University of The Philippines: Los Banos

UNIVER
VAT
Request for Quota

TYPE
Suppliers Name:
Please quote your lowest price on the item/s listed belo

Note:
1. Bidders shall provide correct and accurate information required in this form. A
not applicable.
2. Price quotation/s to be denominated in Philippine Peso shall include all taxes
3. Bidders must indicate the BRAND and MODEL NUMBER for equipment and
unconditional statement of specification and compliance issued by the manufac
4. Quotation through fax/email is acceptable. Winning bidder shall submit origin
5. Quotations exceeding the Appoved Budget for Contract shall be rejected.
6. Documentary requirements per Memorandum No. 03 Series of 2017 shall be
7. Others: _______________________________________________________
ITEM GENERAL NAME OF UNIT OF

REQUIRED SPECIFICATIONS QTY
No. THE ITEM MEASURE
1 Calibration of Convection Oven, 100,

125, 130, 135 and 180°C set points,
Calibration Services Lot 1
On-site calibration, PAB/ISO 17025
Accredited
Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

2
Calibration of Vacuum Oven, 70°C, 25,
Calibration Services 50 and 100 mmHG vacuum, On-site Lot 1
calibration, PAB/ISO 17025 Accredited
3
Calibration of Muffle Furnace, 450,
Calibration Services 525 and 55°C set points, On-site Lot 1
calibration, PAB/ISO 17025 Accredited
4
Calibration of Set of Weights: 1, 2, 10,
Calibration Services 20, 50, 200 & 500 milligrams, PAB/ISO Lot 1
17025 Accredited
5
Calibration of Set of Weights: 1, 2, 10,
Calibration Services 20, 50, 100, 200 & 500 grams, Lot 1
PAB/ISO 17025 Accredited
6
Calibration of Incubator 20°C setpoint,
Calibration Services On-site calibration, PAB/ISO 17025 Lot 1
Accredited
TOTA
Reviewed and Checked By:
BAC TWG
Please quote at your government price (including VAT) and state that the tim
quotation in the office as soon as poss
TERMS AND CONDITIONS:

1. Price quotation/s shall be valid for a period of at least (30) calendar days from the date of submiss
2. In order to assure that manufacturing defects shall be corrected by supplier, a warranty security sh
EXPENDABLE SUPPLIES, or a minimum of one (1) year warranty and two (2) to three (3) years
End-user of the delivered supplies.
3. Delivery period within ______ calendar days.
4. Award of contract shall be made to the lowest quotation wich complies with the technical specifica
5. UPLB reserves the right to reject any or all offers as may be considered most advantageous to th
6. Any interlineations, erasure, or overwriting shall be valid only if they are signed or initiated by you
Requirements for Suppliers (GPPB Resolution No. 21-2017)

REQUIREMENTS Shopping
(Section 52)
1 Mayor's/Business Permit ⁄
2 PhilGEPS Registration Number ⁄
3 Professional license/ CV (consulting services)
4 PCAB License (for Infrastructure)
5 Income / Business tax returns (except for government agencies as lessor)
6 Omnibus Sworn Statement
7 NFCC for Infrastructure with ABC above Ph500k
After having carefully read and accepted your General Conditions, I/We quote you on the Item
Name of the Company:
Address:
Signature over Printed Name

of Representative:
Position:

UNIVERSITY OF THE PHILIPPINES
LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004
uest for Quotation/ Bid Form (Technical Specifications)

TYPE END USER/DEPARTMENT UNIT
UPLB-RQ-
DEADLINE OF
SUBMISSION:
Date 9/28/2019
Fund Code: 9151011
MOP: SMALL VALUE PROCUREMENT
Contact No: 536 1576
Contact Person Dr. Jeffrey P. Tamayo
em/s listed below, subject to the General Conditions below.
ed in this form. All entries must be typewritten or in print and properly accomplished. Do not leave
include all taxes, duties, and/ or levies payable.

equipment and its accessories or peripherals. Evidence shall be in the form of manufacturer's un
by the manufacturer and sample.
all submit original signed RQ before issuance of Puchase order (P.O.).
be rejected.
of 2017 shall be attached upon submission of the quotation
___________________________
ESTIMATED OFFERED SPECIFICATION

