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.

I Price Validity I !warranty!

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[ l ! 1 1 October 15 · 20, 2018 2 Venue:

a. Within Butuan City b. Accessible to commuting public c. Function Room can accommodata 108 participants d. Hotel rooms can accommodate 3 - 4 guests e. Function Hall, Accommodation, and Par!(ing Space located in the same compound

f. Dedicated par!(ing spaces enough to accommodate expected participants g. Avoid using PLASTIC drinking straws h. Meals ready at 6:30am /11 :30am I 5:45pm

3 Functionality: a. Conference room b. Four (4) whiteboard markers c. Light, venti!a!ion, and full airoonditioning d Water supply and toilet e. Stanct>y generator in case of power failure f. Water dispenser and glasses, Free-flowing coffee (with creamer and sugar), and Tea available at the conference hall.

page 1 of5

TECHNICAL SPECIFICATIONS

PURPOSE: Meals and Accommodation for the Conduct of Training-Workshop on Results-Based Monitoring and Evaluation (RBME) on October 16-19,2018

No Yes QTY Total Price

Unit Price

Remarks QTY ITEM DESCRIPTION ABC Per Item

Price Item No.

PHP 746,500.00

Approved by APPROVED BUDGET FOR THE CONTRACT (ABC) Prepared

s and to impose additional

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

12. Only quotations submitted on or before October 8, 2018112:00 p.m., lhe deadline, shall be ep .

10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods not delivered witihin the prescribed delivl!I)' 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 form. 2 Bidders shall quote for ALL items. 3. Price quotation(s) must be valid for 60 calendar days from dale of submission. 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties andlor 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 consulbng services which complies with the minimum technical specification and other terms and conditions stated herein.

7. Ally interlineations. erasures or ov9!Vvliting shall be valid only iflhey are signed or initialed by the supplier or its authorized representative(s). 6. The DILG shall have the right lo inspect and/or test the goods to confirm their conformity to 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 dul si ned.

PhilGEPS Re istration No. TIN No. Business Permit No. Address Com an Name Office/End-User

ion) Butuan Ci Date: October 3, 2018 Name of Procurin Enti NEGOTIATED PROCUREMENT - SVP RFQNo.: 2018 - 061 Mode of Procurement

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region XIII (Caraga Region) Butuan City

Tel. No. I Cellphone No.

Printed Name I Signature I Date

Approved by

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

PHP 746,500.00 LLA

Item ITEM DESCRIPTION QTY ABC Price

No. Per Item Remarks QTY Unit Total Yes No Price Price

f. Free & strong WIFI internet connection g. Table and chair arrangement for participants and Presidential Table h. lnfonnation I Secretariat Table(/s) i. Philippine flag, Podium, Backdrop and Welcome Streamer (4' X 8') (design c/o procuring entity) ·.One (1) Projector Screen k. Extension Wires to accomodate laptops and others I. Two (2) wireless and two (2) Wired Microphones

4 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

5 a. DAY 0 (October 15, 2018) DINNER - Rice, Tinolang lsda, Chicken Menudo, 38 PHP 325.00 [ I [ l Four Season, Fruits, and Softdrinks b. DAY 1 (October 16, 2018) BREAKFAST - Rice, Beef Tapa, Boiled Egg, Fresh 108 PHP 150.00 Fruits, and Coffee AM SNACK - Banana Cue/Camote Cue, Fruit Juice 108 PHP 100.00 LUNCH - Rice, Tinolang Tuna, Steam Vegetables 108 PHP 325.00 (camote Leaves, okra, talong), Grilled fish, Fruit salad, and Fruit Juice

page 2 of5

lwarran~I !Price Validity I

APPROVED BUDGET FOR THE CONTRACT (ABC) Prepared y

12. Only quotations submitted on or before October 8, 2018112:00 p.m., the deadline. shall be accepted. 13. The G reserved the right to accept or reject any or all quotations nd to impose additional

em proper.

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 ona 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 (1 O} 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 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 anG'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 consulbng services which complies with the minimum technical specification and other terms and conditions stated herein. 7. Any interlineations, 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 anG'or test the goods to confirm their conformity to 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 dul si ned.

