August 3, 2017

                                                                                            REQUEST FOR QUOTATION

                                                                                        NEGOTIATED PROCUREMENT

1. MANDATORY REQUIREMENTS

1. Certified True Copies of the following:

• Valid Mayor’s Permit
• BIR Certificate of Registration

Note: The proposal shall be accompanied by the aforementioned documents, otherwise, non-submission of which shall result to automatic disqualification of proposal.

2. PhilGEPS Certificate of Registration and Membership (Platinum Category) in accordance with Section 8.5.2 of the IRR of RA 9184.

4. Company Profile

5. List of currents clients

6. List and locations of gasoline stations nationwide

7. Omnibus Sworn Statement in accordance with Section 25.2 (b)(iv) of the IRR of RA 9184 using the prescribed form.

8. Secretary’s Certificate (for the Corporation)

9. Financial Proposal Forms

10. The Bidders/Suppliers may submit their own canvass form in accomplishing their bid proposals/quotations subject to the condition that the DA-BAC’s official canvass form shall be filled up (with the offered brand, unit price and total price), signed properly and attached together with the Bidder’s/Supplier’s own canvass form.

Please write legibly, non-compliance of which shall result to the automatic disqualification of proposal.

11. The bidder is required to affix his/her signature across the flap of the sealed envelope, non-compliance of which shall result to the automatic disqualification of proposal.

1. INSTRUCTIONS:

1. Bidders are required to read the instructions and fill all the blanks properly.
2. Any specifications other than those required/stated in this form shall not be considered in the evaluation of bid.
3. Quotation/s must include all kinds of taxes for the item(s)/services listed hereunder, including delivery charges.
4. Price quotation(s) submitted shall be valid for a period of THIRTY (30) days reckoned from the deadline for submission of quotations as reflected in the PhilGEPS.
5. Terms of Payment within – Thirty (30) calendar days upon receipt of the monthly billing statement on the 7^th day of the succeeding month.  VAT inclusive – shall be based on actual fuel consumption.
6. Quotation(s)/ Proposal(s) shall be submitted to the Office of the Procurement Division, at the 2nd Floor, ITCAF Building, Elliptical Road, Diliman Quezon City.
7. Only sealed canvasses shall be considered by the BAC­
8. Awarding shall be done by
9. DEADLINE FOR SUBMISSION OF BIDS: August 8, 2017 @ 12:00 noon.
10. Effectivity Period: Upon Conforme of approved Purchase Order / Work Order.
11. Availability of Stocks: 60 days reckoned from instruction no. 9.
12. The bidders shall reflect on the envelope the Solicitation no. and the PRAS/PR no., the BAC shall not be responsible on the pre-emptive/premature opening of the proposal.

            PRAS NO. 17-0176                           ABC: Php12,096,000.00                                    End – user:  GSD                                                                                                                                          

                                                                        Solicitation No. NP-086-17

For the Bids and Awards Committee:

____________________________                                                               _______________________________

             PhilGEPS Posted                                                                                            ATTY. ROLAND A. TULAY

                                                                                                                                        Chief-Designate, Procurement Division

____________________________

                   Canvasser

The DA Bids and Awards Committee (BAC)

Elliptical Rd., Diliman Quezon City

SIR/MADAM:

In connection with the above request, I/We submit our quotation indicated above.  I/We have carefully read and fully understand the minimum requirements and agree to furnish and/or delivery in conformity with specifications any or all said articles described above.

______________________________                   _______________________________             _______________________________

Signature Over Printed Name                                                        Name of Company                                                   Tax Identification Number

______________________________                   _______________________________               _______________________________

Telephone Number(s)                                                                       Address                                                                      Date Accomplished