Republic of the Philippines DEPARTMENT OF TIIE INTERIOR AND LOCAL GOVERNMENT

Region XIII (Caraga Region) Butuan City Name of Procuring Entity: DILG RFQNo.: 2018- 039

Date: Auaust 20, 2018 Office/End-User: LG MED Comvanv Name Address Business Permit No. TIN No. PhilGEPS Rezistration No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this

office duly signed. TERMS AND CONDITIONS: 1. Bidders shall provide correct and accurate information required in this form. 10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods 2 Bidders shall quote for ALL items_ not delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG 3. Price quotation(s) must be valid for 60 calendar days from date of submission. shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or percent of the amount of the contract without prejudice to other courses of action and remedies levies payable. open to it. 5. Quotation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected.

. . 11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of 6. Awa~d of co~tract shall be ma_de to_ the low~~ quotation (~or goods) or .the highest rated offer (for booking of food and accommodation based on the actual number of participants present and the consu!Ung services which compiles with the minimum technical specification and other terms and tity f . d r d p t h 11 b d ft th tiv'ty conditions stated herein. quan o services e !Vere . aymen s a e ma e a er e ac 1 •

7. Any interfineations, erasures or overwriting shall be valid only ifthey are signed or initialed by the 12. Only quotabons submitted on or before August 24, 2018/12:00 p.m., the deadline, shall be supplier or its authorized representative(s ). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conformity to/ 13. The ~~erved the right to accept or reject any or all quotations and to impose additional technical specifications. requirements a it may deem proper. /I APPROVED BUDGET FOR THE CONTRACT (ABC) Prepared.t ~~ ~v> Approved by I)~

PHP 516,600.00 l1v1~ '~ . t.x,.!NA RAY GR~JORY F. 'ARANILLA BACSec~ ll ·-~~ B CC' . n

uner

Item cempuance with

ITEM DESCRIPTION QTY ABC Price Technical Specificatiom No. Per Item (olease check) Remarks

QTY Unit Total Yes No Price Price

1 Meals and Accommodation for DILG·PMO·CFCR, Consultative Committee Commissioners, and DILG (CD, PDs, and Oms) for DILG Regional Federalism Road Show on September 5 • 8, 2018 Technical Specifications:

1. September 5 • 8, 2018 [ J [ J 2. Venue: 2.a Within Butuan City [ 1 [ J 2.b Accessible to commuting public [ 1 [ l 2.c Function Room can accommodate 185 [ 1 [ J participants 2.d Hotel rooms can accommodate ~ guests ( J [ l 2.e Function Hall, Accommodation, and Parking [ l [ l Space located in the same compound

2.f Dedicated parking spaces enough to [ l [ l accommodate expected participants 3. Amenable to adjustments of FOOD and [ J [ l ACCOMMODATION when actual number of participant turnout is less than expected; Up to 20% of total number of participants in quotation 4. Meals and Snack: 4.aDAY 0 (September 5, 2018) LUNCH - Rice, Nilagang Baka, Grilled Tuna Belly, 67 PHP300.00 [ J [ l Buttered Vegetables, Buko Pandan, and Softdrinks

PM SNACKS - 2-pc Beef or Chicken Empanada, 67 PHP100.00 [ J [ l with Fresh Calamansi Juice DINNER - Rice, Chicken Sotanghon Soup, 67 PHP300.00 [ I [ I Steamed Veggies (String Beans, Eggplant, Kangkong) with Bangoong Dip, Fried Fish (Not Dorv). Fresh Fruits. and Softdrinks

page 1 of4 I jwarran~I I I Price Validity 1 I

After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

Printed Name I Signature I Date

Tel. No. I Cellphone No.

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENI'

Region XIII (Caraga Region) Butuan City

Name of Procuring Entity: DILG RFQNo.: 2018 - 039 I Date: Au0"11st 20, 2018

Office/End-User: LG MED Company Name Address Business Permit No. TIN No. PhilGEPS Rezistrauon No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office duly signed. TERMS AND CONDITIONS: 1. Bidders shall provide correct and accurate information required in this form. 10. Liquidated damages equivalent of one tenth of one percent (0.001%) of the value of the goods 2. Bidders shall quote for ALL items not delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG 3. Price quotation(s) must be valid for 60 calendar days from date of submission. shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or percent of the amount of the contract, without prejudice to other courses of action and remedies levies payable. open toit. 5. Quotation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected. . . 11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of 6. Award of contract shall be ma.de to. the !owes~ quotation (~or goods) or .the highest rated offer (for booking of food and accommodation based on the actual number of participants present and the consulting services which complies with the minimum technical specification and other terms and tity f . d r d p t h 11 b d ft th w·ty conditions stated herein. quan o services e 1vere . aymen s a e ma ea er e ac 1 .

