BIDS AND AWARDS COMMITTEE (BAC) - pnoc … PNOC Renewables Corporation (PNOC RC), is a government...

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DOCUMENT NO.: DI-03-022-012; EFFECTIVITY DATE: 20160725; VERSION:1; ISSUED BY: PUR PAGE 1 OF 1 BIDS AND AWARDS COMMITTEE (BAC) REQUEST FOR QUOTATION The PNOC RENEWABLES CORPORATION (PNOC RC) through its Bids and Awards Committee (BAC) invites interested suppliers/contractors to submit quotations for the following company requirements: Project Number / Project Title PNOC RC APP Item No. Bid Deadline Approved Budget For the Contract WOR 18-018 1. Lease of 2 units of Multi-Function Machine Note: Please see Terms of reference 98 03 Apr 2018 (12:00 nn) Php367,000.00 TOTALA Php367,000.00 Bidding documents shall be accessible to all interested parties at the PhilGEPS account of PNOC RC. Should there be any matter that needs clarification, please feel free to call us at Trunk line No. (02) 840-3080 loc. 8893 or Direct telefax No. (02) 812-0991 and look for Atty. Arolf C. Empino-Suyom or Mr. Dave E. Orlina or send us an email at procurement@pnoc- rc.com.ph. In the interest of fair competition, PNOC RC ensures that the contents of all bid proposals submitted remain confidential until the bid deadline indicated above. In this regard, PNOC RC encourages the submission of bid proposals in one sealed envelope. The bid proposals shall be accepted until the bid deadline and dropped by the bidders in the bid boxes located in the PNOC RC Office. PNOC RC reserves the right to accept or reject any or all bids or parts thereof, to waive formality the company. PEDRO L. LITE, JR. Chairperson Bids and Awards Committee

Transcript of BIDS AND AWARDS COMMITTEE (BAC) - pnoc … PNOC Renewables Corporation (PNOC RC), is a government...

Page 1: BIDS AND AWARDS COMMITTEE (BAC) - pnoc … PNOC Renewables Corporation (PNOC RC), is a government owned and controlled corporation and a subsidiary of the Philippine National Oil Company

DOCUMENT NO.: DI-03-022-012; EFFECTIVITY DATE: 20160725; VERSION:1; ISSUED BY: PUR PAGE 1 OF 1

BIDS AND AWARDS COMMITTEE (BAC)

REQUEST FOR QUOTATION

The PNOC RENEWABLES CORPORATION (PNOC RC) through its Bids and Awards Committee (BAC) invites interested suppliers/contractors to submit quotations for the following company requirements:

Project Number / Project Title PNOC RC APP

Item No. Bid Deadline

Approved Budget For the Contract

WOR 18-018

1. Lease of 2 units of Multi-Function

Machine

Note: Please see Terms of reference

98

03 Apr 2018

(12:00 nn)

Php367,000.00

TOTALAL Php367,000.00

Bidding documents shall be accessible to all interested parties at the PhilGEPS account of PNOC RC. Should there be any matter that needs clarification, please feel free to call us at Trunk line No. (02) 840-3080 loc. 8893 or Direct telefax No. (02) 812-0991 and look for Atty. Arolf C. Empino-Suyom or Mr. Dave E. Orlina or send us an email at [email protected].

In the interest of fair competition, PNOC RC ensures that the contents of all bid proposals submitted remain confidential until the bid deadline indicated above. In this regard, PNOC RC encourages the submission of bid proposals in one sealed envelope. The bid proposals shall be accepted until the bid deadline and dropped by the bidders in the bid boxes located in the PNOC RC Office.

PNOC RC reserves the right to accept or reject any or all bids or parts thereof, to waive formality the company.

PEDRO L. LITE, JR.

Chairperson Bids and Awards Committee

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Bids and Award Committee (BAC)

TERMS OF REFERENCE FOR GOODS & SERVICES (Small Value Procurement)

LEASE OF TWO (2) UNITS OF MULTI-FUNCTION MACHINE

SECTION 1: BACKGROUND

The PNOC Renewables Corporation (PNOC RC), is a government owned and controlled

corporation and a subsidiary of the Philippine National Oil Company (PNOC). It has identified

the necessity of leasing of two (2) units of multi-function copier machine.

