NEGOTIATED PROCUREMENT (LEASE OF REAL PROPERTY AND VENUE )

Standard Form No. SF-GOOD-60 Date: February 17, 2021 Revised on May 24, 2004 RFQ No. MM-2021-02-010

Various Suppliers/Contractors San Jose, Antique/Iloilo City

Please quote your lowest price on the item/s listed below, subject to the General Conditions stated herein the shortest time of delivery and submit your quotation duly signed by your representative not later than February 24, 2021 at Room 2, 2nd Floor, Integrated Provincial Health Office, Atabay, San Jose, Antique at 2: 00 o' clock p.m. in the return envelope attached herewith.

RIC NOEL A. NACIONGAYO, MD, MPA, FPSMS Provincial Health Officer II/BAC Chairman (Procurement Officer) ITEM BRAND QTY UNIT DESCRIPTION UNIT COST TOTAL ABC/UNIT BID PRICE/UNIT TOTAL BID PRICE NO OFFERED Lease of Venue with Board and Lodging and Catering Services relative to the conduct of Various Activities of the Provincial Health Office

Consultative Workshop for Maternal, Newborn, I Child and Oral Health Program on

August 6-7, 2021 in San Jose, Antique August 6, 2021 1 13 pax am snacks 100.00 1,300.00 royal , bottled water 350ml., juice in can 330ml. 2 13 pax lunch 300.00 3,900.00 rice, litson kawali, shrimp , buttered chicken, apple, juice in can 330ml. 3 13 pax pm snacks 100.00 1,300.00 cheesy spaghetti with toasted bread, bottled water 350ml., juice in can 330ml. 4 13 pax dinner 250.00 3,250.00 rice, grilled fish, beef nilaga, vegetable salad, , orange juice in glass 250ml. 5 4 room Lodging-3 person in a room (airconditioned 1,500.00 6,000.00 w/ tv, hot and cold bathroom shower) 6 1 room Lodging-1 person in a room (airconditioned 500.00 500.00 w/ tv, hot and cold bathroom shower) August 7, 2021 7 13 pax breakfast 250.00 3,250.00 rice, ampalaya w/ egg, chorizo and danggit, ripe papaya, fresh juice in glass 250ml. 8 13 pax am snacks 100.00 1,300.00 2 layered tuna sandwich, bottled water 350ml., fresh calamansi lemonade juice in glass 250ml. 9 13 pax lunch 300.00 3,900.00 rice, grilled pork belly, nilapwahan w/ shrimp, fish , , fresh fruit, fresh calamansi juice in glass 250ml. 10 13 pax pm snacks 100.00 1,300.00 royal bibingka (big), bottled water 350ml., juice in can 330ml. GRAND TOTAL ABC 26,000.00 Note: venue within San Jose, Antique, training hall is airconditioned with projector for presentation, sound system, rostrum, table set-up good for 4-5 persons per table, buffet food service with free flowing water, coffee/milk/chocolate drink

TOTAL AMOUNT IN WORDS: GRAND TOTAL BID P TERMS/CONDITIONS AND REQUIREMENTS: 1. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY 2. MAYOR'S PERMIT. 3. PhilGEPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION. 4. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATION OF THE PRODUCT BEING OFFERED 5. OMNIBUS SWORN STATEMENT (COA Circular No. 2012-001 (9.2)) 6. BRAND NAME SHOULD BE REFLECTED IN THE BID OFFERED, IN CASE NOT AVAILABLE THE MANUFACTURER'S NAME SHOULD BE STATED. 7. BRING SAMPLE ONCE REQUIRED DURING POST QUALIFICATION/EVALUATION. 8. PARTIAL BID IS NOT ALLOWED. 9. INCOME TAX RETURN (ITR)

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

Place of Inspection: Caterer's Venue within San Jose, Antique Place of Delivery: Caterer's Venue within San Jose, Antique Delivery Period: August 6-7, 2021

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