ILOILO I ELECTRIC COOPERATIVE

ILECO - I
Brgy. Namocon, Tigbauan, Iloilo

PURCHASE REQUEST/JOB ORDER REQUEST

Department: INSTITUTIONAL SERVICES DEPARTMENT PR No.: Date:

Division/Section:

Purpose: MEMBER-CONSUMERS MEMBERSHIP ID CARD PRINTING

(COB-PAGE U-4, ITEM NO. 11-a. ID Cards (PVC) - Php 100,800.00 BUDGET)

Item Unit
No. Unit Item Description Quantity Cost
1 PC(S) SMART 30S (PVC CARD) 1500 8.00
NOTHING FOLLOWS

I hereby certify that the materials supplied/requisitioned stated are necessary I hereby certify that the funds are available fo
and will be used solely for the purpose stated above. materials supplied/requisitioned stated abov
againts the following items on Appproved Ca
Budget for ____________.
Requested by: Recommending Approval:

Code Particluar
TOMAS C. TAN JR. MARICON C. GARRIDO
ISD STAFF Member Services/OIC-ISD ________ _________________
________ _________________

Checked by: Approved by:

Budget Officer
ARLENE T. SESE ENGR. MIGUEL A. PAGUNTALAN JR.
OIC Internal Audit General Manager

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EST

8-Sep-19

Total
Cost
12,000.00

available for payment of

tated above chargeable
proved Cash Operating
_____.

Amount

_____________
_____________

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo
Telephone No. (033) 511-8138 local 115
Fax No. (033) 511-8852

REQUEST FOR QUOTATION

Name:
Address: Date:
TIN: JO/PR No.
Tel. No.

Gentlemen: Please quote your lowest price/s for the item/s listed hereunder, subject to the terms and conditions and submit your quota
your representative within ____ calendar days from receipt hereof.

Item No. Qty Unit Articles Brand/Model

1
2
3
4
5
6
7
8
9
10
11
12
13
14

Total
Terms and Conditions:
1. Delivery period within ___________ calendar days;
2. Mode of delivery: [ ] Pick-up (Schedule) [ ] Door to Door Delivery;
3. Supplier shall be responsible for the (source (s) of its goods/services/equipmentin accordance with the schedule and specifications of the RFQ
contract. Failure to comply with this provision shall be ground for cancellation of the Purchse Order (PO) or a penalty of one-tenth (1/10)
of one (1%) percent for every day of delay shall be imposed;
4. Supplier may submit the original brochures or certificates of the items offered showing its performance characteristics or specifications, if app
5. Detailed breakdown of bill of quantities;
6. Warranty shall be for a period of six (6) months for supplies and materials, one (1) year for equipment, from date of acceptance;
7. Term of payment - payment shall be made ___ days upon acceptance/certification that the items/services have been delivered or rendered in a

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Item No. Qty Unit Articles Brand/Model
with the terms and specifications. All related duties and taxes, and revenue charges shall be paid by the supplier;
8. All transactions are subject to withholding of credible taxes per revenue regulation(s) of the Bureau of Internal Revenue;
9. Upon the decision of the End-User and BAC, the supplier and its concerned premises may be subjected to ocular inspection prior to award or
x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
Very truly yours,

ENGR.
BAC Chairperson

After having carefully read and accepted your terms and conditions, I/We quoted you on the item/s at prices above. The above price/s and/or q
you wish to purchase/repair is/are available within ______ days from the date of quotation.

SIGNATURE OVER PRINTED NAME

Name of Supplier/Firm/Company

Tel No. / Cellphone No. / E-mail Address

Date quoted:

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ON

nditions and submit your quotation/s duly signed by

Unit Cost Amount

-
-

and specifications of the RFQ or

penalty of one-tenth (1/10)

eristics or specifications, if applicable

e of acceptance;
een delivered or rendered in accordance

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 Unit Cost Amount

Revenue;
ar inspection prior to award or PO;

ve. The above price/s and/or quotation/s for the item/s

PRINTED NAME

rm/Company

No. / E-mail Address

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo

ABSTRACT OF QUOTATIONS
AOQ NUMBERS COOPERATIVE PROCURE
PROJECT NAME FUND SOURCE
DATE PREPARED REQUESTING UNIT
NEA Price Index or SUPPLIERS/FIRMS/CONTR
ABC A B
Item No. Qty. Unit PARTICULARS Unit Price Amount Unit Price Amount Unit Price
1 -
2 -
3 -
4 -
5 -
6 -
-
-
-
-
TOTAL -
Delivery Time and Completion
Warranty Period
TERMS AND CONDITIONS Terms of Payment
Price Validity
Place of Delivery
The item/s listed above is/are recommended to be awarded to: PROCUREMENT BY: JU
SUPPLIER ITEM

