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REQUEST FOR QUOTATION

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MUNICIPALITY OF DOLORES
Province of Quezon

REQUEST FOR QUOTATION

Date

(Supplier/Contractor Name)

(Address)

Please quote your lowest price on the item/s listed below, subject to the General Conditions
on this page, stating the shortest time of delivery and submit your quotation duly signed by you
or your representative not later than August 8, 2017 including Omnibus Sworn Statement
Mayor's Permit, Philgeps Registration Number and Income/Business Tax Return in the return
envelope attached herewith.

RANDY M. MATIBAG
BAC Chairperson

BRAND & Unit
Item No. ITEM & DESCRIPTION MODEL Quantity Price Amount

1 Corrogated Sheet #12 15 pcs.
2 B/S Glass Latex 4 tin
3 Sand S1 6 elf
4 Cement 50 bags
5 ordinary Plywood 35 pcs.
6 Angle bar 1/4x 1x1 20 pcs.
7 Square Bar 12mm 10 pcs.
8 Epoxy Primer gray 2 gal.
9 paint Brush 1 pc.
10 Metal Furlings 2x3 10 pcs.
11 CHB #4 500 pcs.
12 Coco Lumber 2x2x10 20 pcs.
13 Welding Rod 2 kl.
14 GI Sheet #10 21 pcs.
15 D/Bar 10 mm 15 pcs.
16 Angle Bar 2x1/4 5 pcs.

TOTAL -

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

Supplier/Contractor Name
By:

Owner/Authorized Representative
Telephone No.
Date