UNIVER

VAT

Request for Quota

TYPE

Suppliers Name:

Please quote your lowest price on the item/s listed belo

Note:
1. Bidders shall provide correct and accurate information required in this form. A
not applicable.
2. Price quotation/s to be denominated in Philippine Peso shall include all taxes
3. Bidders must indicate the BRAND and MODEL NUMBER for equipment and
unconditional statement of specification and compliance issued by the manufac
4. Quotation through fax/email is acceptable. Winning bidder shall submit origin
5. Quotations exceeding the Appoved Budget for Contract shall be rejected.
6. Documentary requirements per Memorandum No. 03 Series of 2017 shall be
7. Others: _______________________________________________________

ITEM GENERAL NAME OF UNIT OF

REQUIRED SPECIFICATIONS QTY
No. THE ITEM MEASURE

1 Calibration of Convection Oven, 100,

125, 130, 135 and 180°C set points,
Calibration Services Lot 1
On-site calibration, PAB/ISO 17025
Accredited

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 2
Calibration of Vacuum Oven, 70°C, 25,
Calibration Services 50 and 100 mmHG vacuum, On-site Lot 1
calibration, PAB/ISO 17025 Accredited

3
Calibration of Muffle Furnace, 450,
Calibration Services 525 and 55°C set points, On-site Lot 1
calibration, PAB/ISO 17025 Accredited

4
Calibration of Set of Weights: 1, 2, 10,
Calibration Services 20, 50, 200 & 500 milligrams, PAB/ISO Lot 1
17025 Accredited

5
Calibration of Set of Weights: 1, 2, 10,
Calibration Services 20, 50, 100, 200 & 500 grams, Lot 1
PAB/ISO 17025 Accredited

6
Calibration of Incubator 20°C setpoint,
Calibration Services On-site calibration, PAB/ISO 17025 Lot 1
Accredited

TOTA

Reviewed and Checked By:

BAC TWG
Please quote at your government price (including VAT) and state that the tim
quotation in the office as soon as poss

TERMS AND CONDITIONS:

1. Price quotation/s shall be valid for a period of at least (30) calendar days from the date of submiss
2. In order to assure that manufacturing defects shall be corrected by supplier, a warranty security sh
EXPENDABLE SUPPLIES, or a minimum of one (1) year warranty and two (2) to three (3) years
End-user of the delivered supplies.
3. Delivery period within ______ calendar days.
4. Award of contract shall be made to the lowest quotation wich complies with the technical specifica
5. UPLB reserves the right to reject any or all offers as may be considered most advantageous to th
6. Any interlineations, erasure, or overwriting shall be valid only if they are signed or initiated by you

Requirements for Suppliers (GPPB Resolution No. 21-2017)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 REQUIREMENTS Shopping
(Section 52)

1 Mayor's/Business Permit ⁄
2 PhilGEPS Registration Number ⁄
3 Professional license/ CV (consulting services)
4 PCAB License (for Infrastructure)

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

7 NFCC for Infrastructure with ABC above Ph500k

After having carefully read and accepted your General Conditions, I/We quote you on the Item
Name of the Company:
Address:

Signature over Printed Name

of Representative:

Position:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 UNIVERSITY OF THE PHILIPPINES
LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

uest for Quotation/ Bid Form (Technical Specifications)

TYPE END USER/DEPARTMENT UNIT

UPLB-RQ-

DEADLINE OF
SUBMISSION:

Date 9/28/2019
Fund Code: 9151011
MOP: SMALL VALUE PROCUREMENT
Contact No: 536 1576
Contact Person Dr. Jeffrey P. Tamayo

em/s listed below, subject to the General Conditions below.

ed in this form. All entries must be typewritten or in print and properly accomplished. Do not leave

include all taxes, duties, and/ or levies payable.

equipment and its accessories or peripherals. Evidence shall be in the form of manufacturer's un
by the manufacturer and sample.
all submit original signed RQ before issuance of Puchase order (P.O.).
be rejected.
of 2017 shall be attached upon submission of the quotation
___________________________

ESTIMATED OFFERED SPECIFICATION

ESTIMATED UNIT
TOTAL Suppliers must state here the detailed
APPROVED QUOTED UNIT
APPROVED technical specifications of their offer against
BUDGET OF THE PRICE
BUDGET OF THE each of the individual parameters of each
CONTRACT requirements
CONTRACT

10,500.00 10,500.00

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 15,500.00 15,500.00

5,500.00 5,500.00

4,000.00 4,000.00

4,000.00 4,000.00

5,000.00 5,000.00

TOTAL ABC 44,500.00

TOTAL QUOTED AMOUNT IN WORDS:

tate that the time within which you can make delivery. It will be appreciated if we can have
s soon as possible on or before the deadline stated herein.

