For Goods Offered From Within the Philippines Name of Bidder: ________________________________ ITB Number ITB 14 - 0063 Price Schedule No. 1 "BIDDING PER ITEM" 1 2 3 4 5 Item No. Description Unit ABC Qty. Unit Price EXW per Item 1 JETMATIC PUMP, heavy duty 3,350.00 130 sets 2 G.I. PIPE SCH. 40, 1 1/4" diam. x 20' 1,350.00 743 length 3 COUPLING, G.I., heavy duty, 1 1/4" diam. 58.00 613 pcs 6 7 8 9 10 Unit prices per Sales & Other Total Price Cost of Local Total Price Item final Labor, Raw EXW per Item taxes payable delivered final Destination Material & per item if (cols. 4 X 5) destination and unit of other (col. 8+ 9 Component incidental services Contract is X 4) awarded Additional Requirements (Please indicate): 1. Brand name, If no brand, state "none" 2. Country of manufacture or origin of item; i.e. local (or RP), or if foreign origin, specify country *Non Compliance with the above requirements will be basis for Ineligibility Beneficiaries: Koronadal City - 31 sets jetmatic pumps (with 8 pcs. G.I. pipes and 7 pcs. coupling each set) Tantangan - 11 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Surallah - 3 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Sto. Niño - 13 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Norala - 31 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Banga - 17 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Tupi - 9 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Lake Sebu - 11 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Polomolok - 4 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Note: For use of drilling and installation of 130 units jetmatic pumps. Source of Fund: CY 2014 20% LDF 3.4.1-LDF-14-05-2318 Approved Budget: P1,474,104.00 REQUIRED BID SECURITY: 1. 2% Cash or cashier's/manager's check issued by a Universal or Commercial Bank. P 29,482.08 2. 2% Bank draft/guarantee or irrevocable letter of credit issued by a Universal or Commercial Bank. P 29,482.08 3. 5% Surety bond callable upon demand issued by a surety or insurance company duly certified by the Insurance Commission as authorized to issue such security P 73,705.20 4. Any combination of the foregoing. Proportionate to the share of form with respect to the total amount of security. Prepared by: bac-jack; PR.No. 14 - 0449 Name and Signature of Bidder Page 1 of 2 For Goods Offered From Within the Philippines Name of Bidder: ________________________________ ITB Number ITB 14 - 0063 Price Schedule No. 2 "BIDDING PER ITEM" 1 2 Item No. Description 4 LABOR, for drilling and installation of jetmatic pumps at the following: 3 4 5 Unit ABC Qty. Unit Price EXW per Item 6 7 8 9 10 Unit prices per Sales & Other Total Price Cost of Local Total Price Item final taxes payable delivered final Labor, Raw EXW per Item Destination per item if (cols. 4 X 5) destination and Material & unit of other (col. 8+ 9 Component incidental services Contract is X 4) awarded Koronadal City - 31 sets jetmatic pumps (with 8 pcs. G.I. pipes and 7 pcs. coupling each set) Tantangan - 11 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Surallah - 3 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Sto. Niño - 13 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Norala - 31 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Banga - 17 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Tupi - 9 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Lake Sebu - 11 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) Polomolok - 4 sets jetmatic pumps (with 5 pcs. G.I. pipes and 4 pcs. coupling each set) ` x-x-x nothing follows x-x-x Additional Requirements (Please indicate): 1. Brand name, If no brand, state "none" 2. Country of manufacture or origin of item; i.e. local (or RP), or if foreign origin, specify country *Non Compliance with the above requirements will be basis for Ineligibility Note: For use of drilling and installation of 130 units jetmatic pumps. Source of Fund: CY 2014 20% LDF 3.4.1-LDF-14-05-2318 Approved Budget: P1,073,263.50 REQUIRED BID SECURITY: 1. 2% Cash or cashier's/manager's check issued by a Universal or Commercial Bank. P 21,465.27 2. 2% Bank draft/guarantee or irrevocable letter of credit issued by a Universal or Commercial Bank. P 21,465.27 3. 5% Surety bond callable upon demand issued by a surety or insurance company duly certified by the Insurance Commission as authorized to issue such security P 53,663.18 4. Any combination of the foregoing. Proportionate to the share of form with respect to the total amount of security. Prepared by: bac-jack; PR.No. 14 - 0449 Name and Signature of Bidder Page 2 of 2
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