7. Any interlineations, erasures or overwriting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before August 24, 2018 I 12:00 p.m., the deadline, shall be supplier or its authorized representative(s). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their conformity /6 13. The~~rved the right to accept or reject any or all quotations and to impose additional technical specifications. requireme · may deem proper. /\ APPROVED BUDGET FOR THE CONTRACT (ABC) Prepared h ( \ J-.> Approved by I L,,, ,

--.;:- - ~!A RAYG, GOR) PHP 516,600.00 IMlL~ ~ARANILLA BAC Se ia A.C Chs rson

I oner v Item

~Compliance with

ITEM DESCRIPTION QTY ABC Price Technical Specllicatlons No. Per Item lolease check) Remarks

QTY Unit Total Yes No Prir.A Prir.A

4.b DAY 1(September6, 2018) BREAKFAST - Rice, Chicken T ocino, Mushroom 31 COMPLJMENTARY [ l [ l and Cheese omellette and Juice

BREAKFAST - Rice, Chicken Tocino, Mushroom 38 PHP 150.00 [ l [ l and Cheese omellette and Juice

AM SNACKS - Burger (BEEF) with Cheese, Chips, 102 PHP 100.00 [ l [ l and Juice

LUNCH - Rice, Shrimp Sinigang, Beef Steak, 102 PHP300.00 [ l [ l Grilled Boneless Bangus, No-pork Chopsuey, Maja Blanca, and Softdrinks PM SNACKS - Palagsing, Palitao, and Sikwate 102 PHP 100.00 [ l [ l DINNER - Rice, Ginataang Bamboo Shoots with 102 PHP300.00 [ l [ l Shrimps, Beef Kare-Kare, Fried Chicken, Buko Pandan, and Softdrinks 4.c DAY 2 (September 7, 2018) BREAKFAST - Rice, Chicken Tocino, Mushroom 31 COMPLJMENTARY [ l [ l and Cheese omellette and Juice

BREAKFAST - Rice, Chicken Tocino, Mushroom 33 PHP 150.00 [ l [ J and Cheese omellette and Juice AM SNACKS - Egg Pie, with Bottled Iced Tea 185 PHP 100.00 [ l [ J LUNCH - Rice, Nido with Quail Eggs Soup, Fried 185 PHP300.00 [ l [ l Vegetable Lumpia (Chicken/Bee~. Chicken Adobo, Kinilaw (Malasugi), Fruits, with Softdrinks

PM SNACKS -Bottled water, bibingka, and tuna 2000 PHP75.00 [ l [ l sandwich (To be served at Agusan del Norte Prov1. Capitol, Covered Court.)

DINNER - Rice, Sinigang na Hipon, Grilled 185 PHP300.00 [ l [ l Chicken, Ensaladang T along, Beef Salpicao, Sweet Fruit Salad, with Softdrinks

page 2 of 4

lwa.rran~I I !Price Validity I I After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

Printed Name I Signature I Date

Tel. No. I Cellphone No.

Republic of the Philippines DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

Region XIII (Caraga Region) Butuan City

Name of Procuring Entity: DILG RFONo.: 2018 - 039 Date: Au1111st 20, 2018

Office/End-User: LG MED Company Name Address Business Permit No. TIN No. PhilGEPS Registration No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office duly signed. TERMS AND CONDITIONS: 1. Bidders shall provide correct and accurate information required in this form. 10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods 2. Bidders shall quote for ALL items. not delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG 3. Price quotation(s) must be valid for 60 calendar days from date of submission. shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or percent of the amount of the contract, without prejudice to other courses of action and remedies levies payable. open to it 5. Quolation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected.

11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (for booking of food and accommodation based on the actual number of participants present and the consulting services which complies with the minimum technical specification and other terms and quantity of services delivered. Payment shall be made after the activity. conditions stated herein. 7. Any interlineations, erasures or overwriting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before August 24, 2018/12:00 p.m., the deadline, shall be supplier or its authorized representative(s). acceoted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their con~ the 13.The reserved the right to accept or reject any or all quotations and to impose additional technical specifications. req11ireme-·· deem proper. APPROVED BUDGET FOR THE CONTRACT (ABC) PreIJ\red by (.! L- .) Approved by 7 '=1J

PHP 516,600.00 - ilvtt-i:Nuv_p '°~~mA RAY GREcl?RY F. ~RANILLA BACS_ mber B~ Chairp•r on

/ oner

Item ~ompllance with

ITEM DESCRIPTION QTY ABC Price Technical Specificatiom No. Per Item lolease check) Remarks

QTY Unit Total Yes No Prir.A Prir.A

4.d DAY 3 (September 8, 2018) BREAKFAST - Rice, Dried Danggit, Scrambled 31 COMPLIMENT ARY [ l [ l Eggs, JUog Maalat and T ornate Salad, and Juice

