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Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao


MINISTRY OF SOCIAL SERVICES
OCM Compound, Cotabato City

SUPPLIES AVAILABILITY INQUIRY


DIVISION / OFFICE: Pantawi Pamilyang Pilipino Program - 4Ps SAI NO.:
UNIT/ SECTION: Regional Project Management Office DATE PREPARED :

STOCK NO. ITEM DESCRIPTION UNIT QTY STATUS OF STOCK

1 Food and Accomodation for Practical


Documentation Seminar Workshop.

FOOD:
(4 viands, Beef sinina, Fry Chicken,
2 Heads 61
Shotanghon guisado, Chopsuey with Rice,
Softdriks & Flowwing coffe.)
ACCOMODATION:
3 (3 Person & 3 Beds per Room) Heads 61

Function Hall for 61 person with table and chair


4 Projector and Hall 1
sounds system with 2 microphone.

***Nothing Follows***

PURPOSE : Use for Practical Documentation Seminar Workshop.

INQUIRED BY : STATUS PROVIDED BY (ACCOUNTING DIV. )

SIGNATURE SIGNATURE

NAME NAME JUANCHO V. CLAVERIA


DESIGNATION DESIGNATION Accountant - Designate

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DATE SIGNED DATE SIGNED

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Annex G-8

REQUISITION AND ISSUE SLIP


Ministry of Social Services - BARMM
Entity Name:_______________________ Fund Cluster: _______________________

Division : Responsibility Center RIS No. _____________


Office : MSS- BARMM Code _______________ SAI No. _____________

Stock Requisition Stock Available Issuance


No.
Unit Description Quantity Yes No Quantity Remarks
1 Food and
0 Accomodation for Practical
FOOD:Documentation Seminar Workshop.
0 x
2 Heads (4 viands, Beef sinina, Fry Chicken, 61 x
Shotanghon ACCOMODATION:
3 Heads guisado,(3Chopsuey with Rice, Softdriks & Flowwing coffe.)
61 x
Function Hall for 61Person
person&with
3 Beds perand
table Room)
chair Projector and
4 Hall sounds system with 2 microphone. 1 x
5 0 ***Nothing Follows*** 0 x
6 0 0 0 x
7 0 0 0 x
8 0 0 0 x
9 0 0 0 x
10 0 0 0 x
11 0 0 0 x
12 0 x
13 x
14 x
15 x

PURPOSE: Use for Practical Documentation Seminar Workshop.

Requested by: Approved by: Issued by: Received by:


Signature:
Printed Name: MUSLIMA D. QUEZON
Designation: Administrative Officer II
Date:
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SOCIAL SERVICES
BARMM Compound, Cotabato City

PURCHASE REQUEST
OFFICE/DIVISION: PANTAWID PAMILYANG PILIPINO PROGRAM SECTION/UNIT:
PR NO.: SAI NO.:
DATE REQUESTED: DATE:
Type of Request (please check ) : GOODS SERVICES
Electrical Catering
IT Printing/Layouting
Janitorial Repair and Maintenance
Medical Appliances
Office Supply Electrical and Wirings
Training/Advocacy Furniture
IT / Office Equipment
Janitorial
Mechanical/Vehicle
OTHERS (pls specify): ____________________________________________________

ITEM DESCRIPTION
STOCK NO. QTY UNIT UNIT COST TOTAL COST
(pls provide complete specifications/details)
1 0 0 Food and Accomodation
FOOD: for Practical 15.00 -
Documentation
(4 viands, Beef Seminar Workshop.
sinina, Fry Chicken,
2 61 Heads 55.00 3,355.00
ShotanghonACCOMODATION:
guisado, Chopsuey with Rice,
3 61 0 Softdriks &person 55.00 3,355.00
Function (3Hall
Person
for 61& 3Flowwingpercoffe.)
Bedswith Room)
table and chair
4 1 Hall Projector and 55.00 55.00
sounds system with 2 microphone.
5 0 0 ***Nothing Follows*** 75.00 -
6 0 0 0 15.00 -
7 0 0 0 20.00 -
8 0 0 0 60.00 -
9 0 0 0 500.00 -
10 0 0 0 2,335.00 -
11 0 0 0 50.00 -
12 0 0 0 220.00 -
13 3 0 0 210.00 630.00
14 0 0 0 15.00 -
15 0 0 0 20.00 -
0

TOTAL AMOUNT 7,395.00

PURPOSE: Use for Practical Documentation Seminar Workshop.


