Tel. No. I Cellphone No.

Printed Name I Signature I Date

After having carefully read and accepted your General Conditions, I /WE quote you on the item(s) at prices noted above.

I Price Validity I !warranty!

PHP 350.00

PHP 75.00

PHP 350.00

PHP75.00

PRE.CONFERENCE a. Day 1(October23, 2018) AM SNACK- Chicken Fillet Sandwhich/Burger, 24 fresh buko juice with milk

LUNCH - chicken tinola, tuna/malasugui/tangige 24 kinilaw, grilled liempo, paco salad, rice, softdrinks, lecheflan

PM SNACK - boiled bananas and kamote, ginisang 24 ginamos with tomatoes, mango juice

DINNER- lauyang baka, tuna escabeche, chicken 26 cordon bleu, four season, rice, Coffee jelly and lychee salad, iced tea

page 1 of4

October 23 - 26, 2018 2 Venue:

a. Within Butuan City d. Hotel rooms can accommodate ~ guests c. Avoid using PLASTIC drinking straws d. Meals ready at 9:00am /11 :30am / 6:00pm

3 Amenable to adjustments of FOOD and ACCOMMODATION when actual number of participant turnout is less than expected; Up to 20% of total number of participants in quotation

~ \i)

•• l!o.: • . - Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT Region XIII (Caraga Region) Butuan City

Mode of Procurement NEGOTIATED PROCUREMENT - SVP RFQNo.:I 2018- 082 Name of Procuring Entity DILG Region XIII (Caraga Region) Date: October 18, 2018 Office/End-User Local Government Canabilitv and Develooment Division (LGCDD) Company Name Address Business Permit No. TIN No. Phi!GEPS Rezistration No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office

duly signed. TERMS AND CONDITIONS: 1. Bidders shall provide cooect and accurate information required in this form.

10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods not 2. Biddefs shall quote roc ALL items 3. Price quotation(s) must be valid for 60 calendar days from date of submission.

delivered witihin the prescribed deliveiy period shall be imposed per day of delay. The DILG shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) percent of the

4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties andlor levies amount of the contract, without prejudice to other courses of action and remedies open to il payable. 5. Quolation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected.

11. The DILG reserves the right to request the supplier fa adjustment (addition or reduction) of booking 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (fa consulting services which complies with the minimum technical specification and other terms and

of food and accommodation based on the actual number of participants present and the quantity of

conditions stated herein. services delivered. Payment shall be made after the activity.

7. Any interlineations, erasures or ovl!l'Miting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before October 22, 2018 / 12:00 nn. the deadline, shall be supplier or its authorized representative(s). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conformity ~13. The ~~ed the right to accept or reject any or all quotations and to impose additional technical specifications. requirements as may deem proper. I\ APPROVED BUDGET FOR THE CONTRACT (ABC) Prepar\y ~ ( .:> Approved by i ~

PHP 77 ,900.00 JM°«: ll II 'A - • "~~ RAYGRE RYF.J.y _ .• LLA BAC sec;;Gfac , •CULUCL BAC Chairperson ,. oner

Item Compliance Wltn

ITEM DESCRIPTION QTY ABC Price Technical Specifications No. Per Item lo lease check\ Remarks

QTY Unit Total Yes I No Price Price PURPOSE:

Meals and Accommodation for the Conduct of Local Governance Regional Resource Center (LGRRC) Assessment on October 23 • 26, 2018 TECHNICAL SPECIFICATIONS

Tel. No. I Cellphone No.

Printed Name I Signature I Date

orrer I

Item Compliance witw

ITEM DESCRIPTION QTY ABC Price Technical Specifications No. Per Item loli>.ase check) Remarks

QTY Unit Total Yes No Price Price WORKSHOP, FGD & NATIONAL KM AUDIT - b. DAY 2 (October 24, 2018) BREAKFAST· corned beef, garlic rice, sunny side 3 PHP 150.00 [ l [ l up egg, hot choco

AM SNACK - 2 pcs Chicken empanada and 25 PHP75.00 [ l [ l Freshly Squeezed Kalamansi Juice

LUNCH • Green Salad with thousand island 25 PHP 350.00 [ l [ I dressing, Herb Roasted Chicken, pesto penne pasta with bacon, Mash Potato with Gravy, Minatamis na Saging, Rice, Dalandan Juice

PM SNACK - chicken ham and cheese sandwhich, 25 PHP 75.00 [ l [ I pineapple juice