Pursuant to the Revised Implementing Rules and Regulations (IRR) of RA 9184, procurement

of goods/services such as lease of two (2) units of multi-function machine with approved

budget for contract amounting to 1 MILLION PESOS (Php1,000,000.00) or less can be

done through small value procurement.

SECTION 2: PURPOSE/OBJECTIVES

PNOC Renewables Corporation is seeking proposals from competent and eligible external

providers for the lease of two (2) units of multi-function copier machine.

SECTION 3: QUALIFICATIONS

The following shall be eligible to participate in the bidding for the supply of goods/services:

a.) Duly licensed Filipino citizens/sole proprietorships;

b.) If a partnership, duly organized under the laws of the Philippines and of which at least

sixty percent (60%) of the interest belongs to citizens of the Philippines; and

c.) If a corporation, duly organized under the laws of the Philippines, and of which at least

sixty percent (60%) of the outstanding capital stock belongs to citizens of the

Philippines.

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SECTION 4: APPROVED BUDGET FOR THE CONTRACT (ABC)

The PNOC Renewables Corporation (PNOC RC) shall offer to all prospective external

providers for the lease of two (2) units of multi-function machine. The price quotation

shall not exceed the Approved Budget for the Contract (ABC) amounting to Three Hundred

Sixty-Seven Thousand Pesos, (Php367, 000.00) inclusive of 12% VAT and all other applicable

government taxes and charges. Any bid beyond ABC will automatically be disqualified.

SECTION 5: SCOPE OF WORK AND TECHNICAL SPECIFICATIONS

a) Equipment:

The equipment proposed shall meet or exceed the minimum performance

requirements set forth below. In addition:

1. Equipment shall be brand new or newly factory

remanufactured/non-surplus Multi-function Machine with:

i. Copier;

ii. Network Printer; and

iii. Network Scanner;

2. Quantity: Two (2) units;

3. The External Provider shall submit printed products (copies and printing) of

acceptable quality on the plain type of papers normally used for photocopying

and printing purposes in an office environment. Samples should be in A4, legal

and A3 sizes in both monochrome and full color which shall pass the

assessment of PNOC RC;

4. All prices shall include installation of equipment, consumable supplies and

training. The Contractor shall provide training to adequately instruct personnel

in the use of equipment throughout the term of the agreement. Training shall

also include orientation with the staff assisting with network setup at no

charge. A manual or manuals containing operating and service instructions for

the equipment shall be delivered with each unit. Necessary warnings and

safety precautions should be included; and

5. The External Provider shall state the cost per sheet in excess of the set

maximum number for mono and color (up to A3 size).

b) Maintenance/Service:

1. During the term of the lease the External Provider shall provide both remedial

and preventative service for all units, the cost for such being included in the

quotations. The External Provider shall provide on-call remedial service,

including replacement of all unserviceable parts.

2. The External Provider shall provide preventative service based upon the

manufacturer's recommended schedule, including lubrication, necessary

equipment adjustments and replacement of all unserviceable parts.

3. Service response for service repair calls shall be same day if reports were made

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before noon time. Should reports be made after noon time, the response

period should be morning the following day at the latest. All repairs should be

performed during normal working hours, 8:00 A.M. to 5:00 P.M., Monday -

Friday. Fully trained and qualified technicians shall perform all maintenance

service and shall be on site prepared to accomplish repairs within the required

response time.

