Republic of the Philippines OFFICE OF THE OMBUDSMAN Ombudsman Building, Agham Road, North Triangle, Diliman, Quezon City Trunkline: 479-73-00 local 206; TeleFax #: 929-37-59 Email: [email protected] ; [email protected] Website: www.ombudsman.gov.ph

OPEN CANVASS QUOTATION NO.: 2015-0025-MAR P.R. NO.: CO-15-03-0032 APP Code: 2015APP074 REMARKS: 1 st Canvass . DATE: March 10, 2015 AUTHORITY: 53.9 (Small Value Proc’t) Bidder’s PHILGEPS REGISTRATION “Manufacturers, suppliers, distributors, contractors, and/or consultants CERTIFICATE NO. ____  are MANDATED to register with PhilGEPS and provide a PhilGEPS Valid Until:  Registration number… as a condition for award of the contract.” (Please see GPPB Resolution No. 30-2013 dated 25 Gentlemen: Page 1 of 1 pages

Please quote your lowest government price for the following items specified below. Check/tick the “COMPLY” box if bidder complies with the Ombudsman Specifications. A quotation containing unchecked/unticked “COMPLY” boxes would be automatically rated as “FAILED.” Kindly tick Item ABC Qty./ the box to UNIT TOTAL OMBUDSMAN SPECIFICATIONS signify No. (P) UNIT compliance to PRICE PRICE the specs. Automatic Battery Charger for Genset, P 30,000.00 1 unit  comply 1 12V-24V DC (trickle type) 2 P 16,000.00 2 units Battery, 6SM  comply 3 P 400.00 2 pcs. Fan Belt 13x1300 Li  comply 4 P 600.00 3 pcs. Fan Belt 12.5x925LCH  comply 5 P 200.00 10 liters Distilled Water  comply 6 P 1,000.00 10 meters “Hose” 1&5/16”  comply 7 P 6,500.00 10 liters Engine Oil 15w-40  comply Battery Terminal Lug Heavy Duty P 375.00 15 pairs  comply 8 Corrosion-free (25107 Lead) x------nothing follows------x Note: Our temporary fax number is 926-8764. Deadline of submission: March 18, 2015, 5:00 p.m. TOTAL: ______(Late bids shall not be accepted.) IMPORTANT: 1. ATTENTION: A bidder who submits a quotation is REQUIRED to download this RFQ from the PHILGEPS website before the closing date for inclusion in the PHILGEPS Document Request List (DRL). 2. Bids should be valid for 45 days counted from the deadline of submission. 3. DELIVERY PERIOD: 7 WORKING DAYS upon the receipt of the Purchase Order (Please state the number of days of delivery if beyond the required 7 working days.) 4. Term of Payment: CHARGED ACCOUNT, unless specified 5. The total price quoted above is subject to withholding tax and payable check. 6. For NON-ACCREDITED OFFICE OF THE OMBUDSMAN suppliers, please call 929-3759 or 479-7300 local 206 regarding the accreditation requirements. BY THE AUTHORITY OF THE BIDS AND AWARDS COMMITTEE: ______Supplier’s Representative (Print Name) (Sgd.) JOSEPHINE VARGAS GIO I / Head, BAC Secretariat ______Canvassed by: Marjorie Hazel G. Rañola Signature / Date Date: ______