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 NEA Price Index or SUPPLIERS/FIRMS/CONTR
ABC A B
Item No. Qty. Unit PARTICULARS Unit Price Amount Unit Price Amount Unit Price

We hereby certify that the above quotations are authentic, true and correct. Awarded the same as indicated above to the supplier/bidder/and/or advanta

PROJECT PROCUREMENT SECTION TECHNICAL WORKING GROUP

______________________________________ _______________________________ ___________________

(Name of Preparer) Member Chair

CHECKED AND VERIFIED BY:

_____________________________ __________________________
End-User Member

ENGR. ARNEL MANAS ARLENE T. SESE ENGR. MIGUEL A. PAG

BAC Chairperson OIC Internal Audit General Manager

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RATIVE PROCUREMENT SECTION
MODE OF PROCUREMENT:

RS/FIRMS/CONTRACTORS
B C
Amount Unit Price Amount REMARKS
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

JUSTIFICATION
TOTAL
GRAND TOTAL:

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RS/FIRMS/CONTRACTORS
B C
Amount Unit Price Amount REMARKS

r/and/or advantageous to the Cooperative.

________________________ ___________________________
Chair Member

______________________________ ___________________________
Member Member

GR. MIGUEL A. PAGUNTALAN

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo

ABSTRACT OF BIDS AS READ

NAME OF PROJECT PLACE OF BID OPENING
DELIVERY PERIOD DATE
APPROVED BUDGET FOR THE CONTRACT TIME

CONTRACTORS/SUPPLIERS A B C D
Amount 71,500,000.00 69,500,000.00 50,500,000.00 67,000,000.00
BID SECURITY BID SECURITY BID SECURITY BID SECURITY
Form of Bid Security DECLARATION DECLARATION DECLARATION DECLARATION

Bank/Company
Number
Validity Period (120 days from date of Opening of Bids)
Bid Security Amount
Bid Security 2% of the total Bid Offer (Sufficient /
Insufficient SUFFICIENT SUFFICIENT SUFFICIENT SUFFICIENT
Eligibility Requirement (Eligible / Ineligible) ELIGIBLE ELIGIBLE ELIGIBLE ELIGIBLE
Technical Requirements (Complying / Non-Complying) COMPLYING COMPLYING COMPLYING COMPLYING

_________________________ _______________________ _________________

BAC Chairperson Vice Chairperson Member

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_________________________ _______________________ _________________
Member Member Member

Oberver: IA Representative Member/End-User

ILECEA Representative

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D
BID OPENING

E F G H
WITHDRAWN WITHDRAWN WITHDRAWN WITHDRAWN

_________________
Member

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_________________
Member

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo
Telephone No. (033) 511-8138 local 115
Fax No. (033) 511-8852

PURCHASE ORDER
Procurement of _____
IB No. _____

Supplier: PO No.:
Address: Date:
Telephone No.:
TIN:
Mode of Procurement: Alternative Mode of Procurement (Open Canvas) in accordance with R.A. 10531
Gentlemen:
RV No.
Please furnish this office the following articles subject to the terms and conditions contained herein.
Place of Delivery
Delivery Term
Date of Delivery
Payment Term

Item No. Unit Item Description Qty. Unit Cost Amount

x-x-x-x-x-x-x-x-x-x-x
Note: Subject to the conditions stated in
the Bidding Documents/Canvas
Total Form/RFQ. -
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every day
of delay shall be imposed or cancellation of the purchase order if not in accordance with the terms and conditions.

