Republic of the Philippilres

PHILIPPINE HEALTH INSURANCE CORPORATION

22 December 2015

Citystate Centre, 709 Shaw Boulevard, Pasig City Call Center (02) 441 -7442 Trunkline (02) 441-7444

www.philhealth.gov.ph

Sec. FLORENCIO B. ABAD Dept. of Budget and Management and Chairperson GOVERNMENT PROCUREMENT POLICY BOARD Unit 2506, Raffles Corporate Center F. Ortigas Jr. Road, Ortigas Center Pasig City

Dear Secretary Abad:

Greetings!

In compliance with Section 12.2 of the Revised Implementing Rules and Regulations of Republic Act No. 9184, Government Procurement Reform Act, we are submitting herewith the Procurement

Monitoring Report o f Philhealth Regional Offices for the 2nd Semester of CY2015 in printed

and electronic format.

We hope you find everything in order.

Very Truly Yours,

teamphilhealth www.facebook.com/Phi iHeallh Youll!!D www.youtube.com/teamphi lhealth actioncenter@philhealth .gov.ph

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PO I I~ 09-293 SOLDERING PASTE PRO XI l0C01 Shopping N/A 4 Aug.. IS N/A N/A N/A N/A N/A N/A &-Sep-15 &-S.p-15 15-Sep-15 5-Sep-15 I PCS 1~.00 1~.00 Cnorge to MOO£ Repo• & Mofn•enonc.-PO I ls.o9·294 4FT X 3FTISPA GENERATION) PROX lOCO~ N/A 17-Avg-15 N/A N/A N/A N/A N/A N/A 8-S.p-15 SSGp-15 "Sep-15 16Sep-15 2 PCS 480.00 480.00 Charge to MOOE Morletlng &. Promotoenol

PO I ls--Sep-15 16-Sep-15 4 PCS 640.00 640.00 Chorge to MOOE Morketlng ~ P!omotiOnol PO I 15 09·294 FT X 7FT STRATEGIC PA NNING GENERIC TARPAULIN PRO XI locol $hoOping N/A 7·Aug-15 NIA N/A N/A N/A N/A ... , .. &-seP-t5 &-Sep-15 li>-Sep-15 '(>.Sep-15 I PCS 420.00 420.00 C""'ge 10 MOOE MatetlnQ & P!omollona POt 15-09·294 8-(" X

Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Regionol Office- XI BIDS AND AWARDS COMMITTEE

Valgosons Building Bolton Extension. Davao City Telefax Number 295-3382

www.philhealth.gov .ph

Philippine Health Insurance Corporation Regional Office XI Procurement Monitoring Report as of September 30 2015 (Public Bidding) . Code

PAP/ITB No.

I.T.B # 2015-001

I.T.B # 2015-002

I.T.B # 201 5-003

Procurement Program/Project

NEGOTIATED LEASE OF OFFICE SPACE FOR PRO XI LHIO DIGOS THROUGH MYOA

PROCUREMENT OF V ARlO US 1.T EQUIPMENT UNDER 2015 ANNUAL PROCUREMENT PLAN !APPl PROCUREMENT OF 13 UNITS AIR-CONDITIONING EQUIPMENT$ FOR PRO XI LHIOs UNDER 201 5 APP

BRENDO . GHOP SIA 11/B Se e tariat

Philhealth Reg1onal Office XI

PMO/ End-User

PRO XI

PRO XI

PRO XI

Mode of Pre-Ads/Post of Procurement Procurement

ITB Conference

Negotiated 6-Moy-15 12-Moy-15

Bidding

Public 27-Moy-15 27-Moy-15 Bidding

Public Bidding

25-Jun-15 30-Jun-15

Actual Procurement Activity

Pre-bid Eligibility Sub/Opening Conference Check of Bids

19-Moy-15 2-Jun-15 2-Jun-15

2-Jun-15 16-Jun-15 16-Jun-15

7-Jul-15 22-Jul-15 22-Jul-15

Certified Correct By:

MO VII/ AC Chairman Philhealth egional Office XI

Bid Post Evaluation Qualification

2-Jun-15

16-Jun-15 5-Aug-15

22-Jul-15 27-Aug-15

Notice of Award

11 -Aug-15

11-Sep-15

Contract Notice to Delivery/ Signing Proceed Completion

28-Sep-1 5 28-Sep-15

Approved By:

Regio al Vice President Philhealth Regional Office XI

Remarks (Brief Description of

Program/Project)

On-Going

On-Going

On-Going

.. Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION Regional Office - XI

BIDS AND AWARDS COMMITTEE Volgosons Building Bolton Extension, Dovoo City

Telefox (082) 295-3382

www.philheolth.gov.ph

Philippine Health Insurance Corporation Regional Office XI Procurement Monitoring Report as of September 30, 2015 (Public Bidding)

Procurement Program/ Project

NEGOTIATED LEASE OF OFFICE SPACE FOR PRO XI LHIO DIGOS THROUGH MYOA

PROCUREMENT OF VARIOUS I.T EQUIPMENT UNDER 2014 ANNUAL PROCUREMENT PLAN (APP)

RIV/ RIS ABC Number/ s Number

1504-06-44 20 15-002

1 503-06-21 20 15-00 1

Sourc e of Fund

MYOA

COB

Total

4,841,932.00

5.890.000.00

ABC (PhP)

MOOE

4.841.932.00

0.00

Contra ct Cost (PhP)

co Total

4,841, 932.00

4, 721,500.00 5.890.000.00 DISQUALIFIED

4,692,323.00

DISQUALIFIED

MOOE CO

1

NAME OF BIDDERS (who obtain the b id

documents)

B'dd I M .O. GONZALES REAL ESTATE 1 er LESSOR

Bidder 1 COLUMBIA COMPUTER CENTER

Bidder 2 PC WORX I.T SOLUTIONS. INC.

Bidder 3 THE VALUE SYSTEM PHIL$., INC.

Bidder 1 DIMDI CENTER. INC.

Annex "A"

Submitted Bid Amount of proposal during Bid

t--'B;.;.id;.;...;;:.O-T:>..;:.'e,;,;,ni--'n~g--i Documents YES NO

12.000.00

15.000.00

-1 PROCUREMENT OF 13 UNITS AIR-CONDITIONING EQUIPMENT$ FOR PRO LHIOs UNDER 2015 ANNUAL PROCUREMENT PLAN (APP)

1 504-06-4 1 20 1 5-003 COB 1.490.1 63.00 0.00 1.490.1 63.00 l------+---+--+----+-------------l------1f------i 5.000.00

Pre par ~d By:

I

BREND~MAAGHOP SIA IIJSAC ~cretariat

Philheal~ional Office XI

1,329,037.00

Certified Correct By:

DR. HEC~ MALATE MO Vll/f!J..C Chairman

Philhealth ~egional Office XI

Bidder 2 EMCOR. Inc.

App oved By:

oi~ooe Regio~al Vice President

Philheal/h Regional Office XI

-1

.. Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Regional Office - XI BIDS AND AWARDS COMMITTEE

Volgosons Build ing Bolto n Extension. Davao City Telefax (082) 295-3382 www.p hilhealth.gov .ph

~~ r Philippine Health Insurance Corporation Procurement Monitoring Report as of September 30,2015 {Public Bidding)

Code Date Receipt of Invitation

Winning List of Invited Notice Procurement Program/ Project PAP/ ITB Bidder Observer Pre-Proc Ads/ Post Pre-bid Eligibility Sub/ Opening Bid Post Notice of Contract to

Delivery/ No. Conference of ITB Conference Check of Bids Evaluation Qualification Award Signing Accept

Proceed

NEGOTIATED LEASE OF OFFICE I.T.B #

MBC. SABA'S SPACE FOR PRO XI LHIO DIGOS

2015-001 FOUNDATION N/A N/A 14-May-1 5 14-May-15 14-May- 15 14-May-15 N/A N/A N/A N/A N/A

THROUGH MYOA & COA

PROCUREMENT OF VARIOUS I.T I.T.B #

Columbia MBC. SABA'S EQUIPMENT UNDER 2015 ANNUAL

201 5-002 Computer FOUNDATION N/A N/A 28-May 28-M ay 28-May 28-May N/A N/A N/A N/A N/A

PROCUREMENT PLAN (APP) Center & COA

PROCUREMENT OF 13 UNITS AIR-I.T.B # EM COR.

