Republic of the Philippines

Office of the President

NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

DMO V/Provincial Officer

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______calendar days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RANDIE S. BACANI
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.
PROJECT: For REMCO V workshop:
1. 4 Pcs. HP 678 (Black)
2. 2 Pcs. HP 678 (Colored)
3. 1 Set Samsung MLT-D101S Toner
4. 4 Pcs. Epson T-6641 (Black)
5. 2 Pcs. Epson T-6642 (Blue)
6. 2 Pcs. Epson T-6643 (Cyan)
7. 2 Pcs. Epson T-6644 (Yellow)
8. 1 Pcs. Mouse USB
9. 2 Pcs. Flash Drive USB: 16 GB
10. 4 Pcs. Battery AA
11. 4 Pcs. Battery AAA
12. 1 Pack/Box Photo paper 200 gsm

(SAMPLE ONLY for Project below

50,000)
This is the form used for below 50K

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV
No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RANDIE S. BACANI
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.
For General Cleaning of window Air-
Conditioners of NCIP R-III as follows:

1. 1 Unit General Electric 2 HP RO-726

SN: SDOOOO87 5/13/2015
(ORD)

2. 1 Unit1 Condura Aircon 2.5 Hp RO-727

SN: RSO61526331 6/30/2015
(Res. Auditor)
3. 1 unit Condura Aircon 2.5 Hp Conf/R RO-735
4. 1 unit Condura Aircon 2.5 Hp Conf/R RO-735
5. 1 unit Condura Aircon 2.5 Hp Admin. RO-735

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store .
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RANDIE S. BACANI
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.
For General Cleaning of window Air-
Conditioners of NCIP R-III as follows:
1. 1 Unit Kelvinator 1.5 HP RO-472
SN:0744614 Budget 2/6/2009
2. 1 Unit1 Kelvinator 1.5 Hp RO-473
SN: 0744617 TMSD 2/6/2009
3. 1 Unit Carrier 1.5 Hp RO-388
Supply Off. 9/22/2015
4. 1 Unit Carrier 2 Hp (RHO) RO-447
SN:WCARPO19EE 5/5/2008
5. 1 Unit Carrier 1 Hp RO-560 1/6/2012
(RLO)

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RANDIE S. BACANI
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item
No. Qty. Unit SPECIFICATIONS Unit Price AMOUNT
For General Cleaning of Floor
Mounted Air Conditioners of NCIP
R-III as follows:
1. 1 Set Solid Floor Standing Aircon 5.0TR/6 Hp
a. FCU –JAAOLBCC103732000204 RO-679
b.ACCU-JAAOLBCC103732000192 RO-680
(At TMSD)

2. 1 Set Solid Floor Standing Aircon 5.0TR/6 Hp

a. FCU –JAAOLBCC103732000192 RO-681
b.ACCU-JAAOWACB103550000166 RO-682
(At ORD)

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address:
 Republic of the Philippines
Office of the President
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office No. III
City of San Fernando, Pampanga
Tel. Nos. (045)961-59-56/963-21-51

CANVASS FORM

July 13, 2016

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RONIE P. CAANAWAN
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.
Rubber Stamp of the following:
1. 1 Pc. RECEIVED by HRMD

2. 1 Pc. SALONG M. SUNGGOD

Regional Director

3. 1 Pc. RONIE P. CAANAWAN

Acting Chief, Administrative Officer

4. 1 Pc. EDITHA D. PONCE

Administrative Officer V/HRMO III

5. 1 Pc. RELEASED by HRMD

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store .
Tel. Nos.
Address:
 Republic of the Philippines
OFFICE OF THE PRESIDENT
NATIONAL COMMISSION ON INDIGENOUS PEOPLES
Regional Office - III
3 rd Floor, KL Building, Consunji St., City of San Fernando, Pampanga
Tel. Nos. (045) 961-5956 / 963-2151
Website: www.ncip.gov.ph – Email Address: ncipregion3@yahoo.com

CANVASS FORM

January 29, 2018

Date
Canvass No.
RIV No.

Gentlemen:
Please quote at your government prices, taxes included and such terms and conditions that you may counter propose
for articles and/or services enumerated below. You may counter offer with different specifications, brand or terms and conditions.
Same would be indicated clearly and signed by the authorized representatives.
You may submit your offer in a separate cover with your official letterhead duly signed by your authorized representatives.
The NCIP reserves its right to accept or reject any on all bids/offers/quotations or waives any defect hereof.
Thank you.
Very truly yours,

RANDIE S. BACANI
Chief, Admin./Finance Division

REQUEST FOR QUOTATION OF PRICES

Item Qty. Unit SPECIFICATIONS Unit Price AMOUNT
No.
For use of NCIP Service vehicle with Plate
No. SAA-2275:

1. 1 Unit Motolite Battery 2 SM

Total

I HEREBY CERTIFY that I am in a position to furnish the above article/s, services and in quantities as called
for except as I have indicated. The articles are available in our stock for immediate delivery to the NCIP R-III, City of San Fernando
Pampanga.
WE/I can deliver the item/s within______ working days from receipt of the Purchase Order. Our price offer is good
for ______ days only.

Canvassed By:
Date Signature Over Printed Name/Proprietor/Manager
Name of Store
Tel. Nos.
Address: