Name of Procuring Entity: Malanagas National High School Proj. Solicitation No.: 03-01-19_ PR No.

_____
Standard Form No.: Name of the Project: Provision of Tools and Equipment for
Technical Vocational Livelihood Program TVL-SHS
Revised on May 24, 2004 Laboratory Supplies and Equipment
Standard Form Title: REQUEST FOR QUOTATION Location of the Project: Malangas National High
School,Malangas Zamboanga SIbugay
ABC: Php 1,034,626.00
Source of Funds:
Delivery Term: 60 Calendar Days

REQUEST FOR QUOTATION

COMPANY NAME:___________________________________________________
ADDRESS:____________________________________________________________

GENTLEMEN:
Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page stating
the shortest time of delivery and submit your quotation duly signed by your representative not later than March 7, 2019
in return envelope attached herewith. Opening of Price Quotation will be on March 7, 2019; 1:00 p.m. @ the Function Room,
Municipal Hall, Poblacion, Cagdianao, Dinagat Islands.
CARIDAD T. BAYNOSA
MBO/BAC Chairman
Item No. Qty. Unit Unit Price Total Cost Item &
Description
1 10 pcs. Kelly pad
2 6 pcs. Straight forcep 7 inches
3 3 pcs. Tissue forcep with Teeth
4 3 pcs. Curved surgical scissor
5 3 pcs. Straight surgical scissor
6 3 pcs. Neddle holder
7 3 pcs. Instrument tray
8 100 pcs. Disposal bonnet
9 1 box Face mask
10 500 clamp Cord clamp
11 500 pcs. Oxytocin
12 2 box Chromic
13 500 ampule Vit. K Ampule 1 ml 10mg/ml
VAT Inclusive
Place of Delivery: Brgy. Poblacion, Cagdianao, DI
After carefully read and accepted your General Conditions, I/We qoute on the items at prices noted above.
Printed Name/Signature
Tel No./ Cellphone No./ E-mail Address
Date