AI{I{UAL PROCUREMEI{T PI-AN-COIIIMOI{ SUPPLIES AND EQUTPMEI{T (APP.CSE) 2O2O FORM

Mod€rnized Govcrnm€nt Et€ctronic pro€ur€ment Systen (nrcEps).

1. Dorvnloa.l the workshc€t nlc App-CSE 2o2O temptate at www.p6_ph[9€ps,gov.ph2. tndic.t€ th€ ag€.cy,s mon$ry r€quirement per item tn E e Api-c3E 21io 6rm:3. Th€ agency should indicate tero it an ttem ij not b€ing purchared by rhe agency ot purchased for a pardcutar montfi.4. Age.ty must not delet. .ny irem in the t mpt.tei neitter shoutd tt tn.tude-tine items or rcvt.. tt€ t.lnpl'te.5. An APP-CSE ls corider!.t tncorr€cr o. tnvatid i,

.. iorm ur€d k other than thc pr€5c.ib€d fomat wtich c.n b€ downl,oad€d onty ar www.F- phibep..gov.ph and;o, correct rormat is us€d but tietd. were deleted and/or ins.rted tn pARr I of the temptatc

unit pices tas€d on ats bn purchas€.7. Once accompllshed and tina r€d, th€ App-CSE 2Or.9 rorm shoutd b.:

a. saved utln! this form.t aPP2ozo-lIame of agency_uaan or R€oionat ofice (e.9. App2o2o _DBM_CenEat office" App2o2o _oaM_Region IvA).

requlrements in exc6s ofth€ quantities indlcaH in th€ originat App-csawil not b€ s€rved if not covercd by a revi.€d App-csE.lO For fu.the. .stlstance/cla.lfi@tion, asGoci€s may @ll th; Ma.k€ting and sal€s Dtvision ot th€ procurem€nt s€ryi€e at tet€phon€ no,(02)6s9-775o tocat alrlg.

Note: Consistent tuth Uernorandum Circular o, 2079 - da@ Augutt 2Ot9 the APP-CSE br rY 2020 nun E sorynitEd on or Ela? Octob.37, ZOtgPHIL]PPINE SCIENCE HIGH SCHOOL SYSTEM contact Person: Edmund @lladoD€partmenVBu.eau/Off lce:NCR

Agency Account Code:

Organization Type:Q032

Nos: OZ 9397747

Agham Road Oillrnan Queron City

I. AVAILAALE AT SERVICE STORES

1,2ta.24 r,244.21 16.@ 1r9.16

120.002,639.52 2,639.52

12171701-Sr-mr srAlnP PAD t X, pu@t€ o. vtolet 246.21 0.00 r0.00 24.62120.00

117 73577t124

203 52

caRaoN FIL r, PE, bracb 5iz.203.52

000 532 24

coN-nNuols FoR , I PLY,230 x000 r02t.6

000UOIS FORlr1,2 ply, 2AO6n x

0.00

Item & Sp€€ifications Monthly Quantity Requarement

Q1 Q2 Q3 Q4

Pe.ti<ides or pest Repelenis

I l 1 l l 3 l l I l l l

0 0 o.o0 5,279.V

Color Compo{nds.nd DislEBions

3 l0 10 0 0 0 o 0 0 0.00 0 0 0 246.21

rrrftr{ h, lAcErirE, 'n(k,6. o.o7tm

l(o.q rrr 0 o 0 0 0

0 2 0 0 0 200

0 000

Paper t4ate.iats and producis

l*"'0.^r "*"0 .*- 0 0

0 0 0.0(

0 o 0.0(

0 0m rtm

0 0

*a,0

000 0 0

'srLVM 3r 'dt{t r lNlf,sluon!