MBC. SABA'S CONDITIONING EQUIPMENT FOR

2015-003 Inc. FOUNDATION N/A N/A 30-Jun 30-Jun 30-Jun 30-Jun N/A N/A N/A N/A N/A

PRO XI LHIOs UNDER 201 4 APP & COA

Pre,t ~y: Certified Correct By: Ap roved By: BRENDO C. GHOP DR. HEC~P. MALATE la ~ADRE . ·- - - ' '

Philhea lth Regional O ffice XI Philhealth Regiona l Office XI Philhea l/ h Regional Office XI

Annex B

Remarks (Brief Description of

Program/ Project)

On-Going

On-Going

On-Going

Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Regional Office - XI BIDS AND AWARDS COMMITTEE

Valgosons Building Bolton Extension. Davao City Telefax Number 295-3382

www.philhealth.gov .ph

f~

Philippine Health Insurance Corporation Regional Office XI Procurement Monitoring Report a s of December 15, 2015 (Public Bidding)

Code PMO / Mode of Pre-PAP/ ITB Procurement Program/ Project End-User Procurement Procurement

Ads/ Post of No. Conference ITB

I.T.B # NEGOTIATED LEASE OF OFFICE SPACE PRO XI Negotiated

6-May-15 12-May-15 20t5-001 FOR PRO XI LHIO DIGOS THROUGH MYOA Bidding

I.T.B # PROCUREMENT OF VARIOUS I.T

Public 201 5-002

EQUIPMENT UNDER 2015 ANNUAL PRO XI Bidding 27-May-15 27·May-15

PROCUREMENT PLAN (APP}

I.T.B # PROCUREMENT OF 13 UNITS AIR- Public CONDITIONING EQUIPMENT$ FOR PRO XI PRO XI 25-Jun-15 30-Jun-15

2015-003 LHIOs UNDER 2015 APP

Bidding

Procurement of Services (Periodic I.T.B # Public 2015-004

Health Examination C.Y. 2015 for PRO XI PRO XI Bidding

20-0ct-15 21-0ct-15 Regular Employees

Procurement of Services (Periodic I.T.B # Public 2015-004

Health Exam1nation C.Y. 2015 for PRO XI PRO XI Bidding

17-Nov-15 18-Nov-15 Regular Employees

-- -

BRENDO AGHOP

SIA 11/B C cretariat Philhealth Regional Office XI

Actual Procurement Activity

Pre-bid Eligibility Sub/ Opening Conference Check of Bids

19-May-15 2-Jun-1 5 2-Jun-15

2-Jun-1 5 t 6-Jun-15 16-Jun-15

7-Jul-1 5 22-Jul-15 22-Jul-15

3-Nov-15 17-Nov-15 17-Nov-15

t -Dec-15 15-Dec-15 15-Dec-15

Certified Correct By:

MO VII/Bf C Chairman Philheallh Regional Office XI

Bid Post Evaluation Qualification

2-Jun-15 19-0ct-15

16-Jun-15 5-Aug-15

22-Jul-15 27-Aug-15

17-Nov-15 N/A

15-Dec-15 N/A

Notice of Award

20-0ct-15

11-Aug-15

11-Sep-15

N/A

N/A

Contract Notice to Delivery/ Signing Proceed Completion

7-0ct-15 7-0ct-1 5 4-Nov-15

28-Sep-15 28-Sep-15 5-0ct-15

N/A N/A N/A

N/A N/A N/A

Regi1nq'l Vice President Philheallh /Regional Office XI

Remarks (Brief I Description of

Program/ Project)

On-Going

Compleled

Completed

Failure of Bidding per BAC

Resolution No. 15-016

Failure of Bidding per BAC

Resolution No. 15-017

Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Regional Office - XI

BIDS AND AWARDS COMMITIEE

Volgosons Building Bolton Extension. Dovoo City

Telefox (082) 295-3382

www.philheollh.gov .ph

Philippine Health Insurance Corporation Regional Office XI Procurement Monitoring Report as of December 15, 2015 (Public Bidding)

