REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF BUDGET AND MANAGEMENT

MIMAROPA REGIONAL OFFICE

March 2, 2023

REQUEST FOR QUOTATION

(RFQ No. 2023-011)

SUPPLY AND DELIVERY OF VARIOUS FURNITURE AND FIXTURES

The Department of Budget and Management (DBM) MIMAROPA Regional Office hereinafter
referred to as "Procuring Entity" (PE), through its Bids and Awards Committee (BAC), invites
interested parties to submit price quotation for the Supply and Delivery of Various Furniture
and Fixtures, through Negotiated Procurement - Small Value Procurement (Sec. 53.9, IRR of
R.A. No. 9184) with an Approved Budget for the Contract (ABC) of One Hundred Twenty-
Two Thousand Two Hundred Eighty Pesos (P122,280.00).

All items listed under the PE's terms of services/ specifications must be complied with on a
pass-fail basis. Failure to meet any of the requirements will result to disqualification. Likewise,
it is understood that PE's terms of services/ specifications are minimum requirements. The
Bidder/Service Provider may offer higher terms of services/ specifications or additional items.

Likewise, in accordance with Section 54.6 and Appendix A of Annex "H" (Consolidated
Guidelines for the Alternative Methods of Procurement) of the IRR of RA 9184, the service
provider shall provide the following documentary requirements, which shall be submitted
together with the duly accomplished Quotation Form, as a condition for the award of
contract:

1. PhilGEPS Registration Number;

2. Mayor’s/Business Permit (if recently expired, submit a copy of the official
receipt as proof that it has applied for renewal); and
3. Omnibus Sworn Statement (Attachment B).

PhilGEPS Platinum Registration Certificate may be submitted in lieu of eligibility documents 1

and 2.

Your price quotation must be in Philippine Peso and must include the unit price and total price,
inclusive of all taxes to be paid and other incidental costs to the delivery site if the contract is
awarded.

The prospective bidder/service provider shall submit the following:

1. Duly accomplished Quotation Form (Attachment A);

2. Technical Specifications/Requirements (Attachment B); and
3. Brochures of the items offered, if any.

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 All quotations may be typewritten or handwritten and must be placed in a sealed envelope
marked as “Supply and Delivery of Various Furniture and Fixtures (RFQ No. 2023-011)” and
must be delivered/submitted on or before March 10, 2023, 1:00 pm at the DBM MIMAROPA
Regional Office, 2nd Floor CSP Bldg., 815 Quezon Avenue, Brgy. Sta. Cruz, Quezon City. Late
quotations shall not be accepted and considered.

Opening of Quotations/Proposals shall be on March 10, 2023 1:30 pm at the DBM

MiMaRoPa Regional Office Conference Room, 2nd Floor CSP Bldg., 815 Quezon Avenue, Brgy.
Sta. Cruz, Quezon City. Quotations shall be valid for one hundred twenty (120) calendar days
from the deadline of submission of the same.

The DBM MIMAROPA Regional Office reserves the right to reject any and all quotations, and to
annul the procurement process at any time prior to contract award without thereby incurring
any liability to the affected bidder/service provider or bidders/service providers. The DBM
MIMAROPA Regional Office also reserves the right to waive any required formality in the
proposals received, and select the proposal which it deems to be most advantageous to the
government.
Digitally signed
by Crystine S.
Cuartero

CRYSTINE S. CUARTERO
Chairperson, DBM MIMAROPA- BAC

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 Attachment A
(RFQ No. 2023-011)

QUOTATION FORM

THE CHAIRPERSON
Bids and Awards Committee Department of Budget and Management MIMAROPA Regional Office
2nd Floor CSP Bldg., 815 Quezon Ave., Brgy. Sta. Cruz, Quezon City

Madam:

Having examined the subject Request for Quotation (RFQ) including the Technical
Specifications/Requirements, we, the undersigned offer to supply/deliver/install the following items
(with our unit price and total price):

Item/
Bidder’s
Lot Qty Item Description Unit Price Total Price
Compliance
No.

Supply and Delivery of Various Furniture and Fixtures

Executive Chair
- High-back Leatherette Executive
4 Chair with padding armrest
- Adjustable height swivel chair
- Color: Black

Office Chair
- Mid-back Leatherette Chair with
1 6 padding armrest
- Adjustable height swivel chair
- Color: Black

Office Table
-1500L x 600D x 1500L x 450D
6
with 2 pcs Cable Cap
- Color: Beech Wood

Total Price in Words:

We undertake, if our Quotation/Proposal is accepted to perform the services/deliver the above goods
as identified in the Technical Specifications/Requirements within thirty (30) calendar days period
from the receipt of notice.