REQUESTED BY: APPROVED BY:

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SIGNATURE:
PRINTED NAME: MUSLIMA D. QUEZON HADJA. MERIAM K. ABDULKASAN, RSW, MPA
DESIGNATION: Administrative Officer II SWO-V / Regional Program Coordinator - 4Ps
DATE SIGNED:

Procurment / Supply officer


DENNIS S. MAROHOMSALIC
SIGNATURE OVER PRINTED NAME POSITION/DESIGNATION DATE RECEIVED

Page 5 of 18
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SOCIAL SERVICES
Cotabato City

APP Reference No. _________________


REQUEST FOR QUOTATION (RFQ)
Procurement Title: Use for Practical Documentation Seminar Workshop.

Approved Budget for the Contract (ABC) Php __________________________________


PART 1
Name of Company: ______________________________________________________________________
Address: ______________________________________________________________________
______________________________________________________________________
Business Permit No. _______________________________Place of Issue: ___________________________
Tax Identification No. _______________________________PhilGEPS Registered? Yes No

Please quote your lowest price on the item/s listed described below or in the attached Purchase Request (PR), subject to th
Conditions herein, submit your quotation duly signed by you or your duly authorized representative together with copies of
enumerated:

1) Mayor's Permit / Business Permit


2) Annual Income Tax Return / Business Tax Return / Tax Clearance
3) PhilGEPS Registration Certificate / Proof of PhilGEPS Registration as evidenced by e-mail confirmation
Open quotations may be submitted, manually or thru facsimile at (064) 552 0436 or email at glaiza.orden.rhrc@gmail.com (

HADJA POMBAEN K. KADER, MPS


BAC Chairperson

GENERAL TERMS AND CONDITIONS


1. THIS RFQ FORM (PART 1 AND PART 2) SHALL BE ACCOMPLISHED/RECONSTRUCTED AND SUBMITTED PRIMARILY ABOVE
QUOTATION THAT MAY BE SUBMITTED BY THE SUPPLIER/CONTRACTOR/CONSULTANT. ALL ENTRIES MUST BE TYPEWRIT
PRINTOUT (EXCEPT SIGNATURE).

2. SUBMISSION WILL BE TREATED AS "OPEN QUOTATION" AND MAY ALTERNATIVELY BE TRANSMITTED THRU FAX OR E-MA

3. QUOTATION MUST BE DENOMINATED IN PHILIPPINE PESO INCLUSIVE OF ALL TAXES AND LEVIES. QUOTATIONS EXCEEDIN
BUDGET FOR THE CONTRACT (ABC) SHALL AUTOMATICALLY BE REJECTED.

4. PRICE VALIDITY SHALL BE FOR A PERIOD OF NINETY (90) CALENDAR DAYS COUNTED FROM DATE OF QUOTATION.

5. AWARD OF CONTRACT SHALL BE MADE ON THE LOWEST QUOTATION (FOR GOODS AND INFRA) OR HIGHEST RATED OFF
CONSULTING SERVICES) WHICH COMPLIES WITH THE MINIMUM SPECIFICATIONS AND OTHER TERMS AND CONDITIONS

6. ANY ERASURES INLINEATIONS OR OVERWRITING SHALL ONLY BE VALID IF SIGNED (IN FULL) BY YOU OR YOUR DULY AUTH
REPRESENTATIVE. FAILURE TO COMPLY IN ANY OR ALL OF THE FOREGOING SHALL BE GROUND FOR DISQUALIFICATION.

7. UNLESS OTHERWISE SPECIFIED, DELIVERY PERIOD WITHIN 15 CALENDAR DAYS UPON RECEIPT/PURCHASE ORDER (P.O.).
8. WARRANTY SHALL BE FOR A MINIMUM PERIOD OF THREE (3) MONTHS FOR EXPENDABLE COMPONENTS, ONE (1) YEAR
COMPONENTS, FROM DATE OF ACCEPTANCE BY THE RHRC-ARMM.

