FON. POO OST Dale *OTIaGes REQUEST FOR QUOTATION Aternative-Small Value [Sec 53.9] The Philippine Economic Zone Authority (PEZA) intends to undertake Mode of Procurement: ‘Small vate in accordance with Sec. 53.9 of the 2016Revised Implementing Rules and Regulation of the Republic Act No. 9184, Quantity Procurement for the Supply and Delivery of HP __ Approved Budget Toners for HP Printer Color Laserjet MFP for the Contract lEsve4oDu (ABC) | 12 pes HP Toner Black managed Toner Cart WO050MC 68,400.00 HHP Toner Cyan Managed Toner Cart W9051MC 171,380.00 HP Toner Yellow Managed Toner Cart W9052MC 171,390.00 HHP Toner Magenta Managed Toner Cart W9053MC 171,380.00 | ‘November 13, 2023 5:00PM Php 582,670.00 Submissionlof Bid! J the deadlinp of submission of bids to Supply and Property Management Division (SPMD), 9 Floor Douljle Dragon Center, West Building, DD Meridian Park Macapagal Avenue, Pasay City. Interested bots ‘may submit their duly accomplished and filed-up Annex “A” & "B" on or before Bids must|be submitted manually or thru email together with the following documentary requiremerts: v__| Mayor's/Business Permit or PhilGEPS Platinum Membership Certificate ‘Onjnibus Sworn Statement (Notarized) for ABCs above 50K under small value only | y__ | Nofp: For sole proprietorship, please attach notarized Special Power of Atiomey (SPA) for authorized representative; For partnership, corporation, cooperative, or joint venture, please attach notbrized Secretary's Certificate, Board/Partnership Resolution, or SPA, whichever is applicable. Incbme / Business Tax Return (for ABCs above P500k) Lathst Income Tax Retum filed via eFPS (for participants already with an Annual ITR, latest ITR ‘hd refer to the ITR for the preceding Tax Year be ft on a calendar or fiscal year. For new y_ | estpblishment which, therefore, have no annual ITR yet, it shall refer to the most recent quarter's ITR) or Lat)st Business Tax Retum filed via eFPS (Refers to the Value Added Tax (VAT) or percentage tax retjms covering the previous six (6) months. For those with less than six (6) months operations, this{refers to the monthly business tax returns filed to date) a y_| PhIIGEPS Registration Number (not required if PhilGEPS Platinum Membership ificate is submitted) V_| Cehtificate of Authorized Reseller / Distributor from HP ‘Award of c§ntract shall be given to the lowest calculated and responsive bidder per item which ‘complies with the Price Quotation (Annex A), technical specifications (Annex B) and terms and conditions (Annex C). For any clarification, you may contact SPMD at telephone nos. (02) 8651-3445 or emailFONG. ‘SPIO 2025-05% Annex "A" PRICE QUOTATION FORM (Financial Bid) LUIS T. QUIAL OIC-SPMI 9" Floor Dpuble Dragon Center, West Building, DD Meridign Park Macapagal Avenue, Pasay City Dear Sir: ‘After having carefully read and accepted the Terms and Conditions of this RFQ and followed Instructiond to Bidders, hereunder is our quotation/s (inclusive of VAT) forthe following items: Tem Description a @) (xB) No. Quantity | Unit Price | Total Bid Price Phe (PhP) 7 Toner Black managed Toner Gar | i2pcs }050MC 2 tf Toner Cyan Managed Toner Cart | 6pcs 9051MC. 3 Toner Yellow Managed Toner Cart | Opes 1052MC 4 Toner Magenta Managed Toner Cart | 6 pcs 53MC NAME OF $TORE ADDRESS| PHILGEPSIREG. No. TN AUTHORIZED SIGNATORY. ‘Gignature over Printed Name) DATE CONTACTNOS. EMAIL ADDRESS INSTRUCTIONS: (2) Accomplish this Form (Annex A) correctly and accurately. (2) Do notjalter the contents ofthis form in any way. (2) Failurdto comply with any of the mandatory requirements will disqualify your quotation, (4) Failurdto follow these instructions will disqualify your entire quotation. (5) Bids exceeding the ABC shall be automaticaly disqualified.Annex “B" Technical Specifications Statement of Item ‘Compliance No. | Qty Specifications (State whether “Comply” or “Not Comply’) 1 ‘2pes_| HP Toner Black managed Toner Cart WSO50MC I ‘= Black Toner Cart WS050MC. 2 @pes_| HP Toner Cyan Managed Toner Cart WO051MC ‘+ Cyan Toner Cart W9051MC I 3 pcs _| HP Toner Yellow Managed Toner Cart W9052MC | + Yellow Toner Cart W9052MC 4 pcs _| HP Toner Magenta Managed Toner Cart W9053MC ‘+ Magenta Toner Cart W9053MC AUTHORIZED SIGNATORY: DATE ‘(Signature over Printed Name)Annex“ Terms and Conditions TERMS AND GONDITIONS Bidde} shall type or write in “ink” the following on the Price Quotation Form: = Name of Store = Address = AhilGEPS Registration No. / Organization No. - WwW = Authorized Signatory = Date = Gontact Nos. = Gmail Address ‘Submt the filed-up (Annexes A and B) Forms manually or thru email atthe following addrebs; ‘Manually " Floor Double Dragon Center, West Building, DD Meridian Park. | Avenue, Pasay Cit Emaill spmd@peza gov.ph ‘Term of Payment: Through Cheque / 30 working days upon receipt of Original Sales Invoice / Billing] Statement. Winnifg Bidder must deliver the items/services to the following address: 9" Figor DoubleDragon Center, West Building, DD Meridian Park, Macapagal Avenue, Pasay City roms Period: 45 calendar days upon receipt of NOA/ Contract PO/ WO