We agree to abide by this Quotation for a period of one hundred twenty (120) calendar days after
the dated deadline of submission specified in your RFQ.

We understand that payment for items delivered and installed will be made to the winning
bidder/service provider after the inspection and acceptance of goods/services delivered and
installed.

This is a hard copy of 2023-ROIVB-0025577A-I - 1386662_REVISED_RFQ No 2023-011_Supply and Delivery of Various Furniture and Fixtures- REVIEWED.pdf,
printed from the Document Management System on 02/03/2023 at 14:03 by: P031445022339.
 Until a formal Contract/Purchase Order is prepared and executed, this Proposal, together with your
written acceptance thereof and your Notice of Award, shall be binding upon us.

___________________________________________________________ ___________________
Supplier’s/authorized representative signature over printed name Date
Designation:
Name of Company:
Address:
Contact No.:
Tax Identification Number (TIN):
PhilGEPS Registration Number:

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 Attachment B
(RFQ No. 2023-011)

Omnibus Sworn Statement

REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF ____________ ) S.S.

AFFIDAVIT
I, _______________________________________, of legal age, _______________, and
residing at _____________________________________________________________, after having
been duly sworn in accordance with law, do hereby depose and state that:

1. I am the sole proprietor/duly authorized and designated representative of

___________________________________________________ with office address at
____________________________________________________________________;

2. As the owner and sole proprietor/duly authorized and designated representative of

___________________________________________________, I have full power and
authority to do, execute and perform any and all acts necessary to represent it in the bidding
for the Supply and Delivery of Various Furniture and Fixtures (RFQ No. 2023-011) of
the DBM MiMaRoPA Regional Office;

3. _____________________________________________________ is not “blacklisted” or

barred from bidding by the Government of the Philippines or any of its agencies, offices,
corporations, or Local Government Units, foreign government/foreign or international
financing institution whose blacklisting rules have been recognized by the Government
Procurement Policy Board by itself or by relation, membership, association, affiliation, or
controlling interest with another blacklisted person or entity as defined and provided for in
the Uniform Guidelines on Blacklisting;

4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic

copy of the original, complete, and all statements and information provided therein are true
and correct;

5. ____________________________________________________ is authorizing the Head of

the Procuring Entity or its duly authorized representative(s) to verify all the documents
submitted;

6. I am not related to the Head of the Procuring Entity, members of the Bids and Awards
Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the
Project Management Office or the end-user unit, and the project consultants of the DBM
MiMaRoPa Regional Office by consanguinity or affinity up to the third civil degree;

7. __________________________________________________ complies with existing labor

laws and standards; and

8. __________________________________________________ is aware of and has

undertaken the following responsibilities as a Bidder:

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 a) Carefully examine all of the Bidding Documents/Request for Quotation;
b) Acknowledge all conditions, local or otherwise, affecting the implementation of the
Contract;
c) Made an estimate of the facilities available and needed for the contract to be bid, if any;
and
d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the Supply and Delivery of
Various Furniture and Fixtures (RFQ No. 2023-011).
9. __________________________________________________ did not give or pay directly or
indirectly, any commission, amount, fee, or any form of consideration, pecuniary or
otherwise, to any person or official, personnel or representative of the government in relation
to any procurement project or activity.

10. In case advance payment was made or given, failure to perform or deliver any of the
obligations and undertakings in the contract shall be sufficient grounds to constitute criminal
liability for Swindling (Estafa) or the commission of fraud with unfaithfulness or abuse of
confidence through misappropriating or converting any payment received by a person or
entity under an obligation involving the duty to deliver certain goods or services, to the
prejudice of the public and the government of the Philippines pursuant to Article 315 of Act
No. 3815 s. 1930, as amended, or the Revised Penal Code.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________,
2023 at _______________________________, Philippines.

_______________________________________
Bidder/Authorized Representative Signature

This is a hard copy of 2023-ROIVB-0025577A-I - 1386662_REVISED_RFQ No 2023-011_Supply and Delivery of Various Furniture and Fixtures- REVIEWED.pdf,
printed from the Document Management System on 02/03/2023 at 14:03 by: P031445022339.