DR. JEFFREY P. TAMAYO

BUYER/ END-USER

he date of submission.
warranty security shall be required from the contract awardee for a minimum period of three (3) months, in the ca
to three (3) years extended warranty (if applicable) in the case of NON-EXPENDABLE SUPPLIES after acce

technical specifications, and other terms and conditon stated herein

advantageous to the University.
or initiated by you or any of your duly authorized representative/s.

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated
Procurement- Small Procurement- Lease of or Artistic Work, Exclusive Technology and Procurement-
Value Procurement Real Property or Media Services (Section 53.6) Emergency (Section
(Section 53.9) Venue (Section 53.10) 53.2)

⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

500K 50K
FOR ABC'S ABOVE FOR ABC'S ABOVE
50K 500K
⁄ FOR ABC'S ABOVE
50K
e you on the Item at prices noted above.

Tel. No. :

Fax No. :
Email Address:

Date:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ns)

UPLB-RQ-

DEADLINE OF
SUBMISSION:

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

r (P.O.).

EVALUATION
TOTAL QUOTED (Leave this space
PRICE blank. For BAC/
Evaluators only)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

MOUNT IN WORDS:

ll be appreciated if we can have your

um period of three (3) months, in the case of

N-EXPENDABLE SUPPLIES after acceptance by

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18
 UNIVER

VAT

Request for Quota

TYPE

Suppliers Name:

Please quote your lowest price on the item/s listed belo

Note:
1. Bidders shall provide correct and accurate information required in this form. A
not applicable.
2. Price quotation/s to be denominated in Philippine Peso shall include all taxes
3. Bidders must indicate the BRAND and MODEL NUMBER for equipment and
unconditional statement of specification and compliance issued by the manufac
4. Quotation through fax/email is acceptable. Winning bidder shall submit origin
5. Quotations exceeding the Appoved Budget for Contract shall be rejected.
6. Documentary requirements per Memorandum No. 03 Series of 2017 shall be
7. Others: _______________________________________________________

ITEM GENERAL NAME OF UNIT OF

REQUIRED SPECIFICATIONS QTY
No. THE ITEM MEASURE

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 1
Preventive Maintenance for
PerkinElmer AAS Model AAnalyst400
1 year contract
Preventive
2 visits within contract Lot 1
Maintenance Service
2 emergency visits
within contract Exclusive of supplies
and materials
2
Preventive Maintenance for Shimadzu
Preventive UV/Vis Model UV-1601
Lot 1
Maintenance Service 1 visit
Wavelength and Lamp energy check

3
Preventive Maintenance for Horiba pH
meter model F-74 pH meter
Preventive
1 visit Lot 1
Maintenance Service
Checking, cleaning and validation of
temperature and pH sensors
TOTA

Reviewed and Checked By:

BAC TWG
Please quote at your government price (including VAT) and state that the tim
quotation in the office as soon as poss

TERMS AND CONDITIONS:

1. Price quotation/s shall be valid for a period of at least (30) calendar days from the date of submiss
2. In order to assure that manufacturing defects shall be corrected by supplier, a warranty security sh
EXPENDABLE SUPPLIES, or a minimum of one (1) year warranty and two (2) to three (3) years
End-user of the delivered supplies.
3. Delivery period within ______ calendar days.
4. Award of contract shall be made to the lowest quotation wich complies with the technical specifica
5. UPLB reserves the right to reject any or all offers as may be considered most advantageous to th
6. Any interlineations, erasure, or overwriting shall be valid only if they are signed or initiated by you

Requirements for Suppliers (GPPB Resolution No. 21-2017)

REQUIREMENTS Shopping
(Section 52)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 1 Mayor's/Business Permit ⁄
2 PhilGEPS Registration Number ⁄
3 Professional license/ CV (consulting services)
4 PCAB License (for Infrastructure)

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

7 NFCC for Infrastructure with ABC above Ph500k

After having carefully read and accepted your General Conditions, I/We quote you on the Item
Name of the Company:
Address:

Signature over Printed Name

of Representative:

Position:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 UNIVERSITY OF THE PHILIPPINES
LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

uest for Quotation/ Bid Form (Technical Specifications)

TYPE END USER/DEPARTMENT UNIT

UPLB-RQ-

DEADLINE OF
SUBMISSION:

Date 9/28/2019
Fund Code: 9151011
MOP: SMALL VALUE PROCUREMENT
Contact No: 536 1576
Contact Person Dr. Jeffrey P. Tamayo

em/s listed below, subject to the General Conditions below.

ed in this form. All entries must be typewritten or in print and properly accomplished. Do not leave

include all taxes, duties, and/ or levies payable.

equipment and its accessories or peripherals. Evidence shall be in the form of manufacturer's un
by the manufacturer and sample.
all submit original signed RQ before issuance of Puchase order (P.O.).
be rejected.
of 2017 shall be attached upon submission of the quotation
___________________________

ESTIMATED OFFERED SPECIFICATION

ESTIMATED UNIT
TOTAL Suppliers must state here the detailed
APPROVED QUOTED UNIT
APPROVED technical specifications of their offer against
BUDGET OF THE PRICE
BUDGET OF THE each of the individual parameters of each
CONTRACT requirements
CONTRACT

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 80,000.00 80,000.00

25,000.00 25,000.00

11,000.00 11,000.00

TOTAL ABC 116,000.00

TOTAL QUOTED AMOUNT IN WORDS:

tate that the time within which you can make delivery. It will be appreciated if we can have
s soon as possible on or before the deadline stated herein.

DR. JEFFREY P. TAMAYO

BUYER/ END-USER

he date of submission.
warranty security shall be required from the contract awardee for a minimum period of three (3) months, in the ca
to three (3) years extended warranty (if applicable) in the case of NON-EXPENDABLE SUPPLIES after acce

technical specifications, and other terms and conditon stated herein

advantageous to the University.
or initiated by you or any of your duly authorized representative/s.

Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated

Procurement- Small Procurement- Lease of or Artistic Work, Exclusive Technology and Procurement-
Value Procurement Real Property or Media Services (Section 53.6) Emergency (Section
(Section 53.9) Venue (Section 53.10) 53.2)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 ⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

500K 50K
FOR ABC'S ABOVE FOR ABC'S ABOVE
50K 500K
⁄ FOR ABC'S ABOVE
50K
e you on the Item at prices noted above.

Tel. No. :

Fax No. :
Email Address:

Date:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ns)

UPLB-RQ-

DEADLINE OF
SUBMISSION:

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

r (P.O.).

EVALUATION
TOTAL QUOTED (Leave this space
PRICE blank. For BAC/
Evaluators only)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

MOUNT IN WORDS:

ll be appreciated if we can have your

um period of three (3) months, in the case of

N-EXPENDABLE SUPPLIES after acceptance by

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18
 UNIVER

VAT

Request for Quota

TYPE

Suppliers Name:

Please quote your lowest price on the item/s listed belo

Note:
1. Bidders shall provide correct and accurate information required in this form. A
not applicable.
2. Price quotation/s to be denominated in Philippine Peso shall include all taxes
3. Bidders must indicate the BRAND and MODEL NUMBER for equipment and
unconditional statement of specification and compliance issued by the manufac
4. Quotation through fax/email is acceptable. Winning bidder shall submit origin
5. Quotations exceeding the Appoved Budget for Contract shall be rejected.
6. Documentary requirements per Memorandum No. 03 Series of 2017 shall be
7. Others: _______________________________________________________

ITEM GENERAL NAME OF UNIT OF

REQUIRED SPECIFICATIONS QTY
No. THE ITEM MEASURE

1 Air Conditioning Cleaning and

Preventive Preventive Maintenance
Lot 4
Maintenance Service 3 units split type 1
unit floor type

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 TOTA

Reviewed and Checked By:

BAC TWG
Please quote at your government price (including VAT) and state that the tim
quotation in the office as soon as poss

TERMS AND CONDITIONS:

1. Price quotation/s shall be valid for a period of at least (30) calendar days from the date of submiss
2. In order to assure that manufacturing defects shall be corrected by supplier, a warranty security sh
EXPENDABLE SUPPLIES, or a minimum of one (1) year warranty and two (2) to three (3) years
End-user of the delivered supplies.
3. Delivery period within ______ calendar days.
4. Award of contract shall be made to the lowest quotation wich complies with the technical specifica
5. UPLB reserves the right to reject any or all offers as may be considered most advantageous to th
6. Any interlineations, erasure, or overwriting shall be valid only if they are signed or initiated by you

Requirements for Suppliers (GPPB Resolution No. 21-2017)

REQUIREMENTS Shopping
(Section 52)

1 Mayor's/Business Permit ⁄
2 PhilGEPS Registration Number ⁄
3 Professional license/ CV (consulting services)
4 PCAB License (for Infrastructure)

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

7 NFCC for Infrastructure with ABC above Ph500k

After having carefully read and accepted your General Conditions, I/We quote you on the Item
Name of the Company:
Address:

Signature over Printed Name

of Representative:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 Position:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 UNIVERSITY OF THE PHILIPPINES
LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

uest for Quotation/ Bid Form (Technical Specifications)

TYPE END USER/DEPARTMENT UNIT

UPLB-RQ-

DEADLINE OF
SUBMISSION:

Date 9/28/2019
Fund Code: 9151011
MOP: SMALL VALUE PROCUREMENT
Contact No: 536 1576
Contact Person Dr. Jeffrey P. Tamayo

em/s listed below, subject to the General Conditions below.

ed in this form. All entries must be typewritten or in print and properly accomplished. Do not leave

include all taxes, duties, and/ or levies payable.

equipment and its accessories or peripherals. Evidence shall be in the form of manufacturer's un
by the manufacturer and sample.
all submit original signed RQ before issuance of Puchase order (P.O.).
be rejected.
of 2017 shall be attached upon submission of the quotation
___________________________

ESTIMATED OFFERED SPECIFICATION

ESTIMATED UNIT
TOTAL Suppliers must state here the detailed
APPROVED QUOTED UNIT
APPROVED technical specifications of their offer against
BUDGET OF THE PRICE
BUDGET OF THE each of the individual parameters of each
CONTRACT requirements
CONTRACT

3,500.00 14,000.00

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 TOTAL ABC 14,000.00
TOTAL QUOTED AMOUNT IN WORDS:

tate that the time within which you can make delivery. It will be appreciated if we can have
s soon as possible on or before the deadline stated herein.

DR. JEFFREY P. TAMAYO

BUYER/ END-USER

he date of submission.
warranty security shall be required from the contract awardee for a minimum period of three (3) months, in the ca
to three (3) years extended warranty (if applicable) in the case of NON-EXPENDABLE SUPPLIES after acce

technical specifications, and other terms and conditon stated herein

advantageous to the University.
or initiated by you or any of your duly authorized representative/s.

Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated

Procurement- Small Procurement- Lease of or Artistic Work, Exclusive Technology and Procurement-
Value Procurement Real Property or Media Services (Section 53.6) Emergency (Section
(Section 53.9) Venue (Section 53.10) 53.2)

⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

500K 50K
FOR ABC'S ABOVE FOR ABC'S ABOVE
50K 500K
⁄ FOR ABC'S ABOVE
50K
e you on the Item at prices noted above.

Tel. No. :

Fax No. :
Email Address:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 Date:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ns)

UPLB-RQ-

DEADLINE OF
SUBMISSION:

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

r (P.O.).

EVALUATION
TOTAL QUOTED (Leave this space
PRICE blank. For BAC/
Evaluators only)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

MOUNT IN WORDS:

ll be appreciated if we can have your

um period of three (3) months, in the case of

N-EXPENDABLE SUPPLIES after acceptance by

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 UNIVER

VAT

Request for Quota

TYPE

Suppliers Name:

Please quote your lowest price on the item/s listed belo

Note:
1. Bidders shall provide correct and accurate information required in this form. A
not applicable.
2. Price quotation/s to be denominated in Philippine Peso shall include all taxes
3. Bidders must indicate the BRAND and MODEL NUMBER for equipment and
unconditional statement of specification and compliance issued by the manufac
4. Quotation through fax/email is acceptable. Winning bidder shall submit origin
5. Quotations exceeding the Appoved Budget for Contract shall be rejected.
6. Documentary requirements per Memorandum No. 03 Series of 2017 shall be
7. Others: _______________________________________________________

