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ITEM NO. ITEM & SPECIFICATION QTY/UNIT BRAND & MODEL OFFERED UNIT PRICE TOTAL PRICE

1 L-type Executive Table 1 unit

Size: 160x160 cm, 75 cm main depth and 45 cm side return

Materials: Wenge melamine-faced chipboard (MFC) table top

Powder-coated metal legs with powder-coated front board

With 60 mm diameter desk hole with grommet plastic wire organizer cable hole cover

With at least 4 drawers With modesty panel

Canvassed by:

JAM 10-20-2022

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. 22-10-717

Purchase Request No. G-2022-10-1014

**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: For Dean's Office use

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; and d) PhilGEPS Membership Certificate

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: 15,000.00 TIN No.

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