ROCUREMENT OF APPLIANCES (FOR PHILHEALTH YAKAP/KONSULTA)

Republic of the Philippines Province of Bukidnon MUNICIPALITY OF TALAKAG REQUEST FOR QUOTATION Date: 12-Oct-26 RFQ No. RFQ-26-10003 Name of the Contract: PROCUREMENT OF APPLIANCES (FOR PHILHEALTH YAKAP/KONSULTA) Name of Company: Address: Business Permit No.: TIN: 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 duly authorized representative not later than 16-Oct-26 . Open quotations may be submitted, manually or through facsimile or email at the address and contact numbers indicated below. SHERWIN U. SENO BAC Secretariat After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for the item/s as follows: ITEM DESCRIPTION Qty Unit Approved Budget for the Contract OFFER PRICE Compliance with Technical Specifications REMARKS Unit Price Total QTY Unit Price Total Price Yes No 1 AIRCONDITIONING UNIT 1 UNIT 110,000.00 110,000.00 FLOOR MOUNTED 3 TONNER/4HP INVERTER ALL IN INCLUDING INSTALLATION COST & WIRING TO MAIN BREAKER 2 AIRCONDITIONING UNIT 1 UNIT 125,000.00 125,000.00 CEILING-MOUNTED 3 TONNER/4HP INVERTER ALL IN INCLUDING INSTALLATION COST & WIRING TO MAIN BREAKER 3 SMART TV 1 UNIT 115,000.00 115,000.00 98 INCHES UHD WITH WALL BRACKET 1 YEAR WARRANTY Note: delivery is 15 CD upon receipt of P.O. 350,000.00 TOTAL Signature over Printed Name Contact Numbers (Landline and/or Cellphone Nos.)/Email Address