4. Consumable supplies: The Maintenance Plan shall be a supply-inclusive

contract, in that it must include all toner, parts, labor, and preventative

maintenance calls. Paper shall be supplied by PNOC RC and is NOT to be

included in the Maintenance Plan contract. External Provider shall provide

shipping and handling of all included consumables at no charge.

c) Technical Specifications:

1. Printer #1 (minimum performance requirement):

Type Multi-Function Printer (Print/Copy/Scan)

Print Technology Laser

Color Full-Color

Control Panel: 7-inch electrostatic touch panel

Memory Capacity Minimum of 2GB

HDD Minimum of 250GB

Max Original Size A3 (11” x 17”)

Output Size Maximum of A3 to A6 Lengthwise

First Copy/Print Output Time

Colour Minimum of 6.0 sec

B/W Minimum of 4.8 sec

Copy Speed Colour Minimum of 45 ppm

B/W Minimum of 45 ppm

Scan/Copy Resolution Minimum of 600x600 dpi

Print/Copy/Scan Duplex

Paper Capacity 500 Sheets for Tray 1 and 2, 1500 sheets for Tray 3, 1000 sheets for Tray 4 and 150 sheets for bypass tray

Interface Ethernet (10BASE-T / 100BASE-TX / 1000BASE-T) USB 1.1, USB 2.0

Multiple Copy 1-9999 sheets

Multiple Print 1-9999 sheets

Power Consumption 220-240V / 50/60Hz

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2. Printer #2 (minimum performance requirement):

Type Multi-Function Printer (Print/Copy/Scan)

Print Technology Laser

Color Monochrome

Control Panel: 7-inch electrostatic touch panel

Memory Capacity Minimum of 2GB

HDD Minimum of 320GB

Max Original Size A4/Legal (297mm x 210mm)

Output Size A6-A4, Legal, Customized paper sizes

First Copy/Print Output Time

Colour Minimum of 8.5 sec

B/W Minimum of 8.5 sec

Copy Speed Colour Minimum of 40 ppm

B/W Minimum of 40 ppm

Copy/Scan Resolution Minimum 1200x1200dpi

Print/Copy/Scan Duplex

Paper Capacity Standard: 650 sheets Maximum: 2,300 sheets

Interface Ethernet 10-Base-T/100-Base-TX/1,000-Base-T; USB 1.1; USB 2.0

Multiple Copy 1-999 sheets

Multiple Print 1-999 sheets

Power Consumption 220-240V / 50/60Hz Less than 1.1 kW

d) Green Specifications

1. Energy Star Certified

2. Power Saving Mode: Automatic sleep mode when idle for 2 minutes

SECTION 6: SCHEDULE OF REQUIREMENTS

a) Number of copies/printing per year:

1. Monochrome – at least 312,000 copies, all sizes

2. Color – at least 18,000 copies, all sizes

b) Number of copies/printing per month:

1. Monochrome – at least 26,000 copies, all sizes

2. Color – at least 1,500 copies, all sizes

c) Unprinted copies per month either monochrome or colored can be allocated to the

preceding and succeeding months.

d) In the event that by end of the contract, PNOC RC has not consumed the total items

cited in Section 6(a), the External Provider shall allow the use of his machine for an

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extended period of 15 calendar days or until complete consumption of consumables

or until items 6(a) had been fully consumed;

e) The contract duration will be one (1) year from issuance of Notice to Proceed (NTP).

f) The start of delivery shall commence within (7) calendar days upon receipt of NTP.

g) The external provider shall quote for cost per sheet for both monochrome and color

printing in excess of total copies as stated in Section 6(a). This shall used as basis in

the event that extension of contract is necessary subject to the approval of the budget.

SECTION 7: SELECTION CRITERIA

The project shall be awarded to the Single/Lowest Calculated Responsive Quotation (S/LCRQ).

SECTION 8: SUBMISSION OF BID

A.) TECHNICAL AND ELIGIBILITY PROPOSAL

a.) Registration certificate from SEC, Department of Trade and Industry (DTI) for sole

proprietorship, or CDA for cooperatives;

b.) Mayor’s/Business permit issued by the city or municipality where the principal place

of business of the prospective external provider is located, or the equivalent

document for Exclusive Economic Zones or Areas; (In cases of recently expired

Mayor’s/Business permits, it shall be accepted together with the official receipt as

proof that the external provider has applied for renewal within the period prescribed

by the concerned local government unit, provided that the renewed permit shall be

submitted as a post-qualification requirement);

c.) Certificate of PhilGEPS Registration or Proof of PhilGEPS Registration;

d.) Compliance to Technical specifications, which may include production/delivery

schedule, manpower requirements, and/or after-sales service/parts, if applicable.

e.) Omnibus Sworn Statement

f.) Bid Security

B.) FINANCIAL PROPOSAL

a.) All quotation prices shall be quoted in Philippine Peso and inclusive of all applicable

taxes.

b.) Quotation Validity: Quotations shall remain valid for the period not exceed Forty Five

(45) calendar days from the date of the opening of quotations.