PhilGEPS Re . tration No. TIN No. Business Permit No. Address

RFQNo.: 2018 - 061

Com an Name Office/End-User

Mode of Procurement Name of Procurin Enti

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region XI11 (Caraga Region) Butuan City

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Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENf

Region XIII (Caraga Region) Butuan City

Mode of Procurement NEGOTIATED PROCUREMENT - SVP RFO Nol 2018- 061 Name of Procuring Entity DILG Reaion XIII (Caraza Region) Butuan Citv Date: October 3, 2018 Office/End-User Local Government Capability and Development Division (LGCDD) Company Name Address Business Permit No. TIN No. PhilGEPS Registration 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 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. Bidders shall quote foc ALL items. 3. Price quotation(s) must be valid foc 60 calendar days from date of submission.

delivered v.itihin 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

4. Price quotation(s) to be denominated in Philippine Peso shall include all laxes duties andloc levies amount of the conlract, without prejudice lo other courses of action and remedies open to il payable. 5. Quotation(s) exceeding the Approved Budget foc the Contract (ABC) shall be rejected.

11. The DILG reserves the right to request the supplier foc adjustment (addition oc reduction) of booking 6. Award of contract shall be made to the lowest quotation (foc 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. 17. Any interlineations, erasures or overwiting shall be valid only ifthey are signed oc initialed by the 12. Only quotations submitted on or before October 8, 2018112:00 p.m., the deadline. shall be supplier or its authorized representative(s). ace~. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conf01TTiity t~13. The DI~ the right to accept oc reject any or all quotations and to impose additional technical specifications. requirements "c · deem prcll)ef.

APPROVED BUDGET FOR THE CONTRACT (ABC) Preparedt' , ( ") __)__) Approved by l~S PHP 746,500.00 r;..';~~~~A RAYGREG RYF. ~ILLA

BAC $PC ia BA Chairper\o / 1mer v

Item Compliance with

ITEM DESCRIPTION QTY ABC Price Technical Specifications No. Per Item (Please check) Remarks

QTY Unit Totai Yes No Price Price PM SNACK - Puto Kutsinta, Lemon Juice 108 PHP 100.00 [ I I I DINNER - Rice, Mola, Pinakbet. Kare-kare, Fresh 108 PHP 325.00 I I [ I Fruits, and Softdtinks c. DAY 2 (October 17, 2018) BREAKFAST - Rice, Tuna Paksiw, Scrambled Egg, 108 PHP 150.00 [ I [ I Fresh Fruits, Hot Chocolate (Tableya) AM SNACK - Cassava cake, Fruit Juice 108 PHP 100.00 [ I [ I LUNCH - Rice, Nilagang Baka, Seaweed Salads, 108 PHP 325.00 I I [ I Sweet and Sour Fish, Buko Pandan, and Fruit Juice

PM SNACK - Puto Maya with mango, Hot 108 PHP 100.00 [ l [ l Chocolate (Tableya) DINNER - Rice, Sinigang na lsda, Fish with Black 108 PHP 325.00 I I [ I Beans, Pinakbet, Fresh Fruits, and Fruit Juice d. DAY 3 (October 18, 2018) BREAKFAST - Rice, Beef Giniling, Ampalaya with 108 PHP 150.00 [ l [ l egg, Fresh Fruits, Coffee AM SNACK - Bibingka, Fruit Juice 108 PHP 100.00 [ l I I LUNCH - Rice, Pocherong baka, Vegetable 108 PHP 325.00 [ l I I ginataan, Fish Steak, Leche Plan, and Lemon Juice PM SNACK - Fresh Lumpia, Lemon Juice 108 PHP 100.00 [ J [ J

DINNER - Rice, Squash Soap, Grilled Chicken, and 108 PHP325.00 [ I [ J

Adobong Sitaw with beef, Fruit salad, Fruit Juice e. DAY 4(October19, 2018) BREAKFAST - Rice, Chotizo, Fried Dried Fish, 108 PHP 150.00 [ l I l Fruits, and Coffee

page 3 of 5

lwarran~I I !Price Validity! 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 Signature I Date

Tel. No./ Cellphone No.

~

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Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region XIII (Caraga Region) Butuan City

Mode of Procurement NEGOTIATED PROCUREMENT - SVP RFQNo.: 2018- 061 Name of Procuring Entity DILG Rezion XIII (Caraza Region) Butuan Citv Date: October 3, 2018 Office/End-User Local Government Capabilitv 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 infonnation 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 prescriled 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

4. 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 ope11 to it. payable. 5. Quotation(s) exceeding the Jl.pproved 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 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 overwriting shall be valid only ifthey are signed or initialed by the 11, I ue UILU l~Y~ Ult' lJYlll lU lt:\.fU~l UI~ ~Ut-'f.Jllt:J IUI i:tUjtJ.:;Ull~ll \l1Ul.nUUll UI tt::UU~UUllJ UI UUVl\ll>ij

of food and accommodation based on the actual number of participants present and the quantity of supplier or its authorized representative(s). caruiroc N::.Jiw:ln::wi P:ntmo.nt chall ho m~rl.o ~ffar tho :.l"ti\1i+u