Procurement Program/ Project RIV/ RIS ABC Source

Number/ s Number of Fund

NEGOTIATED LEASE OF OFFICE SPACE FOR 2015-002 MYOA

PRO XI LHIO DIGOS THROUGH MYOA 1504-06-44

PROCUREMENT OF VARIOUS I.T EQUIPMENT UNDER 2014 ANNUAL PROCUREM ENT PLAN 1503-06-21 2015-001 COB (APP)

PROCUREMENT OF 13 UNITS AIR-CONDITIONING EQUIPMENTS FOR PRO 1504-06-41 2015-003 COB LHIOs UNDER 2015 ANNUAL PROCUREMENT PLAN {APP)

PROCUREMENT SERVICES (PERIODIC HEALTH EXAMINATION C .Y. 2015 FOR PRO 1510-06-26 2015-004 COB XI REGULAR EMPLOYEES)

PROCUREMENT SERVICES (PERIODIC HEALTH EXAMINATION C Y. 2015 FOR PRO 1510-06-26 2015-004 COB XI REGULAR EMPLOYEES)

AGHOP

Philhealt

Total

4,841 ,932.00

5,890,000.00

1,490,163.00

469,900.00

469,900.00

ABC (PhP) Contract Cost (PhP)

M OOE co Total

4,841 , 932.00 0.00 4,841 ,932.00

4,721 ,500.00

0.00 5,890,000.00 DISQUALIFIED

4,692,323.00

DISQUALIFIED 0.00 1.490,163.00

1,329,037.00

469,900.00 0.00 0.00

469,900.00 0.00 0.00

Certified Correct By:

MO VII/~AC Chairman PhilheolthiRegionol Office XI

MOOE co

Bidder I

Bidder I

Bidder 2

Bidder 3

Bidder 1

Bidder2

Bidder I

Bidder 1

NAME OF BIDDERS Submitted Bid

(who obtain the b id proposal during

documents) Bid O:>enlng YES NO

M .O . GONZALES REAL ESTATE

" LESSOR COLUMBIA COM PUTER CENTER " PC WORX I.T SOLUTIONS. INC. " THE VALUE SYSTEM PHILS .. INC. " DIMDI CENTER. INC. " EMCOR.Inc. " COMMUNITY HEALTH DEVELOPMENT COOPERATIVE " HOSPITAL MALTA MEDICAL CENTER. INC. "

Approved By:

~~

Regia~ Vice President Philheolth/Regionol Office XI

Annex "A"

Amount of Bid

Documents

I 12.000.00 !

15.000.00

5.000.00

2.000.00

2.000.00

Republic of the Philippines PHILIPPINE HEALTH INSURANCE CORPORATION

Regional Office- XI BIDS AND AWARDS COMMITIEE

Volgosons Building Bolton Extension. Dovoo City Telefox (082) 295-3382 www.philheolth.gov .ph

;:t,~

Philippine Health Insurance Corporation Regional Office XI Procurement Monitoring Report as of December 15, 2015 (Public Bidding)

Code Procurement Program/ Project PAP/ ITB

No.

NEGOTIATED LEASE OF OFFICE I.T.B #

SPACE FOR PRO XI LHIO DIGOS 201~1

THROUGH MYOA

PROCUREMENT OF VARIOUS I.T I.T.B #

EQUIPMENT UNDER 2015 ANNUAL 201~2

PROCUREMENT PLAN (APP)

PROCUREMENT OF 13 UNITS AIR-I.T.B #

CONDITIONING EQUIPMENT FOR 201~3

PRO XI LHIOs UNDER 2014 APP

PROCUREMENT OF SERVICES (PERIODIC HEALTH EXAMINATION I.T.B # C.Y. 2015 FOR PRO XI REGULAR 2015-004 EMPLOYEES] PROCUREMENT OF SERVICES (PERIODIC HEALTH EXAMINATION I.T.B # C.Y. 2015 FOR PRO XI REGULAR 2015-004 EMPLO'r'FFSI

By:

AGHOP ret a riot

onol Office XI

Winning list of Invited Bidder Observer

M.O. MBC. SABA'S GONZALES REAL ESTATE

FOUNDATION

LESSOR &COA

Columbia MBC. SABA'S Computer FOUNDATION

Center &COA

EM COR, MBC. SABA'S

Inc. FOUNDATION

&COA

MBC. SABA'S N/ A FOUNDATION

&COA

MBC. SABA'S N/ A FOUNDATION

&COA

Pre-Proc Ads/ Post Pre-b id Conference oiiTB Conference

N/A N/A 14-May-15

N/A N/A 28-May-1 5

N/A N/A 30-Jun-15

N/A N/A 21 -0cl-15

N/A N/A 1-Dec-15

Certified Correct By:

MO VII/MC Chairman Philheolth Regiona l Office XI

Eligibility Check

14-May-15

28-May-15

30-Jun-15

21-0ct-15

15-Dec-15

Dote Receipt of Invitation

Sub/ Opening Bid Post Notice of of Bids Evalua tion Qualification Award

14-May- 15 14-May-15 N/A N/A

28-May-15 28-May-1 5 N/A N/A

30-Jun-15 30-Jun-15 N/A N/A

21-0ct-15 21-0ct-15 N/A N/A

15-Dec-15 15-Dec- 15 N/A N

Annex B

Remarks (Brief Notic e

Contract to

Delivery/ Description of

Signing Accept Program/ Project) Proceed

N/A N/A N/A On-Going

N/A N/A N/A Completed

N/A N/A N/A Completed

Failure of Bidding

N/A N/A N/A per SAC

Resolution No. 15-016

Failure of Bidding

N/A N/A N/A per BAC

Resolution No. 15-017

Repubk of the Phl~ppnet PHiliPPINE HE ... LTH INSURANCE CORPOR,..IION

Reg1onol Off•onc N/A N/A N/A N/A N/A N/A

PO I 15.()8.283 RED XI DE W ITH C A TA LYST LHIQ NAB loco Shol>onc N/A N/A N/A N/A N/A N/A

PO I IS.OS·2B3 ROC f PAINT LHIO NAB local Shc>r>Pono N/A N/A N/A N/A N/A N/A PO I 15.()8.283 ~COL ER THINNER LHIO NAB loc'" Shopping N/A N/A N/A N/A N/A N/A

PO I 15.()8-283 PORT AND EMENT LHIO NAB Local snopp.ng N/A N/A N/A N/A N/A N/A PO I 15.()8.283 RSB 12MM IAMETERX6.00 LHIO NAB local Shopping N/A N/A N/A H/A N/A N/A

PO I 15-08-283 TIE WI RE I 16 LHIO NAB lOC .. $nOppotlg _ N/A N/A N/A N/A N/A N/A PO I 15-08-283 AN G RAVE 3 C UBIC LHIONAB lOC .. Shol>onc N/A H/A N/A N/A N/A N/A PO I 15.0S·2B3 F LL TRADE MAC HI NE 80 T 12MM LHIO NAB local ShooPino H/A N/A N/A N/A N/A N/A

PO I 15-08-283 PALIN ROD. 12MM LHIO NAB local Shoppong N/A N/A N/A N/A N/A N/A

PO I 15.()8-283 ANGLE BAR 1 1 2X I 4 LHIO NAB local Shoppong N/A N/A N/A N/A N/A N/A

PO I 15-08-283 SOL ARE BAR 12MM LHIO NAB local Shopping N/A N/A N/A N/A N/A N/A

PO I IS.OS-283 WE lNG ROO NEH NNEC LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A

PO I 15-08-283 UTIIN ISH M ETASC ~. LHIO NAB local Shopping N/A N/A N/A N/A N/A N/A

PO , 15.()8-283 ANDER SLADE # •• LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A PO M 15-08-2B3 PA INT BRUSH # 3 LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A PO I 15.()8·283 EXPANDER BOLl ~ 511 6 LHIO NA B locol Shopping H/A N/A N/A N/A N/A N/A PO I 15-08-283 TURN BUCLE # ll_ LHIO NAB Local Shoppng N/A N/A N/A N/A N/A N/A PO I 1S.OS· 2B3 f:..l PIPE. SCHEO LE -40 . • • OIA . X 6 .00 LHIO NA B locol Shoppong N/A N/A N/A N/A N/A N/A