SECTION 9: BID SECURITY

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The bidder shall submit a bid securing declaration, or any form of bid security denominated

in Philippine Pesos and posted in favor of the PNOC RC with the following schedule:

a.) If cash or cashier’s/manager’s check issued by a Universal or Commercial Bank – in

an amount not less than two (2%) percent of the ABC;

b.) If bank draft/guarantee or irrevocable letter of credit issued by a Universal or

Commercial Bank (Provided, however, that it shall be confirmed or authenticated by a

Universal or Commercial Bank, if issued by a foreign bank) – in an amount not less than

five (5%) percent of the ABC; and,

c.) If through surety bond, callable upon demand issued by a surety or insurance

company duly certified by the Insurance Commission as authorized to issue such

security – in an amount not less than five (5%) percent of the ABC.

SECTION 10: PERFORMANCE SECURITY

Within ten (10) calendar days from receipt of the Notice of Award from the Procuring Entity

but in no case later than the signing of the contract by both parties, the successful external

provider shall furnish the performance security in any of the following forms:

Form of Performance Security Amount of Performance Security

(Equal to Percentage of the Total

Contract Price)

(a) Cash or cashier’s/manager’s check issued by a Universal or Commercial Bank.

Five percent (5%)

(b) Bank draft/guarantee or irrevocable Letter of credit issued by a Universal or Commercial Bank: Provided, however, that i t shall be confirmed or authenticated by a Universal or Commercial Bank, if issued by a foreign bank.

( c ) Surety bond callable upon demand issued by a surety or insurance company duly certified by the Insurance Commission as authorized to issue such security; and/or

Thirty percent (30%)

a. The Performance Security shall be valid for the entire duration of the contract.

b. The performance security posted in favor of the Procuring Entity shall be forfeited in

the event it is established that the winning external provider is in default in any of its

obligations under the contract.

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c. The performance security shall remain valid until issuance by the Procuring Entity of

the Certificate of Final Acceptance.

d. Failure of the successful External Provider to comply with the above-mentioned

requirement shall constitute sufficient ground for the annulment of the award and

forfeiture of the bid security, in which event the procuring entity shall initiate and

complete the post qualification of the second lowest calculated quotation. The

procedure shall be repeated until the Lowest Calculated Responsive Quotation is

identified and selected for contract award. However, if no external provider passed

post-qualification, the BAC shall declare the bidding a failure and conduct a re-bidding

with re- advertisement.

SECTION 11: LIQUIDATED DAMAGES

When the supplier fails to satisfactorily deliver goods under the contract within the specified

delivery schedule, inclusive of duly granted time extensions, if any, the supplier shall be liable

for damages for the delay an amount equal to one-tenth (1/10) of one percent (1%) of the

cost of the delayed goods/services scheduled for delivery for every day of delay until such

goods are finally delivered and accepted by PNOC RC. Such amount shall be deducted from

any money due or which may become due to the supplier.

SECTION 12: SCHEDULE OF PAYMENTS

First payment shall be made thirty (30) calendar days after receipt of goods, delivery receipt,

billing invoice/statement and other documentary requirements under the contract, subject

to two percent (2%) expanded withholding tax and 5% withholding VAT.

Succeeding payments shall be made thirty (30) calendar days after receipt billing

invoice/statement and other documentary requirements under the contract, subject to two

percent (2%) expanded withholding tax and 5% withholding VAT.

