[name of bidder] 17-09-05.pdf · welding rod 50 kls sub-total : iii. flooring, walling and ceiling:...
TRANSCRIPT
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RFQ # 17-09-05
Page 2 of 2
After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for the item/s as follows:
REQUEST FOR QUOTATION 17-09-05
Project: Supply of Labor and Materials for the Construction of Extension Room at Overseer’s Office at Maximum Security Compound.
ABC : ₱402,190.59
Description ABC QTY. Total Bid Price
Inclusive of VAT
Supply of Labor and Materials for the Construction of Extension Room at Overseer’s Office at Maximum Security Compound.
₱402,190.59 1 LOT
Total Bid Price Inclusive of VAT in Words
SIGNATURE OVER PRINTED NAME OF REPRESENTATIVE OR SOLE PROPRIETOR TELEPHONE NO: ____________________ CELLPHONE NO: ____________________
EMAIL: _________________________
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COMPANY LETTERHEAD
Omnibus Sworn Statement
REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF ______ ) S.S.
A F F I D A V I T
I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of
Affiant], after having been duly sworn in accordance with law, do hereby depose and state that:
1. Select one, delete the other:
If a sole proprietorship: I am the sole proprietor or authorized representative of [Name of
Bidder] with office address at [address of Bidder];
If a partnership, corporation, cooperative, or joint venture: I am the duly authorized and
designated representative of [Name of Bidder] with office address at [address of Bidder];
2. Select one, delete the other:
If a sole proprietorship: As the owner and sole proprietor, or authorized representative of
[Name of Bidder], I have full power and authority to do, execute and perform any and all acts
necessary to participate, submit the bid, and to sign and execute the ensuing contract for
Supply of Labor and Materials for the Construction of Extension Room at Overseer’s
Office at Maximum Security Compoundof the Bureau of Corrections, as shown in the
attached duly notarized Special Power of Attorney;
If a partnership, corporation, cooperative, or joint venture: I am granted full power and
authority to do, execute and perform any and all acts necessary to participate, submit the bid,
and to sign and execute the ensuing contract forSupply of Labor and Materials for the
Construction of Extension Room at Overseer’s Office at Maximum Security Compoundof
theBureau of Corrections,as shown in the attached [state title of attached document showing
proof of authorization (e.g., duly notarized Secretary’s Certificate, Board/Partnership
Resolution, or Special Power of Attorney, whichever is applicable;)];
3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the Philippines or any of its agencies, offices, corporations, or Local Government Units, foreign
government/foreign or international financing institution whose blacklisting rules have been
recognized by the Government Procurement Policy Board;
4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of the original, complete, and all statements and information provided therein are true and correct;
5. [Name of Bidder]is authorizing the Head of the Procuring Entity or its duly authorized representative(s) to verify all the documents submitted;
6. Select one, delete the rest:
If a sole proprietorship: The owner or sole proprietor is not related to the Head of the
Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical
Working Group, and the BAC Secretariat, the head of the Project Management Office or the
end-user unit, and the project consultants by consanguinity or affinity up to the third civil
degree;
Annex “A”
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If a partnership or cooperative: None of the officers and members of [Name of Bidder] is
related to the Head of the Procuring Entity, members of the Bids and Awards Committee
(BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project
Management Office or the end-user unit, and the project consultants by consanguinity or
affinity up to the third civil degree;
If a corporation or joint venture: None of the officers, directors, and controlling stockholders
of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and
Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head
of the Project Management Office or the end-user unit, and the project consultants by
consanguinity or affinity up to the third civil degree;
7. [Name of Bidder] complies with existing labor laws and standards; and
8. [Name of Bidder] is aware of and has undertaken the following responsibilities as a Bidder:
a) Carefully examine all of the Bidding Documents;
b) Acknowledge all conditions, local or otherwise, affecting the implementation of the Contract;
c) Made an estimate of the facilities available and needed for the contract to be bid, if any; and
d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the Supply of Labor and
Materials for the Construction of Extension Room at Overseer’s Office at Maximum
Security Compound
9. [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any form of consideration, pecuniary or otherwise, to any person or official, personnel or
representative of the government in relation to any procurement project or activity.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at
____________, Philippines.
_____________________________________
Bidder’s Representative/Authorized Signatory
SUBSCRIBED AND SWORN to before me this ___ day of [month] [year] at [place of
execution], Philippines. Affiant/s is/are personally known to me and was/were identified by me
through competent evidence of identity as defined in the 2004 Rules on Notarial Practice (A.M. No.