BREAKFAST- Rice, Dried Danggit. Scrambled 33 PHP 150.00 [ l [ l Eggs, ltlog Maalat and T ornate Salad, and Juice 4.e NO PORK ingrdient or derivative 4.e Water dispenser and glasses, Free-flowing [ l [ l coffee (with creamer and sugar), and Tea available at the conference hall. 4.f Meals ready at 9:30am / 11:45am/5:30pm [ J [ J 4.g Avoid using PLASTIC drinking straws [ l [ J 5. Functionality: 5.a Conference room [ l [ l 5.b Four (4} whiteboard markers [ l [ I 5.c Light, ventilation, and full airconditioning [ l [ l 5.d Water supply and toilet [ l [ J 5.e Standby generator in case of power failure [ l [ l 5.f Free & Strong WIFI internet connection [ l [ l 5.g Table and chair arrangement for participants [ l [ l and Presidential Table 5.h Information I Secretariat Table(/s) [ l [ l 5.i Philippine flag, Podium, Backdrop and [ l [ l Welcome Streamer (4' X 8') (design c/o procuring entity)

5.k One (1) Projector Screen [ l [ l 5.1 Extension Wires to accomodate laptops and [ l [ l others 5.m Two (2) wireless and two (2) Wired [ l [ l Microphones

page 3 of4

lwammEri I I Price Validity I I After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

Printed Name I Signature I Date

Tel. No. I Cellphone No.

Republic of the Philippines DEP ARTM.ENT OF THE INTERIOR AND LOCAL GOVERNMENf

Region XIl1 (Caraga Region) Butuan City

Name of Procuring Entity: DILG RFONo.: 2018 - 039 I Date: Auzust 20, 2018

Office/End-User: LG MED Comnanv Name Address Business Permit No. TIN No. PhilGEPS Registration No. Please quote your lowest price for the requirements listed hereunder subject to the Terms and Conditions stated below and submit to this office duly sizned. TERMS AND CONDITIONS: 1. Bidders shall provide correct and accurate infonnation required in this form. 10. Liquidated damages equivalent of one tenth of one percent (0.001 %) of the value of the goods 2 Bidders shall quote for ALL items. not delivered witihin the prescribed delivery period shall be imposed per day of delay. The DILG 3. Price quotation(s) must be valid for 60 calendar days from date of submission. shall rescind the contract once the cumulative amount of liquidated damages reaches ten (10) 4. Price quotation(s) to be denominated in Philippine Peso shall include all taxes duties and/or percent of the amount of the contract, without prejudice to other courses of action and remedies levies payable. open to it 5. Quotation(s) exceeding the Approved Budget for the Contract (ABC) shall be rejected.

11. The DILG reserves the right to request the supplier for adjustment (addition or reduction) of 6. Award of contract shall be made to the lowest quotation (for goods) or the highest rated offer (for booking of food and accommodation based on the actual number of participants present and the consulting services which complies with the minimum technical specification and other terms and quantity of services delivered. Payment shall be made after the activity. conditions stated herein. 7. Any interlineations, erasures or overwriting shall be valid only ifthey are signed or initialed by the 12. Only quotations submitted on or before August 24, 2018 / 12:00 p.m., the deadline, shall be supplier or its authorized representative(s). accepted. 8. The DILG shall have the right to inspect and/or test the goods to confirm their confonn~ 13. ~eserved the right to accept or reject any or all quotations and to impose additional technical specifications. ~quirem !!.. may deem proper. /\ APPROVED BUDGET FOR THE CONTRACT (ABC) Prepaf: by c. »-: Approved by / ~

PHP 516,600.00 Wl'1rn~ oo:·tt:~NA RAY GRE<1rORY F. ILLA BACS~tan tMember B.i' A:. Chairpe

/ oner Item

Compliance with

ITEM DESCRIPTION QTY ABC Price Technical Speciflcatiom No. Per Item (olease check) Remarks

QTY Unit Total Yes No .,_. __ .,_. __ 6. Room Accommodation: 6.a Quadruple sharing, fully airconditioned with [ J [ J television, T&B with soap, shampoo, and towel

6.b One (1) extra room for Secretariat with [ l [ l complimentary breakfast 6.c Billeting within the hotel premises [ J [ J 6.d Check-in and Check-out Time: Check-in at 2:00pm (Day 0, September 5) 31 [ J [ l Check-out at 12:00pm (Day 3, September 8) 31 [ l [ J 7.e Accommodation: Day 0 (September 5) with complimentary breakfast 31 PHP 1,000.00 [ l [ J Day 1 (September 6) with complimentary breakfast 31 PHP 1,000.00 Day 2 (September 7) with complimentary breakfast 31 PHP 1,000.00 Note: Room Assignment may be based on actual number of parlicipants

GRAND TOTAL

NOTE: In order to be eligible for this procurement, suppliers /service providers must submit, together with the quotation/proposal the following eligibility requirements 1. Applicable Registration Certificate, any of the following: r l r 1

a) SEC Registration Certificate for Corporations r 1 r l b) DTI Registration Certificate for Sole Proprietorship r 1 r 1 c) Cooperative Development Authority Registration Certificate for Cooperatives r l r 1

2. Valid Business Permit r l r 1 3. Valid PhilGEPS Registration Certificate r 1 r l

page 4 of 4

lwarrantrl I !Price Validity I I After having carefully read and accepted your General Conditions, I I WE quote you on the item(s) at prices noted above.

Printed Name I Signature I Date

Tel. No. I Cellphone No.