ITEM GENERAL NAME OF UNIT OF

REQUIRED SPECIFICATIONS QTY
No. THE ITEM MEASURE

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 1 Participation in the following PT
Program
WP Minerals
PT WP pH PT
Proficiency Testing WP Oil and
Lot 1
Service Grase PT WP
Demand PT
WP Simple Nutrient PT
ISO/IEC 17034:2016
Accredited
TOTA

Reviewed and Checked By:

BAC TWG
Please quote at your government price (including VAT) and state that the tim
quotation in the office as soon as poss

TERMS AND CONDITIONS:

1. Price quotation/s shall be valid for a period of at least (30) calendar days from the date of submiss
2. In order to assure that manufacturing defects shall be corrected by supplier, a warranty security sh
EXPENDABLE SUPPLIES, or a minimum of one (1) year warranty and two (2) to three (3) years
End-user of the delivered supplies.
3. Delivery period within ______ calendar days.
4. Award of contract shall be made to the lowest quotation wich complies with the technical specifica
5. UPLB reserves the right to reject any or all offers as may be considered most advantageous to th
6. Any interlineations, erasure, or overwriting shall be valid only if they are signed or initiated by you

Requirements for Suppliers (GPPB Resolution No. 21-2017)

REQUIREMENTS Shopping
(Section 52)

1 Mayor's/Business Permit ⁄
2 PhilGEPS Registration Number ⁄
3 Professional license/ CV (consulting services)
4 PCAB License (for Infrastructure)

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 7 NFCC for Infrastructure with ABC above Ph500k

After having carefully read and accepted your General Conditions, I/We quote you on the Item
Name of the Company:
Address:

Signature over Printed Name

of Representative:

Position:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 UNIVERSITY OF THE PHILIPPINES
LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

uest for Quotation/ Bid Form (Technical Specifications)

TYPE END USER/DEPARTMENT UNIT

UPLB-RQ-

DEADLINE OF
SUBMISSION:

Date 9/28/2019
Fund Code: 9151011
MOP: SMALL VALUE PROCUREMENT
Contact No: 536 1576
Contact Person Dr. Jeffrey P. Tamayo

em/s listed below, subject to the General Conditions below.

ed in this form. All entries must be typewritten or in print and properly accomplished. Do not leave

include all taxes, duties, and/ or levies payable.

equipment and its accessories or peripherals. Evidence shall be in the form of manufacturer's un
by the manufacturer and sample.
all submit original signed RQ before issuance of Puchase order (P.O.).
be rejected.
of 2017 shall be attached upon submission of the quotation
___________________________

ESTIMATED OFFERED SPECIFICATION

ESTIMATED UNIT
TOTAL Suppliers must state here the detailed
APPROVED QUOTED UNIT
APPROVED technical specifications of their offer against
BUDGET OF THE PRICE
BUDGET OF THE each of the individual parameters of each
CONTRACT requirements
CONTRACT

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 110,000.00 110,000.00

TOTAL ABC 110,000.00

TOTAL QUOTED AMOUNT IN WORDS:

tate that the time within which you can make delivery. It will be appreciated if we can have
s soon as possible on or before the deadline stated herein.

DR. JEFFREY P. TAMAYO

BUYER/ END-USER

he date of submission.
warranty security shall be required from the contract awardee for a minimum period of three (3) months, in the ca
to three (3) years extended warranty (if applicable) in the case of NON-EXPENDABLE SUPPLIES after acce

technical specifications, and other terms and conditon stated herein

advantageous to the University.
or initiated by you or any of your duly authorized representative/s.

Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated

Procurement- Small Procurement- Lease of or Artistic Work, Exclusive Technology and Procurement-
Value Procurement Real Property or Media Services (Section 53.6) Emergency (Section
(Section 53.9) Venue (Section 53.10) 53.2)

⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

500K 50K
FOR ABC'S ABOVE FOR ABC'S ABOVE
50K 500K

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

 ⁄ FOR ABC'S ABOVE
50K
e you on the Item at prices noted above.

Tel. No. :

Fax No. :
Email Address:

Date:

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ns)

UPLB-RQ-

DEADLINE OF
SUBMISSION:

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

r (P.O.).

EVALUATION
TOTAL QUOTED (Leave this space
PRICE blank. For BAC/
Evaluators only)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

MOUNT IN WORDS:

ll be appreciated if we can have your

um period of three (3) months, in the case of

N-EXPENDABLE SUPPLIES after acceptance by

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18