9. LIQUIDATED DAMAGES (L.D.) EQUIVALENT TO ONE TENTH OF ONE PERCENT (O.1%) OF THE VALUE OF UNDELIVERED AN
PORTIONS OF THE CONTRACT/P.O. OUTSIDE THE PRESCRIBED DELIVERY PERIOD SHALL BE IMPOSED FOR EVERY DAY OF D
SHALL RESCIND THE CONTRACT/P.O. IF THE CUMULATIVE AMOUNT OF L.D. EXCEEDS 10% THE VALUE OF THE CONTRACT
PREJUDICE TO OTHER COURSES OF ACTION AND REMEDIES OPEN TO IT, SUCH AS BUT NOT LIMITED TO UNIFORM GUIDE
SUSPENSION AND BLACKLISTING OF SUPPLIERS/CONTRACTORS/CONSULTANTS.

10. ANY OF THE CORRUPT, FRAUDAULENT, COERCIVE AND COLLUSIVE PRACTICES UNDER R.A. 9184 SHALL BE DEALT WITH
ADMINISTRATIVE, CIVIL AND/OR CRIMINAL IMPOSITION WITHOUT PREJUDICE TO OTHER PENAL LAWS.

>>RFQ 2019-01-01
Republic of the Philippines
Autonomous Region in Muslim Mindanao
STRY OF SOCIAL SERVICES
Cotabato City

APP Reference No. _________________________

________________________________________________________
________________________________________________________
________________________________________________________
Place of Issue: _____________________________________
PhilGEPS Registered? Yes No

below or in the attached Purchase Request (PR), subject to the General Terms and
or your duly authorized representative together with copies of eligibility requirements as

egistration as evidenced by e-mail confirmation


e at (064) 552 0436 or email at glaiza.orden.rhrc@gmail.com (Attn: Glaiza S. Orden).

RAL TERMS AND CONDITIONS


ISHED/RECONSTRUCTED AND SUBMITTED PRIMARILY ABOVE ANY OTHER FORMS OF
CONTRACTOR/CONSULTANT. ALL ENTRIES MUST BE TYPEWRITTEN/COMPUTER

ND MAY ALTERNATIVELY BE TRANSMITTED THRU FAX OR E-MAIL.

INCLUSIVE OF ALL TAXES AND LEVIES. QUOTATIONS EXCEEDING THE APPROVED


LY BE REJECTED.

ALENDAR DAYS COUNTED FROM DATE OF QUOTATION.

QUOTATION (FOR GOODS AND INFRA) OR HIGHEST RATED OFFER (FOR


MUM SPECIFICATIONS AND OTHER TERMS AND CONDITIONS STATED HEREIN.

NLY BE VALID IF SIGNED (IN FULL) BY YOU OR YOUR DULY AUTHORIZED


THE FOREGOING SHALL BE GROUND FOR DISQUALIFICATION.

15 CALENDAR DAYS UPON RECEIPT/PURCHASE ORDER (P.O.).


(3) MONTHS FOR EXPENDABLE COMPONENTS, ONE (1) YEAR FOR NON-EXPENDABLE
-ARMM.

OF ONE PERCENT (O.1%) OF THE VALUE OF UNDELIVERED AND/OR RENDERED


ED DELIVERY PERIOD SHALL BE IMPOSED FOR EVERY DAY OF DELAY. RHRC-ARMM
AMOUNT OF L.D. EXCEEDS 10% THE VALUE OF THE CONTRACT/P.O. WITHOUT
S OPEN TO IT, SUCH AS BUT NOT LIMITED TO UNIFORM GUIDELINES FOR
TORS/CONSULTANTS.

OLLUSIVE PRACTICES UNDER R.A. 9184 SHALL BE DEALT WITH MAXIMUM,


WITHOUT PREJUDICE TO OTHER PENAL LAWS.

Page 1 of 2
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SOCIAL SERVICES
OCM Compound, Cotabato City
Part 2
QUOTATION / OFFER
APPROVED Compliance with
QUANTITY
ITEM DISCRIPTION BUDGET OF Technical Remarks
(Refer to Description / Particulars in the
(Required)
THE PRICE Specifications (Brand, Availavility, etc.)
(Refer to
attached Purchase Request Form) CONTRACT (Please Check)
PW)
(ABC)
TOTAL
QTY. UNIT UNIT PRICE YES NO
PRICE
Food and Accomodation for Practical
Documentation Seminar Workshop.

