Request for Financial Management Information System (FMIS) -SOURCE CODE
BICOL REGIONAL HOSPITAL AND MEDICAL CENTER
"Republic of the Philippines Bicol Center for Health Development BICOL REGIONAL HOSPITAL AND MEDICAL CENTERAL Daraga, Albay" REQUEST FOR QUOTATION Form Code: FM-ADM-BAC-05 Effectivity: September 28, 2022 Revision: 1 Company Name: ___________________________________________ Date: October 1, 2026 Address: ___________________________________________ Quotation No. : SVP 2026-10-418 TIN Number: ___________________________________________ JR# 2026-07-502 Please quote your best offer for the item/s described below, subject to the Terms and Conditions provided at the dorsal portion of this request for quotation. Submit your quotation duly signed by you or your representative in sealed envelope not later than October 9, 2026, 9:00 AM MARY NATHALIE M. CADAG, CPA, MBA BAC, Chairperson Telefax No.:(052) 483-0016/483-0015 After having carefully read and accepted the Terms and Conditions, I/We submit our quotation/s for the item/s as follows: Item# ABC Item and Description Quantity Unit Unit Price 600,000.00 Request for Financial Management Information System (FMIS) -SOURCE CODE 1 lot REQUIREMENTS to be attached upon submission of Request for Quotation: 1. Submit mandatory requirement: a. Updated Mayors Permit b. Updated PhilGEPS Certificate of Registration and Membership c. TAX Certification d. Certificate of Registration e. ITR f. Omnibus Sworn Statement (New Form RA 12009) (IHOMP-IT) Signature over Printed Name Canvasser Contact No/s. Terms and Condition . 1. Bidders shall provide correct and accurate information required in this form. 2. Bidders may quote for any or all the items. 3. Price quotation/s must be valid for a period of Sixty (60) calendar days from the date of submission. 4. Price quotation/s, to be denominated in Philippine Peso shall include all taxes, duties and/or levies payable. 5. Quotations exceeding the Approved Budget for the Contract shall be rejected. 6. Award of contract shall be made to the lowest quotation which complies with the minimum technical sp
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