SECTION 13: PAYMENT TERMS AND CONDITIONS

a.) Payments shall be made promptly by PNOC RC.

b.) Fixed monthly billing of bid amount divided by twelve (12) months.

c.) Payments shall be according to the schedule in Section 12: Schedule of Payments.

d.) Payments shall be made only upon a certification by the Admin Head to the effect

that the goods and services have been rendered or delivered in accordance with

the terms of this contract and have been duly inspected and accepted.

e.) The external provider’s request(s) for payment shall be made to the PNOC RC in

writing, accompanied by an invoice describing, as appropriate, the Goods delivered

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and/or Services performed, and by submission of other required documents and

obligations stipulated in this Contracts.

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TECHNICAL COMPLIANCE FORM

Contract No: WOR No. 18-______ Date Prepared: _____________

Contract Title: Lease of two (2) units of Multi-function Machine

ITEM NO.

DESCRIPTION

STATEMENT OF

COMPLIANCE (Comply or

Not Comply)

A. Equipment

1. Equipment shall be brand new or newly factory

remanufactured/ non-surplus Multi-function Machine with:

i. Copier;

ii. Network Printer; and

iii. Network Scanner;

2. Quantity: Two (2) units;

3. The External Provider shall submit a sample printed products

(copies and printing) of acceptable quality on the plain type of

papers normally used for photocopying and printing purposes

in an office environment. Samples should be in A4, legal and A3

sizes in both monochrome and full color;

4. All prices shall include installation of equipment, consumable

supplies and training. The Contractor shall provide training to

adequately instruct personnel in the use of equipment

throughout the term of the agreement. Training shall also

include orientation with the staff assisting with network setup

at no charge. A manual or manuals containing operating and

service instructions for the equipment shall be delivered with

each unit. Necessary warnings and safety precautions should be

included;

5. The External Provider will state the cost per sheet in excess of

the set maximum number for mono and color (up to A3 size)

B. Maintenance/Service:

1. During the term of the lease the External Provider shall provide both remedial and preventative service for all units, the cost for such being included in the quotations. The External

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Provider will provide on-call remedial service, including replacement of all unserviceable parts

2. The Contractor shall provide preventative service based upon

the manufacturer's recommended schedule, including

lubrication, necessary equipment adjustments and

replacement of all unserviceable parts.

3. Service response for service repair calls shall be same day if

reports were made before noon time. If reports were made

after noon time the response will be morning the following

day. All repairs should be performed during normal working

hours, 8:00 A.M. to 5:00 P.M., Monday - Friday. Fully trained

and qualified technicians shall perform all maintenance service

and shall be on site prepared to accomplish repairs within the

required response time.

4. Consumable supplies: The Maintenance Plan shall be a supply-

inclusive contract, in that it must include all toner, parts, labor,

and preventative maintenance calls. Contractor is required to

include the cost of supplies inclusive of staples and other

consumable supplies (i.e.: toner) in the quoted monthly price.

Paper shall be supplied by PNOC RC and is NOT to be included

in the Maintenance Plan contract. Contractor shall provide

shipping and handling of all included consumables at no

charge.

C. Technical Specifications

1. Printer #1 (please state Brand name and Model)

Type: Multi-Function Printer (Print/Copy/Scan)

Color: Full Color

Full-Color: Minimum of 2GB

HDD: Minimum of 250GB

Max Original Size: A3 (11” x 17”)

Output Size: Maximum of A3 to A6 Lengthwise

First Copy/Print Output Time: 6.0 Sec

Copy Speed: Minimum of 45 ppm

Paper Capacity: 500 Sheets for Tray 1 and 2, 1500 sheets for Tray 3, 1000 sheets for Tray 4 and 150 sheets for bypass tray

Interface: Ethernet (10BASE-T / 100 BASE-TX / 1000BASE-T)

Multiple Copy: 1-9999 sheets

Multiple Print: 1-9999 sheets

Please provide the brochure

2. Printer #2 (please state Brand name and Model)

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Type: Multi-Function Printer (Print/Copy/Scan)

Color: Monochrome

Full-Color: Minimum of 2GB

HDD: Minimum of 320GB

Max Original Size: A4 (297mm x 210mm)