ESTIMATED UNIT
TOTAL Suppliers must state here the detailed
APPROVED QUOTED UNIT
APPROVED technical specifications of their offer against
BUDGET OF THE PRICE
BUDGET OF THE each of the individual parameters of each
CONTRACT requirements
CONTRACT
10,500.00 10,500.00

15,500.00 15,500.00
5,500.00 5,500.00
4,000.00 4,000.00
4,000.00 4,000.00
5,000.00 5,000.00
TOTAL ABC 44,500.00

TOTAL QUOTED AMOUNT IN WORDS:
tate that the time within which you can make delivery. It will be appreciated if we can have
s soon as possible on or before the deadline stated herein.
DR. JEFFREY P. TAMAYO

BUYER/ END-USER
he date of submission.
warranty security shall be required from the contract awardee for a minimum period of three (3) months, in the ca
to three (3) years extended warranty (if applicable) in the case of NON-EXPENDABLE SUPPLIES after acce
technical specifications, and other terms and conditon stated herein

advantageous to the University.
or initiated by you or any of your duly authorized representative/s.

Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated
Procurement- Small Procurement- Lease of or Artistic Work, Exclusive Technology and Procurement-
Value Procurement Real Property or Media Services (Section 53.6) Emergency (Section
(Section 53.9) Venue (Section 53.10) 53.2)
⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄
FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

500K 50K
FOR ABC'S ABOVE FOR ABC'S ABOVE
50K 500K
⁄ FOR ABC'S ABOVE
50K
e you on the Item at prices noted above.
Tel. No. :
Fax No. :
Email Address:
Date:

ns)
UPLB-RQ-
DEADLINE OF
SUBMISSION:
roperly accomplished. Do not leave blank entries, put N/A for
be in the form of manufacturer's un-amended sale literature,
r (P.O.).
EVALUATION
TOTAL QUOTED (Leave this space
PRICE blank. For BAC/
Evaluators only)

MOUNT IN WORDS:
ll be appreciated if we can have your
um period of three (3) months, in the case of

N-EXPENDABLE SUPPLIES after acceptance by

UNIVER
VAT
Request for Quota

TYPE
Suppliers Name:

Note:
not applicable.
7. Others: _______________________________________________________


1
Preventive Maintenance for
PerkinElmer AAS Model AAnalyst400
1 year contract
Preventive
2 visits within contract Lot 1
Maintenance Service
2 emergency visits
within contract Exclusive of supplies
and materials
2
Preventive Maintenance for Shimadzu
Preventive UV/Vis Model UV-1601
Lot 1
Maintenance Service 1 visit
Wavelength and Lamp energy check
3
Preventive Maintenance for Horiba pH
meter model F-74 pH meter
Preventive
1 visit Lot 1
Maintenance Service
Checking, cleaning and validation of
temperature and pH sensors
TOTA
BAC TWG


(Section 52)

Address:

of Representative:
Position:

LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

UPLB-RQ-
DEADLINE OF
SUBMISSION:
Date 9/28/2019
Fund Code: 9151011

be rejected.
___________________________

ESTIMATED UNIT
BUDGET OF THE PRICE
CONTRACT

80,000.00 80,000.00
25,000.00 25,000.00
11,000.00 11,000.00
TOTAL ABC 116,000.00


BUYER/ END-USER



⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

500K 50K
50K 500K
⁄ FOR ABC'S ABOVE
50K
Tel. No. :
Fax No. :
Email Address:
Date:

ns)
UPLB-RQ-
DEADLINE OF
SUBMISSION:
r (P.O.).
EVALUATION
Evaluators only)

MOUNT IN WORDS:


UNIVER
VAT
Request for Quota

TYPE
Suppliers Name:

Note:
not applicable.
7. Others: _______________________________________________________

1 Air Conditioning Cleaning and

Preventive Preventive Maintenance
Lot 4
Maintenance Service 3 units split type 1
unit floor type

TOTA
BAC TWG


(Section 52)
Address:

of Representative:

Position:

LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

UPLB-RQ-
DEADLINE OF
SUBMISSION:
Date 9/28/2019
Fund Code: 9151011

be rejected.
___________________________

ESTIMATED UNIT
BUDGET OF THE PRICE
CONTRACT
3,500.00 14,000.00

TOTAL ABC 14,000.00

BUYER/ END-USER


⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

500K 50K
50K 500K
⁄ FOR ABC'S ABOVE
50K
Tel. No. :
Fax No. :
Email Address:

Date:

ns)
UPLB-RQ-
DEADLINE OF
SUBMISSION:
r (P.O.).
EVALUATION
Evaluators only)

MOUNT IN WORDS:


UNIVER
VAT
Request for Quota

TYPE
Suppliers Name:

Note:
not applicable.
7. Others: _______________________________________________________


1 Participation in the following PT
Program
WP Minerals
PT WP pH PT
Proficiency Testing WP Oil and
Lot 1
Service Grase PT WP
Demand PT
WP Simple Nutrient PT
ISO/IEC 17034:2016
Accredited
TOTA
BAC TWG


(Section 52)

Address:

of Representative:
Position:

LOS BANOS
Los Banos, IV-A
VAT Reg. TIN: 000-864-006-00004

UPLB-RQ-
DEADLINE OF
SUBMISSION:
Date 9/28/2019
Fund Code: 9151011

be rejected.
___________________________

ESTIMATED UNIT
BUDGET OF THE PRICE
CONTRACT

110,000.00 110,000.00
TOTAL ABC 110,000.00


BUYER/ END-USER


⁄ ⁄ ⁄ ⁄
⁄ ⁄ ⁄ ⁄
⁄ ⁄
⁄

500K 50K
50K 500K

⁄ FOR ABC'S ABOVE
50K
Tel. No. :
Fax No. :
Email Address:
Date:

ns)
UPLB-RQ-
DEADLINE OF
SUBMISSION:
r (P.O.).
EVALUATION
Evaluators only)

MOUNT IN WORDS:



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UNIVER

Request for Quota

Please quote your lowest price on the item/s listed belo

ITEM GENERAL NAME OF UNIT OF

1 Calibration of Convection Oven, 100,

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Reviewed and Checked By:

TERMS AND CONDITIONS:

Requirements for Suppliers (GPPB Resolution No. 21-2017)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

7 NFCC for Infrastructure with ABC above Ph500k

Signature over Printed Name

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

uest for Quotation/ Bid Form (Technical Specifications)

em/s listed below, subject to the General Conditions below.

include all taxes, duties, and/ or levies payable.

ESTIMATED OFFERED SPECIFICATION

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

TOTAL ABC 44,500.00

DR. JEFFREY P. TAMAYO

technical specifications, and other terms and conditon stated herein

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ll be appreciated if we can have your

um period of three (3) months, in the case of

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Request for Quota

Please quote your lowest price on the item/s listed belo

ITEM GENERAL NAME OF UNIT OF

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

Reviewed and Checked By:

TERMS AND CONDITIONS:

Requirements for Suppliers (GPPB Resolution No. 21-2017)

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

5 Income / Business tax returns (except for government agencies as lessor)

6 Omnibus Sworn Statement

7 NFCC for Infrastructure with ABC above Ph500k

Signature over Printed Name

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

uest for Quotation/ Bid Form (Technical Specifications)

em/s listed below, subject to the General Conditions below.

include all taxes, duties, and/ or levies payable.

ESTIMATED OFFERED SPECIFICATION

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

TOTAL ABC 116,000.00

DR. JEFFREY P. TAMAYO

technical specifications, and other terms and conditon stated herein

Negotiated Negotiated Negotiated Procurement- Scientific, Scholarly Negotiated

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

FOR ABC'S ABOVE ⁄ ⁄ FOR ABC'S ABOVE

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

roperly accomplished. Do not leave blank entries, put N/A for

be in the form of manufacturer's un-amended sale literature,

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18

ll be appreciated if we can have your

um period of three (3) months, in the case of

Revised 6 June 2018/ JOINT BAC RESOLUTION NO. R-006-18