DINNER - lauya/vegetable soup, chicken adobo 25 PHP 350.00 [ l [ l hawaiian or hamonada sweet style, crispy fried boneless bangus, pickled papaya/atsara, rice, mango float, iced tea ·- LGRRC ASSESSMENT .- c. DAY 3 (October 25, 2018) BREAKFAST - longganisa, garlic rice, sunny side 3 PHP 150.00 [ l [ l up egg, hot choco AM SNACK· puto at dinuguan, softdrinks 15 PHP 75.00 [ l [ l LUNCH - Pork Pata Hamonada/Patatim, ginataang 15 PHP 350.00 [ I [ l bamboo shoots with shrimps and saluyot, chicken halang-halang, fried vegetable lumpia, Rice, buko- sweet com salad, soft drinks

PM SNACK • Halo-halo, Water 15 PHP 75.00 [ l [ l

page 2 of 4

lwarran!II I !Price Validity I I After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of booking of food and accommodation based on the actual number of participants present and the quantity of services delivered. Payment shall be made after the activity.

10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods not delivered witihin the presaibed delivery period shall be imposed per day of delay. The DILG shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) percent of the amount of the contract, without prejudice to other courses of action and remedies open to it

1. Bidders shall provide correct and accurate information required in this foon. 2. Bidders shall quote foc AU items 3. Price quotation(s) must be valid for 60 calendar days from date of submission. 4. Price quotation(s) to be denominated In Philippine Peso shall include all taxes duties and/or levies payable. 5. Quotation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected. 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (for consulting services which complies with the minimum technical specification and other terms and conditions stated herein. 7. Any inter~neations, erasures or ovetwriting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before October 22. 2018112:00 nn., the deadline, shall be supplier or its authorized representative(s). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their confoonity to thV 13. The DI~~ the right to accept or reject any or all quotations and to impose additional technical specifications. / requirements 0~ • ~--- proper. /\

TERMS AND CONDITIONS:

Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office

duly signed.

PhilGEPS Registration No. TIN No. Business Permit No. Address Company Name Office/End-User Name of Procuring Entity

Local Government Canabilitv and Develonment Division (LGCDD) DILG Region XIII (Caraga Region) Date: October 18, 2018 NEGOTIATED PROCUREMENT - SVP RFQNo.: 2018- 082 Mode of Procurement

-

e Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT Region XIII (Caraga Region) Butuan City

APPROVED BUDGET FOR THE CONTRACT (ABC) Prepared t . ( Q » Approved by / ~

PHP 77 ,900.00 IMl L~= ... ~· _r:§~A RAY GRE(·O~":/l'A~ILLA BAC Sectt"tarial. ~-~ BA,Q; C irpersqn l

Tel. No. I Cellphone No.

Printed Name I Signature I Date

After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

!Price Validity I !warranty I

page 3 of 4

5 a. Triple sharing, fully airconditioned with television, T&B with soap, shampoo, and towel b. Billeting within the hotel premises e, Room Assignment based on actual number of participants and gender

L ROOM ACCOMMODATION

PHP 75.00 PHP 350.00

PHP 350.00

PHP 75.00

BREAKFAST - tapa or tocino, garlic rice, sunny 2 side up egg, hot choco

AM SNACK - palagsing and banana in cream 16 sauce, apple juice

LUNCH - Chicken Sotanghon Soup, Sweet and 16 Sour Lapu-lapu, sauteed kangkong and mushroom in oyster sauce, Rice, fresh fruits (apple and pineapple slices), soft drinks

PM SNACK - chocolate moist cake, brewed Coffee 16 DINNER - sinigang na baboy, lechon kawali, 16 steamed vegetables (string beans, egpplant, kamote tops) with ginisang bagoong dip, fresh fruits (cantaloupe melon and lakatan)

PHP 150.00

[ I DINNER - sinigang na hipon, grilled belly or panga 15 PHP 350.00 of tuna or similar fish, adobong pusit with ata, pipino salad, rice, mango tapioca, iced tea MONITORING & EVALUATION OF LGA PROGRAMS AND PROJECTS d. DAY 4 (October 26, 2018)

No QTY Total Price

Unit Price

Remarks QTY ITEM DESCRIPTION ABC Per Item

Price Item No.

PHP 77 ,900.00 llA

Approved by APPROVED BUDGET FOR THE CONTRACT (ABC) Prepar

11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of booking of food and accommodation based on the actual number of participants present and the quantity of services delivered. Payment shall be made after the activity.

