EMB 3
EMB 3
EMB 3
Please submit your proposal along the following technical and legal requirements:
1. Valid PhilGEPS Certificate (copy)
2. Valid Business/Mayor’s Certificate (copy)
3. Income Tax Return (for prior 2yrs) for ABCs’ above 500k (copy)
4. Omnibus Sworn Statement for ABCs’ above 50k (copy)
5. Notarized Omnibus Sworn Statement using GPPB-Prescribed Format, accompanied with
proof of authorization, if applicable (for ABCs above ₱50,000.00).
Proof of authorization shall be a duly notarized Secretary’s Certificate, Board/Partnership Resolution, or Special
Power of Attorney, whichever is applicable, in case of a corporation, partnership, or cooperative, or joint
venture; or a duly notarized Special Power of Attorney in case of a sole proprietorship, giving full power and authority
to its officer to sign the OSS and do acts to represent the Bidder
ENGR.RALDY R. PAGADOR
Chairperson, BAC
Masinop corner Matalino St., Diosdado Macapagal Government Center,
Brgy. Maimpis, City of San Fernando, Pampanga, 2000
Tel. No.: (045) 963-3623 | Email: [email protected]
Website: r3.emb.gov.ph
TECHNICAL PROPOSAL
INSTRUCTIONS:
1. In this form, the bidder is required to supply correct and accurate information.
2. Please do not modify the information on this form in any way.
3. It is necessary to meet all technical requirements and specifications. The Procuring Entity (PE)
reserves the right to reject any quotation that is submitted but does not meet the standards.
4. Bidders must state their compliance in the “Statement of Compliance” against each of the individual
requirements of each Specification in the Item Description or attachments, if any.
5. Quotations, including documentary requirements, received after the deadline shall not be accepted.
For quotations submitted via electronic mail, the date and time of receipt indicated in the email shall
be considered.
Statement of
Technical Specification / Terms of Compliance Remarks (e.g., Brand name,
Reference/ Scope of Work (Comply/Not model, etc.)
Comply)
ONE (1) LOT TRANSPORT,
TREATMENT, AND DISPOSAL
SERVICES OF UNSERVICEABLE
GOVERNMENT PROPERTIES
CATEGORIES AS WEEE (M506)
2
FINANCIAL PROPOSAL
INSTRUCTIONS:
1. Prices must be quoted in Philippine Peso and must include the unit price and total price, inclusive of
all taxes to be paid and other incidental cost to the delivery site/s if the contract is awarded.
2. Please do not leave any blank items. Indicate “0” or “-” if the item being offered is for free.
3. Bids/quotations shall be valid for sixty (60) calendar days from the deadline of submission of bids.
3
Total Approved Project for the Contract:
Procurement Project Title:
Item Qty & Unit Cost Subtotal (A x B)
Item Description
No. UoM (B)
In words:
In figures: PhP
Having examined, carefully understand and accepted the Terms and Conditions of the subject
Request for Quotation (RFQ), we the undersigned agreed:
1. That the quoted good/services is/are available and will be delivered in full and in good
condition upon receipt of Notice to Proceed/Purchase Order/Job Order.
2. We agree to abide by this Quotation/bid for a period of sixty (60) days after the deadline
of submission specified in the RFQ.
3. We understand that payment for services delivered or rendered will be made to the winning
bidder after the fulfillment of all the services required stipulated under the Purchase Order
or Contract of Agreement.
4. That applicable rate for late deliveries will be imposed equivalent to the one tenth (1/10)
of one (1) percent of the cost of the unperformed portion of the contract for every day of
delay. The maximum deduction shall be ten percent (10%) of the amount of contract. Once
the cumulative number of liquidated damages reaches ten percent (10%) of the contract
amount, the Purchaser shall rescind the contract without prejudice to other courses of action
and remedies open to it.
_________________________________
Name of company :
_________________________________
Postal address :
_________________________________
Email address :
_________________________________
Contact No. :
_________________________________
Authorized Bidder’s representative :
_________________________________
Signature over printed name :
_________________________________
Designation :
_________________________________
VAT or NON-VAT :
_________________________________
TIN Number :