CDD-114:

Form

CBPM Form B-8

KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROJECT

Office of the Barangay Sub-Project Management Committee
Barangay: _________________________
Municipality: ________________________
Province: __________________________

CANVASS FORM FOR LEASE OF EQUIPMENT

Date:_______________
To:(Name of Contractor/ Equipment Lessor)
Address:_______________________________
May we request you to indicate your quotation for the rental for the equipment indicated below. Please return this form to the canvasser in sealed envelope or submit it to the
Barangay Sub-Project Management Committee (C/BSPMC) at the Barangay Hall on insert date and time of deadline for submission
EQUIPMENT LEASE
Terms and Conditions:
1. In case of unacceptable/unreasonable delay in delivery of services as required, 1/10 of 1% of the rental will be deducted from the total amount due for each day of
delay (weekends, and holidays included)
2. Quotation must be valid and fixed for 30 calendar days.
3. Prices quoted must include taxes and other incidental expenses.
4. The Equipment Operators wages cost of equipment maintenance and repairs shall be for the account of the LESSOR.
5. The LESSOR shall ensure that the equipment is in operating condition at all times during the duration of the contract agreement.
6. Fuel, oil and lubricants shall be supplied by the LESSOR. The lessor shall ensure the equipment for third party liability and for total loss or partial damage to the
equipment while on transport or at the designated area of operation.
7. The LESSOR binds itself to protect and immune the LESSEE from any suit or liability resulting from claims of any nature, whether for death, injuries or damages that
maybe suffered by the LESSORS Operator and/or third parties, arising from or in connection with the transport of the equipment or performance of the work.
8. Damages caused by the LESSORS party shall be charged/deducted from the LESSOR.
9. Payment shall be through CHECK.
________________________
C/BSPMC Chairperson
1

Date: __________

Canvass Submitted by:

Owner/Manager:

________________________
Signature over Printed Name
Date: __________

________________________
Signature over Printed Name
Date: __________

CDD-115:

Form

CBPM Form B-9

KALAHI-CIDSS NATIONAL COMMUNITY DRIVEN DEVELOPMENT PROJECT

Office of the Barangay Sub-Project Management Committee

PURCHASE ORDER (for equipment services)

Barangay: _____________________________
Municipality: ___________________________
Province: ______________________________

Name of Supplier:
Address:

P.O. No. _________

Date:___________________

In accordance with the canvass dated ___________, the Community Project Management Committee (C/BSPMC) off
Barangay ____________________ requests you to provide services as stated below:
Item No. /
Package No.

Equipment Needed
(Type of Equipment)

Number of No. of Unit Rate Per Total Rental Cost

Equipment / (Days / (Day / Hour)
No. of Unit Hours)

TOTAL AMOUNT OF THIS PURCHASE ORDER

TERMS & CONDITIONS:

1. Provide the services at insert project location on or before insert date of delivery. In case of delay in delivery of
services, 1/10 of 1% of the rental will be deducted from the total amount due for each day of delay (weekends,
and holidays included).
2. Quotation must be valid and fixed for 30 calendar days.
3. Prices quoted must include taxes and other incidental expenses.
4. The Equipment Operators wages, cost of equipment maintenance and repairs shall be for the account of the
LESSOR.
5. The LESSOR shall ensure that the equipment is in operating condition at all times during the duration of the
contract agreement.
6. Fuel, oil and lubricants shall be supplied by the LESSOR.
7. The LESSOR shall insure the equipment for third party liability and for total loss or partial damage to the equipment
while in transport or at the designated area of operation.
8. The LESSOR binds itself to protect and immune the LESSEE from any suit or liability resulting from claims of any
nature, whether for death, injuries or damages that maybe suffered by the LESSORS Operator and/or third
parties, arising from or in connection with the transport of the equipment or performance of the work.
9. Damages caused by the LESSORS party shall be charged/deducted from the LESSOR.
10. Payment shall be through CHECK.

C/BSPMC reserves the right to accept or reject the equipment if found not capable of delivering the required services.
Very truly yours,
________________________________
Chairperson, C/BSPMC
Date: __________

Funds Available:

Conforme:
Date:

__________________________________
Treasurer

Date _______________

______________________________________________
(Name and signature of Lessor)
___________________
4

Inspected / Tested by: ________________________________

Date: ________________
Received by: ________________________________
Date: ________________