PO I IS.OS-283 FLAT BAR # I 4X2 LHIO NAB local Shopping N/A N/A N/A N/A N/A N/A PO I 15-08-2B3 CORRUGA TED DEFF BA R IOMM LHIONA B Local snopp.ng N/A N/A N/A H/A N/A N/A PO I 15.()8.283 MA HINE 8 LT W ITH WASHER 112X4 LHIONA B local Shopping N/A N/A N/A N/A N/A N/A

PO I IS.OS-2B3 ::CMM N NAILS LHIONAB lOCOI~ N/A N/A N/A H/A N/A N/A

PO I 15-Q8.2B3 AND PAPER, ~ 110 LHIONA B Local Shopping N/A N/A N/A N/A N/A N/A

PO I 15-08-283 M IXED ~AND. J LUBIL PtK lUA O LHIONAB Local Shol>onc N/A N/A N/A H/A N/A N/A

PO I IS.OS·283 VULLA StA L HALF QUART LHIO NAB local Shol>onc N/A N/A N/A N/A N/A N/A

PO I 15-08-283 PVL, LLEAN UUI . • 4 LHIONAB local snopp.ng N/A N/A N/A N/A N/A N/A PO I 15.()8.283 PVC. WYHE. # 4 LHIO NAB local Shopping N/A N/A H/A N/A N/A N/A PO I 15.()8.283 W ELDING ROQ, r ~ LHIO NAB loc'" snopp.ng N/A N/A N/A N/A N/A H/A PO I 15.()8.2B3 ISANQFUonc N/A N/A N/A N/A N/A N/A

PO l 15.0S·2B3 STEEL BRUSH LHIO NAB Locol Shopplno N/A H/A N/A N/A N/A N/A

PO I 15-08-283 LA CQUER _TH INNER LHIONAB loco· Shoppong N/A N/A N/A N/A N/A N/A

PO t 15.0S· 2B3 TEKSC REW, # 2 LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A PO f 15-Q8.2B3 OYNA S L , II 5/16. W / t.XPAN51 N ~HIELD LHIONAB Local Shopping N/A N/A N/A N/A N/A N/A

PO f 15.()8.2B3 W ~I~ANDtD WIR.t. # 14 l HIO NAB Local Shopping N/A N/A N/A N/A N/A N/A PO I 15.()8.283 M LFLEX • • In ORA NGE LHtONAB LOCal Shopping N/A N/A N/A N/A N/A N/A PO f 15.()8-283 E:EP1A CLE. #A LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A PO f 15.()8.283 FLUUK~LtNT BULO. 18 WAllS LHtONAB local Shopping N/A N/A N/A N/A N/A N/A

~ Actual ~rocur.m..m Adtvtty

Hofkeof Cont.oct f"rfotk:e to Delivery/

.. _ed Remarks

~ost Quo. Acc•ptonc•/

OTY UNn ludgef tofthe Total Controct

A word Slg nJng ,.rocUU PCS. 4.500.00 Chotge to MOOE leoiehold Improvement N/A N/A 1• -Sop-15 14-Sep-15 14-S

PO t 15-08-283 ELE TRICAL TAPE (BI I LHIONAS Local Shooo1na N/A N/A N/A N/A N/A N/A N/A N/A I A- Sep-15 14-Sep-15 1• -.Sep- 15 1• Sep-15 I ROLL 3000 Charge ro MOOE l eouthOk:llmprovement PO t 15-oB-283 JUNCTION BOX LHIO NAB Local Shopping N/A N/A N/A N/A N/A N/A N/A N/A I A-Sep--15 I 4-Sep-15 1• -Sep- 15 l .c -Sep-15 5 PCS. 150.00 Charge to MOOE leasehold lmptovement PO I 15-08-283 SW IT H. 2 G ANG l.HIONAB Local ShopQina N/A N/A N/A N/A N/A N/A N/A N/A I"-Sep:-15 , .._s;o:-, 5 14-Sep-IS l .t Se p-15 1 SETS

