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ITEM NO. ITEM & SPECIFICATION QTY/UNIT BRAND & MODEL OFFERED UNIT PRICE TOTAL PRICE 1 ESD computer repair desk electronics 8 unit

workbench

Material: Cold Rolled Steel; ESD Laminate Structure: Knocked down

Surface Treatment: Powder Coating Additional Parts: Drawer, Shelf, Caster, LED Light, Power Outlet (at least 4 pcs) Usage: Laboratory

ESD performance parameters: metal surface: 10^5 - 10^10

Laminate surface: 10^6 - 10^10 Dimension (L*W*H): L1500

*W750mm*H670-1120mm (adjustable) Weight:150-300Kg

Static weight loading: 300kg - 500kg Color: Gray

Warranty: Minimum 3 years

After Warranty Service: Online Support

Canvassed by:

JAM 7-7-2022

NOTE: Please attach brochure and indicate days of delivery

4. Forthwith submit the accomplished quotation duly signed by your representative.

Revision: 1

6. All items must conform with the internationally accepted standard and sub-standard items shall not be accepted.

Accomplished by:

BulSU-OP-PU-03F3

Name and Signature Republic of the Philippines

BULACAN STATE UNIVERSITY City of Malolos, Bulacan

Quotation No. 22-07-427

Purchase Request No. F-2022-02-0104

**Mandatory to fill in**

COMPANY NAME:

CONTACT No.

REQUEST FOR QUOTATION FOR THE PROCUREMENT OF GOODS AND SERVICES

Supplier's Representative (Print name and Signature) Date Accomplished : ___________________________

By the authority of the University President.

DR. DOLLY P. MAROMA BAC Chairman

Purpose: Establishment of CPE Embedded System Laboratory

2. It is mandatory to indicate the brand and/or model of the items being offered and to attach a brochure thereof 3. Indicate the warranty period in cases of equipment or whenever applicable.

5. Suppliers are required and mandated to attach and submit the following documentary requirements:

a) Valid Mayor's/ Business Permit; b) BIR Certificate of Registration; c) Authority to Print Receipt; d) PhilGEPS Membership Certificate; e) Omnibus Sworn Statement and f) Income / Business Tax Return

EMAIL ADDRESS:

PhilGEPS Registration No.

1. Please quote your lowest price on the item/s listed below comprising the necessary taxes.

Delivery Period: 7 Calendar Days upon receipt of Purchase Order

INSTRUCTIONS TO SUPPLIERS:

whenever applicable Address:

ABC: 600,000.00 TIN No.

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