Output Size: Standard: 650 sheets / Maximum: 2,300 sheets

First Copy/Print Output Time: 8.5 Sec

Copy Speed: Minimum of 40 ppm

Paper Capacity: A6-A4, Legal, Customized paper sizes

Interface: Ethernet 10-Base-T/100-Base-TX/1,000-Base-T; USB 1.1; USB 2.0

Multiple Copy: 1-999 sheets

Multiple Print: 1-999 sheets

Please provide brochure

D. Green Specifications

1. Energy Star Certified

2. Power Saving Mode: Automatic sleep mode when idle for

2 minutes

NOTES:

1. External Providers must state under STATEMENT OF COMPLIANCE either

“Comply” or “Not Comply” against each of the individual parameters of each

Specification stating the corresponding performance parameter of the

equipment offered. Statements of “Comply” or “Not Comply” must be

supported by evidence in External provider’s Quotation and cross-referenced

to that evidence. Evidence shall be in the form of manufacturer’s un-amended

sales literature, unconditional statements of specification and compliance

issued by the manufacturer, samples, independent test data etc., as

appropriate. A statement that is not supported by evidence or is subsequently

found to be contradicted by the evidence presented will render the quotation

under evaluation liable for rejection. A statement either in the External

provider’s statement of compliance or the supporting evidence that is found

to be false either during Quotation evaluation, post-qualification or the

execution of the Contract may be regarded as fraudulent and render the

external provider or supplier liable for prosecution. In case of erasures, please

have it countersigned by your authorized representative.

2. The undersigned submits the foregoing quotation with full knowledge and

consent that PNOC RC has the right to reject any or all quotations and accept

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only those that are considered most advantageous to PNOC RC and / or the

government.

External Provider’s Name:

Authorized Representative:

Designation:

Signature:

Date:

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QUOTATION FORM

Date: ____________________

To: PNOC Renewables Corporation G/F PNOC Bldg. 5, Energy Center

Rizal Drive, BGC, Taguig City

Gentlemen and/or Ladies:

Having examined the Bidding Documents including Bid Bulletin Numbers [insert

numbers], the receipt of which is hereby duly acknowledged, we, the undersigned, offer to

[supply/deliver/perform] [description of the Goods] in conformity with the said Bidding

Documents for the sum of [total Bid amount in words and figures] or such other sums as may

be ascertained in accordance with the Schedule of Prices attached herewith and made part

of this Bid.

We undertake, if our Quotation is accepted, to deliver the goods in accordance with the

delivery schedule specified in the Schedule of Requirements.

If our Quotation is accepted, we undertake to provide a performance security in the

form, amounts, and within ten (10) calendar days after issuance of Notice of Award.

We agree to abide by this Quotation for the Quotation Validity Period specified in

Section 8: Submission of Quotation part B of the Financial Proposal and it shall remain binding

upon us and may be accepted at any time before the expiration of that period.

Until a formal Contract is prepared and executed, this Quotation, together with your

written acceptance thereof and your Notice of Award, shall be binding upon us.

We understand that you are not bound to accept the Lowest Calculated Quotation or

any Quotation you may receive.

We certify/confirm that we comply with the eligibility requirements as Section 8:

Submission of Quotation part A: Technical and Eligibility Proposal of the RFQ.

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We likewise certify/confirm that the undersigned, [for sole proprietorships, insert: as the

owner and sole proprietor or authorized representative of Name of external provider, has

the full power and authority to participate, submit the quotation, and to sign and execute the

ensuing contract, on the latter’s behalf for the Name of Project of the Name of the Procuring

Entity] [for partnerships, corporations, cooperatives, or joint ventures, insert: is granted full

power and authority by the Name of external provider, to participate, submit the quotation,

and to sign and execute the ensuing contract on the latter’s behalf for Name of Project of the

Name of the Procuring Entity].

We acknowledge that failure to sign each and every page of this Quotation Form,

including the attached Financial Quotation Form No. 1, shall be a ground for the rejection of

our bid.

Dated this ________________ day of ________________ 20______.