500,745.80 120.00 ChOioe to MOOE lemet>old tmp-Sep-15 6-0ct- 15 6-Qct-15 24 PC5 890.40 890,40 Charge to MOOE JonltoOol SvppUtn PO I 1 S-0'1· 303 TIC KERl'AF't1(.M PRO XI local Shopping N/A 25-J\.4-15 N/A N/A N/A N/A N/A N/A IO.Sop-15 1().Sep-15 6-0ct- 15 6-0cl- 15 13 PACKS 300.30 JOO.JO Chorge to MOOE Reaulf Office Supplle1 PO N 15-09-307 ~ PR(JXI local Shopping N/A I ·Sep-15 N/A N/A N/A N/A N/A N/A 29-Sep-15 29-Se~15 27-Qct-15 27..0CI·15 12 C ARTS 28.788.00 28.788.00 Charge to MOOE Regulo! I.T Supplies PO I I S-0'1·308 ~ PRO XI lOCO! ShOpping N/A 1- Sep- 15 N/A N/A N/A N/A N/A N/A 29·Sep-15 29-Sep-15 2.0Ct- 15 2-Qcl-15 16 CAI!TS 12.000.00 11 2.000.00 ChOice Ia MOOE Regutor IT Supplies PO t I S-09-311 ADI:OCK~REAV' OUT . BIG PRO XI Local Shopping N/A 1-Sep-15 N/A N/A N/A N/A N/A N/A 19-Qct-15 19.0CI-15 1C>-Nov- 15 lO.Nov-15 3 PCS 2.830.50 2.830.50 Charge to MOOE Reouku Office Supplitn POt IS-09·312 I BOSCH RELA' PRO XI Loco! ShOpping N/A 3-Sep-IS N/A N/A N/A N/A N/A N/A l-Qc1·15 1-Qct-15 I .OC1·15 I ..Qct-15 2 PC5 320.00 320.00 Cho'ge ro MOOE qffPlor vencte PO t 15-09·312 I WIPER BLADE PRO XI Local Shopping N/A 3-Sep- 15 N/A N/A N/A N/A N/A N/A l -OCI-IS l..OC:t- 15 1-0ct-1 5 J.()c t-15 2 PCS 600.00 600.00 Charge to MOOE RfiPOI' A. Mcw'll.,-.onc;e-Motor YeNcte

POt IS-0'1·312 ICENTE~ PRO XI local ShOpping N/A J.Sep- 15 N/A N/A N/A N/A N/A N/A 1~1·15 I -Oct- I S 1-0cl-15 l-0c1·15 1 PC5 1,170.00 I 170.00 ChO'ge ro MOOf: ~ ~ MOntencne• ·~!or VeHde ~!SFK=455)

PO I IS-0'1·312 ~:LID&RIGH PRO XI local Shopping N/A 3-Sep-15 N/A N/A N/A N/A N/A N/A I.Qcl-15 I.Qc1·15 1-Qct-15 1-cl-15 I SET 1,700.00 1,700.00 Charge to MOOE '~ &. Mcwn~•-MotOr ._,......,. PO~ 15-09·312 15TAl!lJZER liNK BUSHING PRO XI Local Shopping N/A J.Sep-15 N/A N/A N/A N/A N/A N/A 1-Qcl-15 1-QcJ.JS 1-0c!-15 I·Ocl-15 B PCS. 200.00 200.00 Charge IO MOO£ Repaw & Maln!encrc:e-M0101' VeHcte

PO I 15-09-312 (STABUZER BAR BUSHING PRO XI loco! ShOpping N/A J.Sep-15 N/A N/A N/A N/A N/A N/A I ..OCt· IS I.Qct-15 1-Qcl-15 1-cl-15 2 PCS. 150.00 150.00 Charge IO MOOf RtpCII' j, MonJ~-MOIOr Vef"'de FOR ISUZU CROSSW ND I~HIH:U

PO I 15-09-312 (OIL FILTER. # 609 PWXI loco! ShOpping N/A J.Sep-15 N/A N/A N/A N/A N/A N/A 1-Qct-IS 1-Qcl-15 1-Qct-15 1.0CI·I5 6 PC5. 1.740.00 1.7•0.00 Ovge ro MO()f Repar l MQnt...-..once-M01or Vencie F0~-430 & NTSSAI'f5FJ::: 455)