Prepared by: Noted by: Checked by: Approved by:

SUSAN C. AMARILLO LYN LEE L. ARLENE T. SESE ENGR. MIGUEL A. PAGUNTALAN

Purchaser TORREBLANCA
OIC-HR and Admin Division OIC Internal Auditor General Manager
CONFORME:

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 Item No. Unit Item Description Qty. Unit Cost Amount
Signature over Printed Name of Authorized Representative

Supplier/Firm/Company
Date

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo
Telephone No. (033) 511-8138 local 115
Fax No. (033) 511-8852

INSPECTION AND ACCEPTANCE REPORT

(For Supplier, Materials, Equipment and Printing Services)

Supplier: IAR No.: IAR Date:

PO No.: Inv. No: Inv. Date:
PO Date:

Item No. Unit Item Description Qty. Unit Cost Total Cost

Total -

INSPECTION ACCEPTANCE
Date Inspected:_______________________ Date Inspected: ______________________
Findings: Accepted
Verified and found in order:

Quantity Not Accepted

Specifications
Other details Reason:
_________________________ ___________________________________
___________________________________
Found not in order ___________________________________
Details ______________________ ___________________________________
____________________________ ___________________________________
Recommendation: ___________________________________
Acceptance

Rejection __________________________________
Reason:______________________ End User/Meber Signature over Printed Name

Others: ______________________
_____________________________ __________________________________
End User/Head Signature over Printed Name
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Item No. Unit Item Description Qty. Unit Cost Total Cost
_____________ _____________
Memer TWG Memer TWG

____________________
TWG Chair
Concurred:

_____________________
Internal Audit Representative

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 ILOILO I ELECTRIC COOPERATIVE
ILECO - I
Brgy. Namocon, Tigbauan, Iloilo

PURCHASE REQUEST/JOB ORDER REQUEST

Department: INSTITUTIONAL SERVICES DEPARTMENT PR No.:

Division/Section:

Purpose: ISD Office Supplies

Item
No. Unit Item Description Quantity
1 PC(S) Punch Card (Daily Time Record) 1000
2 PC(S) Coin Envelop 8 1/2 1000
3 BOX(S) Push Pin 50's 10
4 BOX(S) Paper Clip Big 15
5 BOX(S) Paper Clip Small 10
6 BOX(S) Post-it Notes 4x3 5
7 PC(S) Filing Tray 5 Layers 10
8 PC(S) Expanding Envelop Long 100
9 PC(S) Brown Envelop Long 100
10 PC(S) Brown Envelop Short 100
11 PACK(S) Energizer Battery AAA 10
12 PACK(S) Energizer Battery AA 20
13 BOX(S) Binder Clip 1" 15
14 BOX(S) Binder Clip 2" 15
15 BOX(S) Binder Clip 1 1/4 10
16 BOX(S) My Gel Sign Pen Red 2
17 BOX(S) My Gel Sign Pen Black 3
18 PC(S) Storage Box 16x20 20
19 BOX Pencil Mongol 2 1
20 PC(S) Staple Remover 5
21 BOX(S) Computer Paper 3 Ply 2 Outs (For Trip Ticket) 15
22 BOX Disposable Face Mask 1
 I hereby certify that the materials supplied/requisitioned stated are
necessary and will be used solely for the purpose stated above.
Requested by: Recommending Approval:
I hereby certify that the funds are available
materials supplied/requisitioned stated abo
againts the following items on Appproved C
Budget for ____________.

Code Particluar
LYN LEE L. TORREBLANCA MARICON C. GARRIDO
HR & Admin Div. Chief Member Services/OIC-ISD ________ _________________
________ _________________

Checked by: Approved by:

Budget Officer
ARLENE T. SESE ENGR. MIGUEL A. PAGUNTALAN JR.
OIC Internal Audit General Manager
VE

ER REQUEST

Date: July 05, 2019

Unit Total
Cost Cost
1.00 1,000.00
0.36 360.00
15.50 155.00
16.50 247.50
7.00 70.00
53.00 265.00
329.00 3,290.00
9.00 900.00
2.50 250.00
2.00 200.00
48.75 487.50
45.05 901.00
21.00 315.00
4.50 67.50
32.00 320.00
80.00 160.00
80.00 240.00
260.00 5,200.00
90.00 90.00
24.50 122.50
824.00 12,360.00
175.00 175.00
ify that the funds are available for payment of
pplied/requisitioned stated above chargeable
ollowing items on Appproved Cash Operating
Budget for ____________.

Particluar Amount

_________________ _____________
_________________ _____________

Budget Officer