INSTRUCTIONS TO SUPPLIERS:

(1)

ITEM NO. ITEM & SPECIFICATION QTY/UNIT UNIT

PRICE BRAND & MODEL OFFERED UNIT

PRICE TOTAL PRICE

1 Industrial Safety Goggles with adjustable leg 10 pcs 200.00

2 Hard Hat Blue 4-Point Ratchet Suspension 10 pcs 940.00 3

Safety Glasses Protective Eyewear Headband Anti-Fog

Goggles Droplets Impact

Resistance Lens with Air Vent UV Protection

10 pcs 448.00 4 Insulated 12kv High Voltage Electrical Insulating

Gloves 10 pair 693.00

5 AP Protective Eyewear / Safety Glasses Clear Anti-

Fog Lens 10 pcs 300.00

6

Auto Darkening Welding Helmet Welders Lens Grinding Solar Powered

Type: Welding Helmets Color: Black Sub Type: Face Shields Type: Standart Viewing Area 90 × 35mm Cartridge Size: 110 × 90 × 10mm Arc Sensor: 2

Light State: DIN 4 Dark State: Fixed shade 10 Shade Control: Unadjustable Power On Off: Fully Automatic Sensitivity Control: Unadjustable,Auto UV/IR Protection: DIN 16

Power Supply: Solar cells. Re-chargeable battery. No battery change required

Switching Time: 1/5000S, from Light to Dark Dark to Light: 0.15-0.45S Auto

Operating Tep:-5C - 55C Storing Tep:-20C - 70C

5 unit 2,214.00

7 1 pair safety steel boots (size 45) 5 pair 2,100.00 8 1 pair safety steel boots (size 43) 5 pair 2,100.00

9 1 pair of welding gloves 10 pair 428.00

10

Antistatic Wristband for Electrician workers 3 Piece Set

Material: 100% Nylon Color: Black/ Blue

Product Dimensions: 6.3 x 1.5 x 10.98 inches (16 x 3.8 x 27.9 cm)

Surface Resistivity: 10^7 - 10^9 Ω, 10 mm Grounding Snap, 1.8 m 10^5 Ω Grounding Cord

Dimensions: 60 cm x 60 cm, 1.8 m 50 Ω Wrist Strap Size: Adjustable to XL

10 pcs 2,297.00

BY ITEM

Canvassed by:

JAM 10-17-2022

Delivery Period: 7 Calendar Days upon receipt of Purchase Order

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

By the authority of the University President.

DR. DOLLY P. MAROMA

BAC Chairman Republic of the Philippines

BULACAN STATE UNIVERSITY City of Malolos, Bulacan

Mandatory to fill in

COMPANY NAME:

REQUEST FOR QUOTATION FOR THE PROCUREMENT OF GOODS AND SERVICES

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

Purpose: For DIO use

Purchase Request No. G-2022-10-0981 Quotation No. 22-10-692

ABC: 85,130.00

NOTE: Please attach brochure and indicate days of delivery

CONTACT No.

TIN No.

Address:

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