12. Only quotations submitted on or before October 22. 2018112:00 nn .. the deadline, shall be accepted.

10. Liquidated damages equivalent of one tenth of one percent (0.001%) of the value of the goods not delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) percent of the amount of the contract, without prejudice to other courses of action and remedies open to it.

1. Bidders shall provide correct and accurate infonnation required in this form. 2. Bidders shall quote for ALL items. 3. Price quotation(s) must be valid for 60 calendar days from date of submission. 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or levies payable. 5. Quotation(s) exceeding the ~ved Budget for the Contract (ABC) shall be rejected. 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (for consulting services which complies with the minimum technical specification and other tenns and conditions stated herein. 7. Any intertineations, erasures or overwiting shall be valid only ifthey are signed or initialed by the supplier or its authorized representative(s). 8. The DILG shall have the right to inspect and/or test the goods to confilm their conformity to th technical specifications.

TERMS AND CONDITIONS:

Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office du! si ned.

PhilGEPS Re istration No. TIN No. Business Permit No. Address Com an Name

and Develo ment Division Office/End-User Name of Procurin October 18, 2018

RF No 2018 - 082

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region XIII (Caraga Region) Butuan City

Reference [TO BE FILLED OUT BY GENERAL SERVICES DIVISION] 1 Approved and funded PPMP [ J [ J 2 Approved and funded Activity Design [ I [ I

page4 of4

lwarranEl:'.I I !Price Validity I I After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

Printed Name I Signarure I Date

Tel. No. I Cellphone No.

In order to be eligible for this procurement, suppliers /service providers mus submit, together with the quotation/proposal the following eligibility requirements Applicable Registration Certificate, any of the following:

a) SEC Registration Certificate for Corporations b) DTI Registration Certificate for Sole Proprietorship c) Cooperative Development Authority Registration Certificate for Cooperatives

2 Valid Business Permit 3 Valid PhilGEPS Registration Certificate 4 Income I Business Tax Return 5 Omnibus Sworn statement

~

~ l . ... __

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region Xll1 (Caraga Region) Butuan City

Mode of Procurement NEGOTIATED PROCUREMENT - SVP RFQNo.: 2018- 082 Name of Procuring Entity DILG Region XIII (Caraga Region) Date: October 18, 2018 Office/End-User Local Government Capability and Development Division (LGCDD) Company Name Address Business Permit No. TIN No. PhilGEPS Rezistration No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office

duly signed. TERMS AND CONDITIONS: 1. Bidders shall provide correct and accurate infoonation required in this form.

10. Liquidated damages equivalent of one tenth of one percent (0.001%) of the value of the goods not 2 Bidders shall quote for ALL items 3. Price quotation(s) must be valid for 60 calendar days from date of submission. delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG shall

rescind the contract once the cumulative amount of liquidated damages reaches ten (10) percent of the ~- Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or levies amount of the contract, without prejudice to other courses of action and remedies open to it. payable. 5. Quotation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected.

11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of booking 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (for of food and accommodation based on the actual number of participants present and the quantity of consulting services which complies with the minimum technical specification and other terms and services delivered. Payment shall be made after the activity. conditions stated herein. 7. Any interlineations. erasures or oveiwiting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before October 22. 2018/ 12:00 nn., the deadline, shall be supplier or its authoriZed representative(s). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conform~ 13. T~~ed the right to accept or reject any or all quotations and to impose additional technical specifications. requiremen it may deem proper. APPROVED BUDGET FOR THE CONTRACT (ABC) Prep\ by • \Jlj/ Approved by ~

PHP 77 ,900.00 r .. ~ ~~sv~ RAYGREG RY • ~LLA BAC S tariat "''"'""-= B Chair-pd n

/ oner Item

compliance Wltll ITEM DESCRIPTION QTY ABC Price Technical Specifications

No. Per Item (please check) Remarks QTY Unit Total Yes No Price Price

d. Check-in and Check-0ut Time: Check-in at 2:00prn (Day 1, October 23) 3 [ J [ J Check-out at 12:00prn (Day 3, October 25) 1 [ I [ I Check-out at 12:00prn (Day 4, October 26) 2 [ J [ J

6 Accommodation: Day 1 (October 23) 3 PHP 1,000.00 [ J [ J Day 2 (October 24) 3 PHP 1,000.00 [ J [ I Day 3 (October 25) 2 PHP 1,000.00 [ J [ J

GRAND TOTAL

REQUIREMENT