Supply and Delivery of Brake Pad and Other Goods - LMCH (258)

Republic of the Philippines PROVINCE OF SIQUIJOR BIDS & AWARDS COMMITTEE Capitol Building, Siquijor, Siquijor Business Name:_____________________________ AD. No.: 258-04-2026 Address:___________________________________ DATE: April 20, 2026 Philgeps Registration Number:_________________________ PERSONAL CANVASS (Request for Quotation) Quote your Price and Name of each items as indicated below. Partial Bids are not Accepted. Bidders are responsible for the timely return of their quotation. All quotations must be received not later than the date and time stated below. Closing Date: June 1, 2026 Closing Time: 1:30 PM Item Qty. Unit Description Unit Price TOTAL No. R&M Transportation Equipment (NISSAN URBAN AMBULANCE) 1 6 sets Brake Pad 2 50 bots Engine Oil 1 liter 3 8 bots Treatment Oil 4 8 pcs Oil Filter 5 32 bots Coolant 1 literr 6 8 pcs Tire 195R15 7 2 pcs NV350 Urvan Turbo Hose Short 8 3 pcs Fuel Filter Primary 9 3 pcs Fuel Filter Secondary 10 2 pcs Battery D26L x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x Purpose: Two Nissan Urban Ambulance (F5I 142) (F4E 567) and Gen Set I hereby certify that the above articles is carried in stock in quality above stated those marked "None". Atty. FRANCES URMYNE P. IMBONG BAC Chairman/Provincial Legal Officer ANP Date: Time: _______________________________ (Firm Manager or Representative) Signature over Printed Name