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3A Zsn 0 o 000 o 0 o '6uro'-I1 xEro',wr lrurrr'r!

oz'610'I 95 05 OI

0 0

0

0 E

0

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0

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m'a@1 z3I 0 0a 0 0a 0 0 0t(uurr)

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a'3r 0 0 0 0 0 ca 0 uu,a| {o, 'gr,ll9vDlld ',ldvr

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z'ar 0 0 0 0 0 0 0 o 0 r,t9l x uuo '-tf)tulj:nt :kt]o

zI500z 0 0 o 00 aa

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0

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01

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@0 0 ,lerps'dtHdw9oN 5'roosr.ror,r0 o0o 0 0 o 0

0a'66a'3 OE 0 0s 08 r/0'z 0s ouat r uur9a ',@ rr(E 'oYd:IroN0 0s

9r0'95 0 os zoe'z 05 o5 uu00l r uu4l 's )ll$'ovd lrlN0a aoa?

z61z',tf 00 00e 0! 0 0s 0 0s 960r9'r 0s!l! (,t r .z)

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t.trt Et 'pr.o@q,/o .r.u 'l:l^ol l\,:ru5@1

0 0 0 000 0tipqro uual6

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x oea 'lli a 'hr.,oi snonuu@

0a0aroq enp^,pu

u', I s]]eMl'c3'r'qlm qt6r

0 000 0

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0'pr

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0

(9,9a) OU6rvrS ',3uril rdrrsl

00'0a

0

0 30

20

30 0 0

0

o

0 r,721.20

t0@RULER, pasti.,4s0mm O3), widrh

15t752

30 30BROOM, mCK (TiNG-nNG), ueb. 0 0 30 t0 1,334.56

CLEANER,TOILET BOWL AND

UtuNAL, 900m -10@ii@D 0 o 0 20.m

0ctlANsER, sc0LrRING POWOER,0.m 0 0 21,92

o 0.00 0.m o 0DEIERGENI BA& T{O 96MS AS0 3.003

0 0DETERGENI POWD€R, a I pulpoF,0

20OISINFECTANI SPRAY, ae@el type, 0 0.m 20.00

0 0orJsl PAN, noir8id plastiq u/0 0 0.m 24.3152

0 0 26916

FUR ITIRE CLf NER, aer@l typ., 0 2A 0 20 0 0 8716

MOP BUCKFT, hew duty, h.d3 l 5,733.00 0 0.m 0 0

MOPHANDLE, heav'y duty, aluminum,6 6 0 0 12.0C

|.4OPHEAo, made of rayon, reqht: r,934.32 0 0 13 0 36.@

RAGS, all@tto., 32 pies p.r0.@ 5 0 0 500

SCOURI|IG PAo, mad€ of synbetr 0.00 0 0 0 0.00

0TR 6ugAC, p ast'c. f3nspaMt

0

0

WaSTEBASKET, nonrigid plastic 0 0 23.5472

0 0

50 13,332.00 0 0 13,332.00

0 0 159164 0.00

20 2A 7,699 84 0 0 0 0 0 134.992 2,699 84

0 0 0PRINTER, IMPACT OOI MATRIX, 24

0 0 3313r.23

0 0 0 0 0PRINTE& II,'PACT DoT flAIRIX, 9

0 0

0

0 0

0

o

0m

0m

Officr

PRINIER, LASER, mon(hrcme,

CNAIX, molded, white, dod55,

00.m o

0.mCLIP, BACKFOLD, AI MEtiI,

0 50 0 50 7.5112

CLIP, &ACKFOTD, a lmetal,50 50 rt3952 1,339.52

CLIP, SACKFOTO, a I metal,

CLIP, BACKFOLD, all meta , 20 0 2A

CORRECTION TAPE, li m base tyPe,50 0 50m

0ATA FILE AOX, nade of chipboad,50 50 50

oATA FOLDER, made of chipboard,

ENVELOPE, DOCUMENTARY, for A410 0

Mcasurinc a.d obervlng.nd Testing EquipmGnt

0

0

0

loeshop codput$. eanded 39203

0 0 0

0 2o

ffimsl"J""''-FLASN OfuVE, L6 GB Gp.c tv

to."*".*".-""*lrour.. orrn"', ,rr.-n.,o- ro"