[signature] [in the capacity of]

Duly authorized to sign Bid for and on behalf of ____________________________

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FINANCIAL

QUOTATION FORM No. 1

Contract No: WOR No. 18-_____ Date Prepared: _____________

Contract Title: Lease of Two (2) units of Multi-Function Machine

ITEM

NO. DESCRIPTION

QTY

(A) UOM

UNIT PRICE

(B)

AMOUNT

(A*B)

1 Lease of Two (2) units of Multi-

function Machine

Grand Total

GRAND TOTAL (in words)

________________________________________________________________________

_______________________________________________________________________

________________________________________________________________________

Note: Quotation Price shall be inclusive of 12% VAT and all other applicable government taxes and charges.

External Provider’s Name:

Authorized Representative:

Designation:

Signature:

Date:

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FINANCIAL

QUOTATION FORM No. 2

Contract No: WOR No. 18-_____ Date Prepared: _____________

Contract Title: Lease of Two (2) units of Multi-Function Machine

ITEM

NO. DESCRIPTION UOM UNIT PRICE

1 Cost per sheet in excess of the set maximum number (up to A3 size)

a) Monochrome

b) Color

Note: Quotation Price shall be inclusive of 12% VAT and all other applicable government taxes and charges.

External Provider’s Name:

Authorized Representative:

Designation:

Signature:

Date:

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CHECKLIST OF ELIGIBILITY AND TECHNICAL REQUIREMENTS FOR EXTERNAL PROVIDERS (GOODS AND SERVICES)

EL IGIB IL ITY & TECHN IC AL D OCU M EN TS

DESCRIPTION AND REQUIREMENTS COMPLY?

(Y/N)

1 Registration certificate from SEC, Department of Trade and Industry (DTI) for

sole proprietorship, or CDA for cooperatives

2 Mayor’s/Business permit issued by the city or municipality where the

principal place of business of the prospective external provider is located, or

the equivalent document for Exclusive Economic Zones or Areas

3 Certificate of PhilGEPS Registration or Proof of PhilGEPS Registration

4 Compliance to Technical specifications, which may include

production/delivery schedule, manpower requirements, and/or after-sales

service/parts, if applicable; and

5 Multi-function Machine Brochures

6 Sample printed products (all sizes)

7 Financial Bid Proposal

a) Quotation Form

b) Quotation Form No. 1

c) Quotation Form No. 2

8 Omnibus Sworn Statement

9 Bid Security

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OMNIBUS SWORN STATEMENT

REPUBLIC OF THE PHILIPPINE)

CITY/MUNICIPALITY OF ______ ) S.S.

A F F I D A V I T

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of

Affiant], after having been duly sworn in accordance with law, do hereby depose and state

that:

1. Select one, delete the other:

If a sole proprietorship: I am the sole proprietor or authorized representative of [Name

of External Provider] with office address at [address of Bidder];

If a partnership, corporation, cooperative, or joint venture: I am the duly authorized

and designated representative of [Name of Bidder] with office address at [address of

External Provider];

2. Select one, delete the other:

If a sole proprietorship: As the owner and sole proprietor, or authorized representative

of [Name of External Provider], I have full power and authority to do, execute and

perform any and all acts necessary to participate, submit the bid, and to sign and

execute the ensuing contract for [Name of the Project] of the [Name of the Procuring

Entity], as shown in the attached duly notarized Special Power of Attorney;

If a partnership, corporation, cooperative, or joint venture: I am granted full power and

authority to do, execute and perform any and all acts necessary to participate, submit

the bid, and to sign and execute the ensuing contract for [Name of the Project] of the

[Name of the Procuring Entity], as shown in the attached [state title of attached

document showing proof of authorization (e.g., duly notarized Secretary’s Certificate,

Board/Partnership Resolution, or Special Power of Attorney, whichever is

applicable;)];

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3. [Name of External Provider] 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;

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. [Name of External Provider] is authorizing the Head of the Procuring Entity or its duly

authorized representative(s) to verify all the documents submitted;

6. Select one, delete the rest:

If a sole proprietorship: The owner or sole proprietor is 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 by consanguinity or affinity up to the

third civil degree;

If a partnership or cooperative: None of the officers and members of [Name of External

Provider] is 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 by consanguinity or affinity up to the third civil degree;

If a corporation or joint venture: None of the officers, directors, and controlling

stockholders of [Name of External Provider] is 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 by consanguinity or affinity up to the third

civil degree;

7. [Name of External Provider] complies with existing labor laws and standards; and

8. [Name of External Provider] is aware of and has undertaken the following

responsibilities as a Bidder:

a) Carefully examine all of the Bidding Documents;

b) Acknowledge all conditions, local or otherwise, affecting the implementation of

the Contract;

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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 [Name of the

Project].

