Solicitation Number:NC-2025-G-0090-PR-2025-0108Trade Agreement:Implementing Rules and RegulationsProcurement Mode:Negotiated Procurement – Small Value Procurement (Sec. 53.9)Classification:GoodsCategory:VehiclesApproved Budget for the Contract:PHP 331,496.00Delivery Period:30 Day/sClient Agency:Contact Person:ALVIN Antopina
Secretariat
New Capitol Compound
Tagbilaran City
Bohol
Philippines 6300
63-038-4110138 Ext.4212

ppmubohol@gmail.com
StatusActive
Associated Components1
Bid Supplements0
Document Request List0
Date Published29/03/2025
Last Updated / Time29/03/2025 12:00 AM
Closing Date / Time04/04/2025 10:30 AM
Description Supplier’s Company Name: NEGOTIATED CANVASS
TIN & Contact No. NO. G-2025-0090

Company Address
SMALL VALUE PROCUREMENT

SIR/MADAM:
Please quote the price/s at the blank space hereunder provided for the following articles to be delivered at the Garcia Memorial Provincial Hospital under Provincial Government of
Bohol, Capitol Building, Cogon District, Tagbilaran City. Your quotation should be received on or before _________________________ at the Office of the Bids and Awards
Committee, Capitol Complex, Tagbilaran City.
PURPOSE: For GMPH ambulance, rescue vehicle and standby generator.
APPROVED BUDGET FOR CONTRACT (ABC): P 331,496.00
THE BIDS AND AWARDS COMMITTEE

By:
PAULITO RABUYA
Head, BAC Secretariat/PPMU


To: THE BIDS AND AWARDS COMMITTEE
Submission of Quotation
Item No. QTY UNIT Description of Supplies/Materials/Services Unit Cost Amount
1 3 liter Brake Fluid DOT3 ₱ __________ ₱ _____________
2 2 piece Brake Shoe-rear, for Nissan NV-350 ₱ __________ ₱ _____________
3 6 set Front brake pad – for NV-350 Nissan 2021 (DB1769 GCT 000060039) ₱ __________ ₱ _____________
4 6 set Front brake pad (SPI376) 000076036 for Toyota Hi-Ace 2020 ₱ __________ ₱ _____________
5 4 piece Oil Filter – C R1111, for Toyota Hi-Ace ₱ __________ ₱ _____________
6 16 piece Tire, 225/70 R15, Tubeless ₱ __________ ₱ _____________
7 2 piece Vehicle Battery – 11 plates – gold, maintenance free, N70 ₱ __________ ₱ _____________
8 1 piece Vehicle Battery – 21 plates – 2SMF/N150, ah:65, rc:111 with warranty ₱ __________ ₱ _____________
9 4 set Wiper Blade 19” ₱ __________ ₱ _____________
10 4 set Wiper Blade 20” ₱ __________ ₱ _____________



Mode of Procurement: Emergency cases
Place of Delivery: GMPH, Talibon, Bohol
Period of Delivery: within 30 days after the approval of P.O

x x x x x x x x x x x x
Amount in words

I hereby certify that the above quotation as proposed by my firm/company is/are actually certain and definite in amount. I also agree to the terms and conditions set
forth under R.A. 9184 and its IRR.


______________________________________________
Signature of Bidder
(Signature over Printed Name)

_____________________________________________
Date

Period of Delivery: 30 days