FOOD:
(4 viands, Beef sinina, Fry Chicken,
Shotanghon guisado, Chopsuey with
61 Heads
Rice, Softdriks & Flowwing coffe.)

ACCOMODATION:
(3 Person & 3 Beds per Room)
61 Heads
Function Hall for 61 person with table
and chair Projector and 1 Hall
sounds system with 2 microphone.
***Nothing Follows***

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

SIGNATURE OVER PRINTED NAME CONTACT NO. (TEL. / MOBILE NO.)

DATE OF QUOTATION

Page 2 of 2
Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindana
MINISTRY OF SOCIAL SERVICES
Cotabato City

Date of Advertisement:_______________________________ Date of Opening: ________________________________

ABSTRACT OF BIDS & CANVASS


NAME: AL-RAJEEV ENTERPRISES M.Y
ITEM
NO. ITEM DESCRIPTION
ADDRESS: Poblacion 6, Cotabato City Alomont
Qty Unit Unit Cost Amount Remarks Unit Cost
Food and Accomodation for Practical
1 DocumentationFOOD:Seminar Workshop. 0 0 220.00 - 226.00
(4 viands, Beef sinina, Fry Chicken,
2 Shotanghon guisado, Chopsuey with Rice, 61 Heads 200.00 12,200.00 206.00
ACCOMODATION:
Softdriks & Flowwing coffe.)
3 (3 Person 61 0 350.00 21,350.00 356.00
Function Hall for&61
3 Beds perwith
person Room)
table and
4 chair Projector and 1 Hall 340.00 340.00 346.00
sounds system with 2 microphone.
5 ***Nothing Follows*** 0 0 225.00 - 231.00
6 0 0 0 552.00 - 558.00
7 0 0 0 25.00 - 31.00
8 0 0 0 37.50 - 43.50
9 0 0 0 80.00 - 86.00
10 0 0 0 825.00 - 831.00
11 0 0 0 58.00 - 64.00
12 0 0 0 86.00 - 92.00
13 0 3 0 15.00 45.00 21.00
14 0 0 0 156.00 - 162.00
15 0 0 0 85.00 - 91.00
45 0 -
-
GRAND TOTAL 33,935.00
AL-RAJE

PREPARED BY (Signature Over Printed Name) DATE PREPARED RECOMM


Dealers aboved-indicated which were opened in our presence this ____ of ___________________ at __________ AM/PM

Action of the Committee on Awards:

HADJA POMBAEN K. KADER, MPS HJA. MERIAM K. ABDULKASAN, RSW

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Chairperson Vice- Chairperson

KAY E. LINTONGAN, RSW WAHIDA


Member

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of the Philippines
ous Region in Muslim Mindanao
F SOCIAL SERVICES
otabato City

_____________________________ Time of Opening: _____________________________

F BIDS & CANVASS


M.Y. Enterprices Arias Merchandise

Alomonte St., Cotabato City Sinsuat Ave., Cotabato City


Amount Remarks Unit Cost Amount Remarks
- 228.00 -
12,566.00 208.00 12,688.00
21,716.00 358.00 21,838.00
346.00 348.00 348.00
- 233.00 -
- 560.00 -
- 33.00 -
- 45.50 -
- 88.00 -
- 833.00 -
- 66.00 -
- 94.00 -
63.00 23.00 69.00
- 164.00 -
- 93.00 -

- -
34,691.00 34,943.00
LOWEST CALCULATED AND
AL-RAJEEV ENTERPRISES RESPONSIVE SUPPLIER
RECOMMENDED SUPPLIER REASON FOR RECOMMENDATION
________ at __________ AM/PM

COA Representative
Committee on Awards:

ERIAM K. ABDULKASAN, RSW ZORAYA B. MASAKAL

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Vice- Chairperson Member

WAHIDA GUINOMLA, RND


Member

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Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SOCIAL SERVICES
Cotabato City