8. The DILG shall have the right to inspect and/or test the goods to confirm their conformity r 13. The ~eserved the right to accept or reject any or all quotations aid to impose additional technical specifications. requlr~ .. - ~~;·~· deem proper. APPROVED BUDGET FOR THE CONTRACT (ABC) Prepare\by . ( j) /.» Approved by ~ s

J

IMI LUU~~ .~NA PHP 7 46,500.00 RAYGREG RYF:~ILLA BAC Ses:z('tan t l.Vlember BA Chaim

/ oner Item

Compliance w1ui

ITEM DESCRIPTION QTY ABC Price T echnlcal Specifications No. Per Item lolease check) Remarks

QTY Unit Total Yes No Price Price e. DAY 4 (October 19, 2018) BREAKFAST - Rice, Chorizo, Fried Dried Fish, 108 PHP 150.00 [ J [ J

Fruits, and Coffee AM SNACK - Maja Blanca, Fruit Juice 108 PHP 100.00 [ J [ I LUNCH - Rice, Bird Nest Soup, Fish Kinilaw,Grilled 108 PHP 325.00 [ I [ J

Pork, Macaroni Salad, and Fruit Juice PM SNACK· Binignit, Lemon Juice 108 PHP 100.00 [ I [ I DINNER - Rice, Sinigang na Baboy, Mogolian Beef. 38 PHP 325.00 [ I [ I Tufu and Broccoli stir-fry, Fresh Fruits, Softdrinks

ROOM ACCOMMODATION ~ 5 a. Triple sharing, fully airconditioned with [ I [ I

television, T&B with soap, shampoo, and towel b. Billeting within the hotel premises [ J [ I c. Room Assignment based on actual number of participants and gender d. Check-in and Check-out Time: Check-in at 2:00pm (Day 0, October 15) 38 [ I [ I Check-in at 2:00pm (Day 1, October 16) 57 Check-out at 12:00pm (Day 4, October 19) 57 [ I [ I Check-out at 12:00pm (Day 5, October 20) 38 [ J [ I

6 Accommodation: Day O (October 15) with complimentary breakfast 38 PHP900.00 [ J [ J

I Day 1 (October 16) with complimentary breakfast 95 PHP900.00 [ I [ J

Day 2 (October 17) with complimentary breakfast 95 PHP900.00 [ I [ J

page4 of 5

lwarran!l'.I I I Price Validi!:l,'. 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 Signature I Date

Tel. No. I Cellphone No.

~~~ - ~- ~ ~ - - ~~----------------- Reference [TO BE FILLED OUT BY GENERAL SERVICES DIVISION]

1 Approved and funded PPMP [ J [ J 2 Approved and funded Activity Design [ J [ J

page 5 of 5

lwarran~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 Signature I Date

Tel. No. I Cellphone No.

In order to be eligible for this procurement, suppliers /service providers must submit, together with the quotation/proposal the following eligibility requirements

1 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

~

@ Republic of the Philippines

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

Mode of Procurement NEGOTIATED PROCUREMENT - SVP RFQNo.: 2018 - 061 Name of Procurinz Entity DILG Region XIII (Caraza Region) Butuan Citv Date: October 3, 2018 Office/End-User Local Government Canabilirv and Development Division (LGCDD) Company Name Address Business Permit No. TIN No. PhilGEPS Reaistration 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 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 Bi~ shall quote for ALL items 3. Price quotation(s) must be valid for 60 calendar days from date of submission.

delivered witihin the prescribed delivety 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 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 overv.fiting shall be valid only ifthey are signed or initialed by the 13. The DILG reserved the right to accept or reject any or all quotations and to impose additional supplier or its authorized representative(s). requirements as it may deem proper. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conformity to the 13. The DILG reserved the right to accept or reject any or all quotations and to impose additional technical specifications. »> requir~ 111n9V. deem proper. APPROVED BUDGET FOR THE CONTRACT (ABC) Prepare~ ~ ( D L~ Approved by l~

PHP 746,500.00 IMi ~LUUV-'l! ~INA RAY GREGO F. J.~ULLA BAC Seer._... • .. ember BAC airpers

/ uner 7 v

Item Compliance Wltn

ITEM DESCRIPTION QTY ABC Price Technical Specifications No. Per Item lclease check) Remarks

QTY Unit Total Yes No Price Price Day 3 (October 18) with complimentary breakfast 95 PHP 900.00 [ I [ I Day 4(October19) with complimentary breakfast 38 PHP 900.00 [ I [ I

GRAND TOTAL

REQUIREMENT