supplier: ________________________________ P.R. No.: 21-00x
Address: ________________________________
________________________________
TIN : ________________________________
Please quote your lowest price for the following items enumerated below, taking into consideration
the Terms and Conditions in Annex "A" hereof.
The Approved Budget for the Contract (ABC) is P________
(SGD) ALBERTO S. CAMILOTES (SGD) ENGR. MARK ISRAEL L. HANDAYAN
Canvasser BAC Chairperson
I have read and understood the Terms and Conditions stated below.
By signing this quote, I hereby agree and bind myself to the Terms and Conditions.
Signature Over Printed Name: _________________________________
Position in Firm: _________________________________
Date: _________________________________
Contact No./ Fax No.: _________________________________
Annex A
Terms and Conditions
1. For VAT Suppliers: For NON-VAT Suppliers:
Less 5% withholding tax on VAT Less 3% withholding tax on NON-VAT
Plus 1% withholding tax on EVAT Plus 1% withholding tax on EVAT
2. Delivery period is within thirty (30) days from receipt of Purchase Order.
3. Place of delivery: Sogod Water District Office, Sogod, So. Leyte.
4. This Request for Quotation must be sealed and submitted or ready for pick up
on or before [date] 9:30 a.m.
ONLY SEALED QUOTATION WILL BE ACCEPTED.
5. If awarded the contract, payment shall be made after complete delivery and
final acceptance of the items procured.
6. Refusal to accept the Notice of Award maybe ground for imposition of
administrative sanctions under Rule XXIII of the Revised IRR of RA 9184.
(SGD) ENGR. MARK ISRAEL L. HANDAYAN
BAC Chairperson