PO I IS-0'1·312 ~:TIFT &RIGHT PRO XI toc:ol Shopping N/A J.Sep-15 N/A N/A N/A N/A N/A N/A 1-Qct-15 1-Qcl-15 1-Qct-15 1-Qcl-15 2 PCS. 2.300.00 2.300.00 0-oge ro MOOt Reoar l Mont..-.once-Mator v~ ~NOTA !SHE-3661

PO f IS-0'1·312 [OllFI[TET-927f PO I IS-09·317 ~ PRO XI Local ShOpping N/A 15-Sep-15 N/A N/A N/A N/A N/A N/A 7-Qcl-15 7-Qcl-15 7-Qct- 15 7-Qc•-15 1 PCS 620.00 620.00 etooe to MOOE Repor & Mantenc:rce Mo'o venc• PO t 15-09·317 fCA[Tl"E'T

PO t 15 10-329 IWHI~WALL 'tJX~ ITMS .. Local Shopt>jng N/A 9-s.p-15 N/A N/A N/A N/A N/A N/A 7-C)ct-1$ 7-()ct·IS f-()ct I$ 9-()ct l .S I UN.lS • • 00.00 1.3~ .00 Cnoroe ro CAP£ X Offce [que)rnent

PO I 15 10·3JO ~ORGRE1 [M$ lOCO• Shopt>jng N/A 6-AUQ-IS N/A N/A N/A N/A N/A N/A 7-()ct s 7ct IS •.oct IS 9..()(1 1.$ 50 PCS 2.00000 200000 Cholge to MOO! ~- Of!lce Svppi>e• PO l 15-10-llO ~MOUNTEDAIR(.;U~ PRO XI Local~ N/A N/A N/A NIA N/A N/A N/A N/A 19.()cr 15 19'G'Qe to ,.,. :lOf .'ICICW &. Mc»"''..-.o"w:• .... --*" ... --.a.

~-436

PO I 15-10-~5 [!mJOlN :-ui'l'fl!' PROX loc01$hoppng N/A 7ct·IS N/A .. , .. N/A N/A N/A N/A IQ-Hoow-~ I 5 1()-NQY '5 'C-"Kw IS G-No. 15 7 PCS 2120.00 2120.00 I'OQe ~~.JOE·~ l. ilooO'If..-.:rc• ~ ... ___ PO I 15-10-345 [l!AITJOTI'IT:L PRO XI locol Shoppng N/A 7.0CI·IS N/A N/A N/A N/A N/A N/A 10-Hov-1$ 10.Nov·l5 10-Nov IS I()..Now 15 7 PCS 2.50000 2.500.00 •:herge IOM\Xlf lttOQr &. Mon•eroanc•~'Ot "tnOie PO I 15-10-~5 ~ f

PO 4 15-10-351 lAIR 'Sl'RA't'.-APPLE 5C t N I PRO XI local Snoppcng N/A 6-0c:I·IS N/A N/A N/A N/A N/A N/A 16-Nov-15 16-NOY·IS 16-Nov-15 16-Nov-15 10 CANS 2.150.00 2. 150.00 Chofge to MOOE JonttOI'lOI Supplies PO I 15-10-351 I TOilET BOWl ; 5 TRIP (J l'C57l'ACKf PROX1 local ShoPP"'lQ N/A 6-0c:l-15 N/A N/A N/A N/A N/A N/A 16-Nov.J.S 16-Nov-15 16-Nov-15 16-Nov-15 10 PACKS 675.00 675.00 Chofoe to MOO£ JonitOftol Suppfies PO r 15-10-351 !CO RREC TION PEN PRO XI local Shopping N/A 6-0cHS N/A N/A N/A N/A N/A N/A 16-Nov·IS 16-Nov-15 16--Nov-15 16-Nov-15 20 PCS 395.00 395.00 Choroe to MOOE Reoulor Office Supplle~ PO N 15-10·351 'APER. A4. ORANGE PROXI loca l Shopping N/A 6-£ FleQOII &. ~'eononc.otf