.N!IL@€, DOCUMEIYTARY, f6

KRAFImARD,Io. r<al eze dd 0 IO 0.00

ENVELOPE, EXPANDING, PLANIC,0 0

EWELOPE, MAILrNG,wnt , 8095m (0

E{vtloPE, @lling, whiE, wftn0

0oo

FASIEftER, METAL 7o.im b.N€n0 o 0 1,r56.6r

FILf ORGANIzER, qp.iding, plasti.,0.00 0 0

FILE TA3 DMDER, bristol boad, fo.50

FILE TAA DIVID€R, 'istol

bo'd, fd50 0 50 332 @ 0.00 50 0 50

Fqr€R, FAflcY, tf a,r cro 0 0@ o 0 0 0 0 0 0 0 253292

FOtDa& FANCY, t- LS.l sir.o 0 0 0 0 0@ o 2912

FOID€R, L.IYPE, PLA5TIC, f( A40 0 0 o o 0.@ 17104

FOLDER, L.IYPE, PLASNC, Id |.ga213.?2

FO(DER, PRESSAOARo, sizer 240mm10

FqO€& TAGBOAND, fd A4 gZE0 IO l0 o 2r7.16

FOto€& rl6eARO, tr leq6ltze2,796It 0 0@ 2796152 2,796 t5

50 50 50 50 2,591.76 0 0

MAG'ANE FILE 8OX, IARGE '8, 0 50 50 0 o 50 0 50

HARXER, FLLORESCENT, ] .sFTIed0

MARXER, whit.bo.rd, dac& r€lt tip,20 0 20611 0 20 20 20 o 70 20611 324.5r

MlAxER, *hiLho.d, d4, r.lt oP, to 0 20 206.r3 0 20 20 o 20611 20 205.11

lAxER, wht ho..n, Ed, fdt tD,o 0

MARXER, ,€RMANEm, buna ryp.,0

MARXER, PERMANENT, DUII€'I tYP',50 0 0 50 0 96512

MARrcR. PERMANENT, bu|Iet tYp.,0 000 0 0 0 o.

PAP€R CUP, vi.yl/pl.sft .@!30 0 30 0 0 0 0 0 353.30

PAPER CLIP, ,.Wd.It @I30 0 30 332 20 la2.20

PEICIL. Ld, */ @*r, Nod20 0 20 0 0 20 0 0 311.5€

PING BIND€R,80 nnq9, d.Nc, l0 0.m t0 to 0 20r.51t2 12,0t8.11

RUBBER B NO, 70nn m'n lay rlitr0 0

srAMP PAO, FELri b.d dimension: 000 o 0

CUTTER BLAo€, ld h6!,y duty t0 0 50 0 0 0

cuTlEi (IrlFE, rd 94d Alrpo* 50 0 50 0 0 0 000

DAI]NG AXO STAXPITIG MACIIII{E,5 0.@ 0 0 2,19190

PENCIL SLIARPEIER, maiua|, 9n9|e0 0 0 r37.2

FINCHaR, p.p.r, hdvy duty, with0.m 13r.9552

sctssoRs, eymm.t kal, blad.20 20 004 156 tr2.00

sTAftf& 'ANOARD

TYP€, IO'd2o 0 ?0 000 o 32 15

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0 0 0 10,361o 0

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o 0 0 0 0 0 0 ru6c 111lH) vr0r6r rN 'I:YJ tNr

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@o 0 0 00'0 o 1u69 (aadH) v06€6tr dH '1!V) )r{I

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I rd^r.urru !r^or€! ndYis0 0

