REQUEST FOR QUOTATION

The Philippine Statistics Authority (PSA) through its Bids and Awards Committee (BAC) will undertake alternative mode of procurement, small value procurement for IT equipment & Laser Jet Toner

Name of Project / IT Equipment & Laser Jet Toner
Solicitation / 17-11-225-SOCD
Location / Legazpi City
Brief Description
Quantity
Approved Budget for the Contract (ABC) / P152,000.00
Contract Duration

Please quote your lowest price on the item/s listed below and submit personally your SEALED QUOTATION not later than 10:00 AM on November _____, 2017 at the Administrative Division, 2nd Flr. Albay Capitol Annex Bldg. 1, Legazpi City

______

ANABELLA D. BARQUILLA

RBAC Chairman

Terms and Conditions:

1.  Supplier must be within Legazpi City area.

2.  Only the suppliers registered at the Philippine Government Electronic Procurement System (PhilGEPS) shall be allowed to submit the quotation.

3.  All entries must be typewritten/printed legibly in the Bid Form. Failure to use this form will

result to disqualification of your bid.

4.  Late submission of quotation shall not be accepted.

5.  Bids exceeding the ABC shall be disqualified.

6.  The Lowest bidder shall be informed immediately and shall be asked to submit additional

requirements within three days after the opening of bids or during post qualification.

7.  Award of contract shall be made to the lowest quotation, and complies with the

specifications and other terms and conditions as stated in the RFQ.

8.  Terms of Payment shall be made through check payable to the supplier.

9.  The PSA reserves the right to reject any or all bid proposals, or declares the bidding a

failure, or not to award the contract, and makes no assurance that a contract shall

be entered into as a result of this invitation.

PHILIPPINE STATISTICS AUTHORITY

REQUEST FOR QUOTATION

Page 2

BID FORM

Item/s and specification/s
(minimum) / Unit / Qty. / Unit Price / Total Amount
(VAT inclusive) / Compliance with Technical Specifications (please check)
YES / NO
LOT A – (ABC – P62,000.00)
1. Genuine HP Laser Jet Toner 410A-
CF412A (Yellow)
2. Genuine HP Laser Jet Toner 410A-
CF413A (Magenta
3. Genuine HP Laser Jet Toner 410A-
CF411A (Cyan)
4. Genuine HP Laser Jet Toner 410A-
CF410A (Black)
5. Genuine Samsung Toner MLT-D116L 3,0003 (for Samsung xpress M2885FW)
LOT B – (ABC 90,000.00)
1. 16GB DDR3 SDRAM 240-pin
2. 3TB SATA internal drive 256MB
Caches
3. APC Power saving Back UPS Pro 550
4. Cable Tester Heavy Duty (RJ45)
5. Portable Printer (iP110) – pls see
attached specs and description
6. Optical Mouse (A4 Tech)
Xxx
For official use of PSA-RSSO V, Legazpi City c/o SOCD re: 2017 APIS / Pcs
Pcs
Pcs
Pcs
Pc
Pc
Pc
Set
Pc
pc / 2
2
2
2
1
1
4
1
1
10 / Total amount in words:______/ ( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( ) / ( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )
( )

Other Requirements:

After having carefully read and accepted your Terms and Conditions. I/We quote you on the item at prices noted above.

Printed Name of authorized representative/Signature______

Position: ______

Name of Company ______

Address: ______Email Address:______

Fax No. ______. Tel No.: ______Cellphone No.______

Date: ______

LBP ACCOUNT NUMBER OF ESTABLISHMENT: ______