02-8-13-SC). Affiant/s exhibited to me his/her [insert type of government identification card used],
with his/her photograph and signature appearing thereon, with no. ____________ and issued on
____________________ at _____________________.
Witness my hand and seal this ___ day of [month] [year].
NAME OF NOTARY PUBLIC Serial No. of Commission _______________
Notary Public for _______ until __________
Roll of Attorneys No. __________________
PTR No. ______ [date issued], [place issued]
IBP No. ______ [date issued], [place issued]
Doc. No. _____
Page No. _____
Book No. _____
Series of ____
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX B
APPROVED DETAILED PLAN/DRAWING
PROJECT: SUPPLY OF LABOR AND MATERIALS FOR THE
CONSTRUCTION OF EXTENSION ROOM AT OVERSEER’S OFFICE AT
MAXIMUM SECURITY COMPOUND
LOCATION: BUREAU OF CORRECTIONS MUNTINLUPA CITY
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX C
PROJECT : SUPPLY OF LABOR AND MATERIALS FOR THE
CONSTRUCTION OF EXTENSION ROOM AT OVERSEER’S OFFICE AT MAXIMUM SECURITY COMPOUND
LOCATION : BUREAU OF CORRECTIONS MUNTINLUPA CITY SCOPE OF WORK :
1. Excavation for footing and columns.
2. Installation of 4”x 6”x 6mm I beam post on top of concrete column with base plate, machine bolt with washer and nuts.
3. Installation of 4”CHB wall with cement plastered finished at front ground floor.
4. Use 4”x 6”x 6mm I beam for mezzanine floor beam in full weld.
5. Use 2 x 4 x 2mm tubular bars on floor joist and 2 x 2 x 2mm bridging and ¾ thick plywood flooring.
6. For stairs use 2 x 5 x 2mm tubular bars.
7. Use 9mm thick gypsum board double walling for mezzanine floor walling and 9mm thick gypsum board for ground floor ceiling.
8. For main door and mezzanine floor door, use flush type door. Use 6mm thick fixed glass window at ground floor and 6mm thick
sliding glass window at mezzanine floor.
9. Re-wiring of electrical wires.
10. Painting of whole extension room.
I/We hereby commit to comply and deliver all the requirements in
accordance with the above stated Scope of Work.
CONFORME:
_______________________________________________
Name of Company in Print
________________________________________________
Signature Printed Name of Authorized Representative
____________________________________________
Date
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX D
Republic of the Philippines )
City/Municipality of __________) S.S.
AFFIDAVIT OF SITE INSPECTION
I ___________________________________, of legal age. Filipino and residing at __________________________, under oath, hereby depose and say:
That I am the, _____________position/designation______of the name of company with office at address of the bidder/company_____.
That I have inspected the site for the Supply of Labor & Materials for the
Construction of Extension Room at Overseer’s Office at Maximum Security Compound located at _________________________________on ___________(date of inspection).
That I have received the pertinent plans/drawings for the aforesaid project;
That I am making this Statement as part of the requirements for the Technical Proposal of the name of bidder/company_____________________, for the Supply of Labor & Material for the Construction of Extension Room at Overseer’s Office at Maximum Security Compound. IN WITNESS WHEREOF, I hereby affix my signature this ____ day of_________,20__at _______, Philippines.
_______________
AFFIANT
SUBSCRIBED AND SWORN TO BEFORE ME, this _______day of _________,20__in the City of _________.
Affiant exhibiting to me his/her Competent Evidence of Identity (as defined by the 2004 Rules on
Notarial Practice) _______________, issued on ________________ at _________________.
NOTARY PUBLIC
Doc No. ______ Page No. ______ Book No. ______
Series of ______
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX E
NOTE: To the Bidder: Indicate cost per line item. Do not leave any BLANK. NO ENTRY will not be accepted.
Failure to conform will result to a rating of FAILED.
PLEASE USE THIS QUOTATION FORM DO NOT RETYPE OR ALTER.
Description Total
Quantity
Materials
Labor
Bid Price
Total Amount
Profit plus
VAT
Unit Price Amount Amount
I. CONCRETE AND MASONRY WORKS:
CHB #4 250 pcs
Cement 32 pcs
White Sand 4 cu. m.