INK CrAT, BP CN566 (HP32) Cy.i 0 0.00

INK CART, HP CH567A (HP32)0 000 0 0@ 1La

INK cARr, HP CNs6€a (HP32) Ycllow 0 0 0 0

IN( C,ARI, HP CNo45M, (HP950XL),0.m 0 r554.3

INK C,qRT, HP CNO46Ac, (HP951XL),

rNK CAEr, HP CN047M, (8P95rxL),0.00 0 0

INl( CAln, HP CMX3I , {8P951X1). 0 0 0 0 0

rNl( CART. HP Ot632r , (HP70a),o 0 0 0 0 0

tNx cAiT, HP cr1633,AA, (HP70a),

INK CART, HP C1OA4 (HP678),o o 000 0 0 0@

rNK a,ART. HP C21O3r{, (HP673),0 0 0 0 0.00 0 ll9 04

INX C!RT, HP C2r2 1A (8P6tq),0 0.00 0 0 0

INX CART, HP C2I22A (HP635A),0 0 0 0.m 0 0 0 0 0 24).6

rNx cARl, HP Czr2rr (HP68t(),0 0 0 o 0.m

INK CART, HP CZI]4A (HP685A),0 o 0 0 0

INK C RT, Ht F6V26A (HP6€0) T..0 0 0 0 401.832 0

IflK C RT, H? F6\2rr (HP660)o 0 0 0 o 0 {ol.8l2

INK CART, HP LO651II (HP955)0 0 0

IN( CART, HP LO654AA (HP95')0

INK CART, HP LOS57ll (H455)0 0 0

INK CART, HP LOSSOAA (HP955)0 0 0 ! 0 0 0

rNx C_AAT, HP L0S63M (HP955XL)0 0 0 0 0 0

INK CrAT, HP L0S66rl (HP95'L)0 0 0

INK C-AAT, HP 1669,} (HP955XL)0

IN( CART, HP LOST2AA (HP955XL]0 0 0 000

rN( C}RT, NP T6LA9AA (HP9O5)0 0 0

INK CART, HP T6[93A,4 (HP9O5)0 0 0 00! 0 0 o.oo

INK CART, HP T6L97AA (HP9O')0 0 0 451.6163

INX CART, HP T6MO1AA (HP9O5)0 o 0 0 o 0 7412303 0.m

INX CART, HP T6MO5A,\ (HP9OsXL)0 0.00 o 0 0 0.00

IN( C RT, Hr r6ri09M (HP905X[)0 0 0 0 0 0 0

rNK C Rr,HPr6 rla (HP9Osxr)0 0 0 0 0 0

INK C}RT, HP T6}T I7Al (HP9OsXL)0 0 0 0 0 0 o 000

RIBBON CART, EPSOX C1]S0I55160 0 0 0.m

RISBON CARI, fPSOft C11S015531

USBON CART, EP50N Cl3SO156l2,0.00 0 7592

TONER CART, SROTHER TN.2025,0 0 0 0 0 2556.32

TOI{ER(AT, SROTHER I .2I]O,o 0 r320

TO MCAAT, SROTHER II'I.2150,0 0 0 0 26r56

TONEI CART, SEONGR TIl']]20,0 0 0 0.00 c 2941952 004

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0 l5 l5 0 o 15 0 2457.92

TONER CART, IP CBYOA, ShCK 0 0 0 o 3312.4

0 0

TONER CART, HP CE273A, BI&K

TO'TER CARI, HP CE235A (HP35A), l0 0 0 0 0 295t 6

0 0 o 0 0

0 0 0 0

0 0 0 o 2490.3

0 0 0 o o o 0

TO{ER CART, HP CE]20A, BIACK 0 0 0 0 0 0

0 0.04 0 0 0

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o o 0 1010.3

TOi€R CARr. HP Cf,l9oA, exk 0 0 0 0 0 0

TolIER CAir, l]P Ct,loA, exk 0 0 000 0 o

TONER CARI, fP CE4oLA, Cya. o 0 0 o o

TONER CART, HP CE402A, Y. low 0 0 0 0

0 9973.3

TdIER CART, HP CE4lOA, (HP3O5),0 0 0 1363.3

