For Goods Offered From Within the Philippines

Name of Bidder: ITB Number ITB 17 - 0081 Price Schedule No. 1

"BIDDING PER ITEM"

1 2 3 4 5 6 7 8 9 10
Item Description Unit ABC Quantity Unit Price Transportation Sales and Cost of Total Price Total Price
No. EXW and insurance other taxes incidental per unit delivered
per Item and all other payable if Services, if final
costs Contract is applicable, per (col. Destination
incidental to awarded, per item (col. 9) x
delivery, per item 5+6+7+8) col. 4)
item
1 DESKTOP COMPUTER, 6th Gen Intel 22,000.00 20 units
Core i3-6100 3.7GHz, 3Mb Smart
Cache or higher Mother Board w/
Gigabit Lan, DVD Writer, Mouse pad,
1Tb Sata Hard Disk Drive or Higher,
4Gb DDR3 1600Mhz Memory or
Higher, USB Combo Keyboard and
Mouse, 18.5 Full HD LED Monitor or
higher, Heavy duty 700watts Power
Supply and Casing, 625VA, 325Watts
Heavy Duty Back UPS
Not cloned (Genuine)
1 Year Warranty on Parts and Service
2 PRINTER, Color Multi Function 20,000.00 6 units
continuous ink system or higher
Genuine continuous ink system
Paper size cabability - A3+
High-yield ink bottles up to 7100 pages,
black
Print speed up to 15ipm, compact size
Compatible with USB 2.0 specification
Print resolution up to 5760 x 1440 dpi
2 years warranty or 30K prints
whichever comes first
3 PRINTER, Color Multi Function 9,000.00 10 units
continuous ink system or higher
Genuine continuous ink system
Print speed- up to 33ppm
Print resolution upto 5760 dpi x 1440
dpi
Scanner- Flatbed colour image scanner
Scan resolution 600 x l200 dpi
24-bit inter, 24-bit external (colour)
16-bit internal, 1-bit external (black &
white)
Compatible with USB 2.0 specifications
2 years warranty or 30K prints
whichever comes first
4 COMPUTER KEYBOARD, USB Type 400.00 30 pcs
5 MOUSE WITH PAD, Optical USB 250.00 30 sets
6 UPS, 650VA, 325Watts, Heavy Duty or 3,500.00 10 units
Higher
7 CABINET, Filing steel cabinet with 2 10,000.00 1 unit
drawers, with lock
8 HARD DISK, External, 4TB, 2.5" HDD, 10,000.00 1 unit
USB 3.0
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 For Goods Offered From Within the Philippines
Name of Bidder: ITB Number ITB 17 - 0081 Price Schedule No. 1

"BIDDING PER ITEM"

1 2 3 4 5 6 7 8 9 10
Item Description Unit ABC Quantity Unit Price Transportation Sales and Cost of Total Price Total Price
No. EXW and insurance other taxes incidental per unit delivered
per Item and all other payable if Services, if final
costs Contract is applicable, per (col. Destination
incidental to awarded, per item (col. 9) x
delivery, per item 5+6+7+8) col. 4)
item
9 UTP CABLE, CAT6, 305 meters/box 5,000.00 3 box
x-x-x nothing follows x-x-x

Additional Requirements (Please indicate):

1. Brand name, If no brand, state "none".
2. Country of manufacture or origin of item; i.e. local (or RP), or if foreign origin, specify country.

*Non Compliance with the above requirements will be basis for Ineligibility

Note: For use of HOMIS - South Cotabato Provincial Hospital.

(Signature) (in the capacity of)

Duly authorized to sign Bid for and on behalf of

Source of Fund: SCPH-4421-999-HOMIS-PP-17-08-2151

Approved Budget: P739,500.00

REQUIRED BID SECURITY:

1. Bid Securing Declaration.
2. 2% Cash or cashier's/manager's check issued by a Universal or Commercial Bank.
P 14,790.00
3. 2% Bank draft/guarantee or irrevocable letter of credit issued by a Universal or Commercial Bank.
P 14,790.00
4. 5% Surety bond callable upon demand issued by a surety or insurance company duly certified by the Insurance
Commission as authorized to issue such security
P 36,975.00

Prepared by: bac-jack; PR.No. 17 - 1018

Name and Signature of Bidder

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