ITEM NO. ITEM & SPECIFICATION QTY/UNIT BRAND & MODEL OFFERED UNIT PRICE TOTAL PRICE
1
SEARCH LIGHT Dimensions 12.0 CM x 13.9 CM x 21.0 CM Material: ABS5W hi-power LED torch Weight: 1.025 kg
Color:Orange & black
8 pcs
2
FIRST AID KIT FIRST AID KIT Material: Plastic (Box Material) Categories: Travel First Aid Boxes Shape: Rectangular
Box Type: Handled Box, compartmental organizers which include critical supplies like trauma pad, exam gloves, conforming gauze roll bandage and others.
Antiseptic cleansing wipes (sting free) Alcohol cleansing pads
¾” x 3” Adhesive plastic bandages 1” x 3” Adhesive plastic bandages 3/8” x 1-1/2”Junior plastic bandages 1-1/2” x 1-1/2” Patch plastic bandages 2” x 4” Elbow & knee plastic bandages Butterfly wound closures Knuckle fabric bandages
Fingertip fabric bandages 2”x2” Gauze dressing pads 3”x3” Gauze dressing pads 2”x3” Dressing bandages 2’x3” Non-stick pad
Sterile eye pad,1 2” x 4.1 yard conforming gauze roll bandage
½” x 5 yard First aid tape roll Scissors
Tweezers Medium safety pins
3” Cotton tipped applicators and 1 Carry anywhere plastic case.
6 sets
3
STRETCHER Stretcher (Spine Board) Standard Foldable Stretcher with bag 214 x 54 x 13cm 150 kg capacity –
Strengthen by 2 Aluminum alloy steel bars –
Light weight - Made of high quality PVC sheets (fireproof
& water repellant) – Foldable and portable
Color : Any Color 7 pcs
4
LIFE RING
Life Ring Set (standard)
Material: Rubber Height: Approx. 3 cm/1.18 inch Diameter: Approx. 17 cm/6.69 inch Color: Any Color
6 pcs
5 TRIANGULAR BANDAGE Size: 109.2 cm x 109.02 cm x
154.9 cm, Color: White 35 pcs
page 1 of 2
Canvassed by:
JAM 4-3-2023
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 and e) Omnibus Sworn Statement
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
Supplier's Representative (Print name and Signature) Date Accomplished : ___________________________
By the authority of the University President.
DR. DOLLY P. MAROMA BAC Chairman
ABC: 113,000.00
Republic of the Philippines BULACAN STATE UNIVERSITY
City of Malolos, Bulacan
Quotation No. 23-04-113
Purchase Request No. G-2023-03-0182
**Mandatory to fill in**
COMPANY NAME:
CONTACT No.
REQUEST FOR QUOTATION FOR THE PROCUREMENT OF GOODS AND SERVICES
TIN No.
Purpose: For office use, for emergency response, and for future trainings and drills
Address:
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 NOTE: Please attach brochure and indicate days of
delivery
ITEM NO. ITEM & SPECIFICATION QTY/UNIT BRAND & MODEL OFFERED UNIT PRICE TOTAL PRICE
6
FLASHLIGHT Color: Black/Orange
• Material: ABS Plastic Casing
• Dimension: 50 x 50 x 140mm P
• lug: 10A, 250V 2 flat pin plug, retractable
• Driver: Resistor-Capacitor (RC) type
• Switch: Side slide switch
• Input Voltage Range: 220-240Vac
• Frequency: 50/60 Hz
• Battery Specification: 4V 350mAh
• Sealed Lead Acid Battery
• Rated Power: 1W Charging
• Time: 10hrs Operating Time:
• High: 10hrs Low: 14hrs
• Light Output: 70 lumens
• Color temperature: 6500K
• Distance coverage: Up to 10 meters
8 pcs
7 PADDED SPLINT SET (standard size) Color : Any color
available 7 set
8
BOLT CUTTER (24 in) Material: Metal Size: 24''
*A tool used for cutting chains, padlocks, bolts and wire mesh. It typically has long handles and short blades, with compound hinges to maximize leverage and cutting force.
*Main Features:
-Handles with slip proof grips.
-Designed to cut hard matrial suc as bolts, rods, rivets and chain.
-Sharp blade able to cut the materials easilly.
5 pcs
9
SNAP LINKS Snap Links (standard) Color Steel
Material Stainless Steel Shape Gourd
Size: 100mm x 16mm x50mm
15 pcs
BY LOT
page 2 of 2Canvassed by:
JAM 4-3-2023 BulSU-OP-PU-03F3 Revision: 1
Supplier's Representative
DR. DOLLY P. MAROMA
(Print name and Signature) BAC Chairman
Date Accomplished : ___________________________
Name and Signature
6. All items must conform with the internationally accepted standard and sub-standard items shall not be accepted.
NOTE: Please attach brochure and indicate days of delivery
Accomplished by:
By the authority of the University President.
1. Please quote your lowest price on the item/s listed below comprising the necessary taxes.
2. It is mandatory to indicate the brand and/or model of the items being offered and to attach a brochure thereof whenever applicable
3. Indicate the warranty period in cases of equipment or whenever applicable.
4. Forthwith submit the accomplished quotation duly signed by your representative.
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 and e) Omnibus Sworn Statement
TIN No. ABC: 113,000.00
PhilGEPS Registration No. Delivery Period: 7 Calendar Days upon receipt of Purchase Order
EMAIL ADDRESS:
INSTRUCTIONS TO SUPPLIERS:
**Mandatory to fill in**
COMPANY NAME: Quotation No. 23-04-113
CONTACT No. Purchase Request No. G-2023-03-0182
Address: Purpose: For office use, for emergency response, and for
future trainings and drills
Republic of the PhilippinesBULACAN STATE UNIVERSITY City of Malolos, Bulacan