TOflB. CAAT, HP CBTIA, (HP'05),0 o 0 5512 0.@

roarm crRT, HP CBIIA, (HPIO5),0 o0a 0

IO{ER CAAT, HP CE'T]A, (HP]05),0.@ 0 o 0 5512

TOI€R CrAr, rP CE5oiA, Bl&k

TON€R CAAI, NP CE5O'X, BI{t,o 0

TONER CART, HP CF217A (FIPl7A) lo 30 0 o 2932.4

TONER CART, HP CF226A (HP26A)0 0

TOirER aiRT, HP CF2]6XC (HP26XC)0 0 0 0

tqIEA C'RT, HP Cf23OA, Li.d.TPmM401/r.442s27(Br.ck

0 0 0 o 0 0 0.00 o

IcllER C-ART, HP Cf2MXC 0 0 0 o 6962.3

TO{ER CtRr, HP Cf28rA (HP8rA)0 0 0 o

TONER CIRT, HP G2t]A (HP83A)0 0 0 0 0 0 r94,502.05

TOiER C Rr, HP Crz$xc (HP8IX)0 0 0

TONER CARI, FtP CF28,A (nP87)0 o 10051.6

TONER CARr, BP CrlloAC (HP326)0

TONER CART, HP CF3lIAC (HP326)0 0 0 0 0.@

TdIER'IRT, HP CF3I2AC (NP326)0 0 0 0 0 o 0.00

rqrER CART, Hp Cflllrc (HP826)0 0 0 0

ro En caRT, Hr cf3rsxc (HP25x)0

0 0@ 0 2901.5

l-on." -"r. n, c*r*, n"..

lro"a -*r, nt aartto, t'".'.

Iro,,r" .^^r, ,, o.,*, n*. 21s6.8

lro,.r" * r, ," c..1, r^, cr.n o

l*." *r, r,-,r^, '"- 0

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TOTeER CjAT, FrP Gl@^ (hP5@r)5 5 0 o 0 0

TONER (tRT, HP CF360XC (Hp503t)0

TONER C,RT, HP CF361A (HPsO8A)0 0 0

TONER CjRT, HP CF361XC (HP5oAX)0 0 0

TONER CART, HP CF]62A (HP5O3A)0 o

rd{ER crar, HP cfl52xc (HP506r)0

TONER arRT, HP G35.,q tlPsOaA) o 0 0 0

TO{tn CARI, HP cFj6f,tc (HPs@x)o 0 o 0

roa{ER crRT. Hp cF,roo^ (Hp2olA)0 15 0 o o.@

TOi1ER CARr, HP Cf.lOrA (Hp2orA)0 o 12 L2 r2 0

TONER CART, HP CHO2A (HP2OlA)0 12 0 0 r2 0.@ 0 0.00

TONER arrtT, HP CF{OIA (HP2oIA)0 0 t2 t2 0

TONER CART, HP CF41OA (HP4lOA)0 0

TONER C}RT, hP CF41OXC0 0 0 0 0 0 0 0m

TONER CART, HP C&lTA (HP4lOA)0 0 0 0

TOI1ER '-ART,

HP CHTTXC0 0 0 o 0 0

Td.JER CAAT, HP CHIZA OiP'TOA) 0 0 0

Td,rER CIRT, HP Cfal2lc0 0 0

rOfiER CART, HP CF41]A (HF4lOA)0 0 0 0

IOIIER CART, HP CF4l]XC0

TONER C-ARr, HP Q5942A, Black 0 0 0 0.00

TONER C-TRT, HP Q755]A, BI.CK 0 3972.4

Tq{€R CIAI, LEOIAi( B6OT1P,o 0 0 om 0 3374.12

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.eguirement fot air tickets

approPriate Funds Available:

EDMU

Date Prepared S.p+. 27 , ?'ol't

SOGUILON LORNA T. HABACON

A. TOTAL

E. AODMO AL PROVTSION FOR IIIFLATTOIT(10or/o ol TorAL)

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F. MO rH[Y CASH REQUIREMEIITS

Certified Funds Available