Gravel 1 cu.m.
16mm x 6m Deformed Bar 14 pcs
10mm x 6m Deformed Bar 12 pcs
Tie Wire #16 5 kls
2 x 3 x 12 Coco Lumber 10 pcs
½ x 4 x 8 Plywood 2 pcs
CWN 3” 2 kls
CWN 2” 2 kls
Sub-Total :
II. STEEL FABRICATION WORKS:
4 x 6 x 6mm I Beam 7 pcs
16mm x 6”Machine Bolt with Nut
and Washer 24 pcs
0.25m x 0.25m x 12mm Base
Plate 6 pcs
2 x 4 x 2mm Tubular Bars 13 pcs
2 x 2 x 2mm Tubular Bars 7 pcs
2 x 5 x 2mm Tubular Bars 6 pcs
Welding Rod 50 kls
Sub-Total :
III. FLOORING, WALLING AND CEILING:
¾ x 4 x 8 Plywood 11 pcs
Metal Furring (std) 40 pcs
Wall Angle (std) 5 pcs
Carrying Channel (std) 6 pcs
Furring Clip 50 pcs
NAME OF COMPANY
SIGNATURE OVER PRINTED NAME OF AUTHORIZED REPRESENTATIVE
DATE
Page 1 of 3
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX E
NOTE: To the Bidder: Indicate cost per line item. Do not leave any BLANK. NO ENTRY will not be accepted.
Failure to conform will result to a rating of FAILED.
PLEASE USE THIS QUOTATION FORM DO NOT RETYPE OR ALTER.
Description Total
Quantity
Materials
Labor
Bid Price
Total Amount
Profit plus
VAT
Unit Price Amount Amount
III. FLOORING, WALLING AND CEILING:
4 x 8 x 9mm Gypsum Board 28 pcs
1”Black Screw 1,000 pcs
Blind Rivets 450 pcs
Sub-Total :
IV. DOORS AND WINDOWS:
0.80m x 2.10m Flush Type Door
with 2 x 5 Door Jambs 2 sets
0.90m x 1.20m x 6mm Fixed
Glass Windows with Aluminum
Frame
1 set
0.50m x 1.00m x 6mm Sliding
Window with Aluminum Frame 2 sets
Sub-Total :
V. ELECTRICAL WORKS:
60 amp. Circuit Breaker with
Enclosure 1 set
#12 AWG Copper Wire (THHN) 1 box
#14 AWG Copper Wire (THHN) 1 box
½ PVC Pipe orange 25 pcs
½ PVC Adaptor orange 25 pcs
4 x 4 Utility box with cover 9 pcs
4 x 4 Junction box with Cover 6 pcs
4 x 4 Receptacle 6 pcs
10w LED Bulb 6 pcs
2 Gang Convenience Outlet 6 sets
ACU Outlet 1 pc
1 Gang Switch with Plate and
Cover 2 sets
Electrical Tape 4 rolls
Tie Wire #16 3 kls
Sub-Total :
NAME OF COMPANY
SIGNATURE OVER PRINTED NAME OF AUTHORIZED REPRESENTATIVE
DATE
Page 2 of 3
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Republic of the Philippines
Department of Justice
BUREAU OF CORRECTIONS
Muntinlupa City
ANNEX E
NOTE: To the Bidder: Indicate cost per line item. Do not leave any BLANK. NO ENTRY will not be accepted.
Failure to conform will result to a rating of FAILED.
PLEASE USE THIS QUOTATION FORM DO NOT RETYPE OR ALTER.
Description Total
Quantity
Materials
Labor
Bid Price
Total Amount
Profit plus
VAT
Unit Price Amount Amount
VI. PAINTING WORKS:
Flat Latex Paint 1 tin
Gypsum Putty 4 gals
Semi-gloss Latex Paint 3 tins
Assorted Acri Color 3 ltrs
Red Oxide Paint 3 gals
Concrete Neutralizer 1 bot.
6”Paint Roller 5 pcs
Assorted Paint Brush 6 pcs
Gypsum Tape 2 rolls
Assorted Sanding Paper 20 pcs
Sub-Total :
NAME OF COMPANY
SIGNATURE OVER PRINTED NAME OF AUTHORIZED REPRESENTATIVE
DATE
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