PURCHASE ORDER
SUPPLIER: AL-RAJEEV ENTERPRISES P.O NO.:
ADDRESS: Poblacion 6, Cotabato City DATE PREPARED:
TIN: MODE OF
TEL NO.: PROCUREMENT:
Gentlemen: Please furnish this office the following articles subject to the terms and conditions contained herein:
PLACE OF DELIVERY TERM:
DELIVERY:
DATE OF PAYMENT TERM: FULL PAYMENT AFTER DELIVERY
DELIVERY:

STOCK NO. QTY UNIT ITEM DESCRIPTION UNIT COST AMOUNT

1 0 0
Food and Accomodation
FOOD: for Practical 220.00 -
Documentation
(4 viands, Beef Seminar Workshop.
sinina, Fry Chicken,
2 61 Heads 200.00 12,200.00
Shotanghon guisado,
ACCOMODATION: Rice, Softdriks
Chopsuey with
3 61 0 & Flowwing 350.00 21,350.00
Function (3
Hall for
Person 3 Bedscoffe.)
61&person with table and chair
per Room)
4 1 Hall Projector and 340.00 340.00
5 0 0 sounds system with
***Nothing 2 microphone.
Follows*** 225.00 -
6 0 0 0 552.00 -
7 0 0 0 25.00 -
8 0 0 0 37.50 -
9 0 0 0 80.00 -
10 0 0 0 825.00 -
11 0 0 0 58.00 -
12 0 0 0 86.00 -
13 0 0 0 15.00 45.00
14 0 0 0 156.00 -
15 0 0 0 85.00 -
16 Err:509 Err:509 Err:509 Err:509 Err:509
17 Err:509 Err:509 Err:509 Err:509 Err:509
18 Err:509 Err:509 Err:509 Err:509 Err:509
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28 Err:509 Err:509 Err:509 Err:509 Err:509
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44 Err:509 Err:509 Err:509 Err:509 Err:509
0
TOTAL AMOUNT (IN One Hundred Seventy-Three Thousand Nine Hundred Fifty-One Pesos Only. Err:509
WORDS)
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent (1%) for
every day of delay shall be imposed.

By Authority of the Commission en Banc and Bids and Awards


Committee, I will proceed with the procurement stated above,

ATTY. RAISSA H. JAJURIE


Minister

CONFORME:

(Signature Over Printed Name of Supplier) Date Signed

REQUISITIONER: FUNDS AVAILABLE:


OR/BUR NO:
_______________________

JUANCHO V. CLAVERIA
AMOUNT: Err:509
Accountant, designate

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Republic of the Philippines
Bangsamoro Autonomous Region in Muslim Mindanao
MINISTRY OF SOCIAL SERVICES
Cotabato City

INSPECTION AND ACCEPTANCE REPORT


SUPPLIER : AL-RAJEEV ENTERPRISES IAR NO. :

PO NO. DATE : INVOICE NO. : DATE :

REQUESTING OFFICE /
DATE DELIVERED : Pantawi Pamilyang Pilipino Program - 4Ps
DIVISION :

STOCK NO. QTY UNIT ITEM DESCRIPTION

1 0 0 Food and Accomodation for Practical Documentation Seminar Workshop.


FOOD:
2 61 Heads (4 viands, Beef sinina, Fry Chicken,
Shotanghon guisado, Chopsuey with Rice, Softdriks & Flowwing coffe.)
ACCOMODATION:
3 61 0
(3 Person & 3 Beds per Room)
Function Hall for 61 person with table and chair Projector and
4 1 Hall
sounds system with 2 microphone.
5 0 0 ***Nothing Follows***
6 0 0 0
7 0 0 0
8 0 0 0
9 0 0 0
10 0 0 0
11 0 0 0
12 0 0 0
13 0 0 0
14 0 0 0
15 0 0 0
16 Err:509 Err:509 Err:509
17 Err:509 Err:509 Err:509
18 Err:509 Err:509 Err:509
19 Err:509 Err:509 Err:509
20 Err:509 Err:509 Err:509
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25 Err:509 Err:509 Err:509
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27 Err:509 Err:509 Err:509
28 Err:509 Err:509 Err:509
29 Err:509 Err:509 Err:509
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31 Err:509 Err:509 Err:509
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44 Err:509 Err:509 Err:509
0
INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found in order as to quantity and Complete


specifications. Partial (pls. specify quantity)

HADJA POMBAEN K. KADER, MPS


Assistant Regional Secretary Office of the Minister Representative

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