9. [Name of External Provider] 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.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at

____________, Philippines.

_____________________________________

Bidder’s Representative/Authorized Signatory

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SUBSCRIBED AND SWORN to before me this ___ day of [month] [year] at [place of

execution], Philippines. Affiant/s is/are personally known to me and was/were identified by

me through competent evidence of identity as defined in the 2004 Rules on Notarial

Practice (A.M. No. 02-8-13-SC). Affiant/s exhibited to me his/her [insert type of government

identification card used], with his/her photograph and signature appearing thereon, with

no. ________ and his/her Community Tax Certificate No. _______ issued on ____ at ______.

Witness my hand and seal this ___ day of [month] [year].

NAME OF NOTARY PUBLIC

Serial No. of Commission _______________

Notary Public for _______ until __________

Roll of Attorneys No. __________________

PTR No. ______ [date issued], [place issued]

IBP No. ______ [date issued], [place issued]

Doc. No. _____

Page No. _____

Book No. _____

Series of _____

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BID SECURING DECLARATION FORM

REPUBLIC OF THE PHILIPPINES)

CITY OF _______________________) S.S.

x------------------------------------------------------x

BID SECURING DECLARATION

Request for Quotation: [Insert Reference number]

To: [Insert name and address of the Procuring Entity]

I/We1, the undersigned, declare that:

1. I/We understand that, according to your conditions, bids must be supported

by a Bid Security, which may be in the form of a Bid-Securing Declaration.

2. I/We accept that: (a) I/we will be automatically disqualified from bidding for

any contract with any procuring entity for a period of two (2) years upon

receipt of your Blacklisting order; and, (b) I/we will pay the applicable fine

provided under Section 6 of the Guidelines on the Use of Bid Securing

Declaration, within fifteen (15) days from receipt of the written demand by the

procuring entity for the commission of acts resulting to the enforcement of the

bid securing declaration under Sections 23.1(b), 34.2, 40.1 and 69.1, except

69.1(f), of the IRR of RA 9184; without prejudice to other legal action the

government may undertake.

3. I/We understand that this Bid Securing Declaration shall cease to be valid on

the following circumstances:

Select one and delete the other. Adopt the same instruction for similar terms throughout the document.

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(a) Upon expiration of the bid validity period, or any extension thereof

pursuant to your request;

(b) I am/we are declared ineligible or post-disqualified upon receipt of

your notice to such effect, and (i) I/we failed to timely file a request for

reconsideration or (ii) I/we filed a waiver to avail of said right;

(c) I am/we are declared the bidder with the Lowest Calculated Responsive

Bid, and I/we have furnished the performance security and signed the

Contract.

IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of

[month] [year] at [place of execution].

[Insert NAME OF EXTERNAL PROVIDER’S AUTHORIZED REPRESENTATIVE]

[Insert Signatory’s Legal Capacity]

Affiant

SUBSCRIBED AND SWORN to before me this ___ day of [month] [year] at [place of

execution], Philippines. Affiant/s is/are personally known to me and was/were identified by

me through competent evidence of identity as defined in the 2004 Rules on Notarial Practice

(A.M. No. 02-8-13-SC). Affiant/s exhibited to me his/her [insert type of government

identification card used], with his/her photograph and signature appearing thereon, with no.

________ and his/her Community Tax Certificate No. _______ issued on ____ at ______.

Witness my hand and seal this ___ day of [month] [year].

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NAME OF NOTARY PUBLIC

Serial No. of Commission _______________

Notary Public for _______ until __________

Roll of Attorneys No. __________________

PTR No. ______ [date issued], [place issued]

IBP No. ______ [date issued], [place issued]

Doc. No. _____

Page No. _____

Book No. _____

Series of _____