Form PRO-06
Version 1.3
OFFER FORM ACTED PHILIPPINES
Date:
Tender N°:
FA/75/STATIONERIES/TAC/26-11-2015/001
To be Filled by Bidder (COMPULSORY)
Details of Bidding Company:
1. Company Name:
(
)
2. Company Authorized Representative Name: (
)
3. Company Registration No:
)
(
No/Country/ Ministry
4. Company Specialization:
(
)
5. Mailing Address:
(
)
Country/Governorate./City/St name/Shop-Office No
a.
Contact Numbers:
(Land Line:
b.
E-mail Address:
(
/ Mobile No:
)
)
I undersigned ___________________________, agree to provide ACTED, non-profit NGO, with items answering the following specifications, according to the general conditions and
responsibilities that I engage myself to follow.
1
Form PRO-06
Version 1.3
PLEASE FILL IN THE FOLLOWING TABLES, ONE FOR EACH BATCH, EACH BATCH CORRESPONDING TO REPAIRS AND MAINTENANCE:
Office supplies
Item #
Item
Specification
Supplier’s
specification (if
different)
Brand
Name
Quantity
batteries - AA/AAA
2
batteries
pack
1
Call Off Basis
within 1 year
2.5 “ Binder Clips / Rugby clips
Pack of
12
1
Call Off Basis
within 1 year
1
batteries
2
Binder Clips /
Rugby clips
3
Binder Clips / rugby
clips
2” Binder Clips / rugby clips
Pack of
12
1
4
Binder Clips /
Rugby clips
1” Binder Clips / Rugby clips
Pack of
12
1
5
CD sleeves
CD sleeves
Pack of
100
1
6
Dividers for files
A4 Dividers for files
Pack of
20
1
7
Envelope
A2 Envelope
Pack of
100
1
8
Eraser
4 cm Eraser
Pc
1
9
Glue
Glue (140g)
Pc
1
10
Highlighters
Highlighters; any color
Pc
1
11
Ink for stamps
Ink for stamps (dark blue, red, black)
pc
1
12
L File
A4 L File
pc
1
INCOTERMS
Delivery
deadline
Unit
DDP to
ACTED
Tacloban
Office and
ACTED
Guiuan
Office
Unit price
PHP
Total price
PHP
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
2
Form PRO-06
Version 1.3
13
Lamination sleeves
A4 Lamination sleeves
pc
1
14
Lever arch Files
A4 Lever arch Files (2 holes)
Pack of
50
1
15
Whiteboard
erasers
Whiteboard erasers
pc
1
16
Notebook
A4 Notebook
Pc
1
17
Notebook
A5 Notebook
pc
1
18
Paper clip
removers
Paper clip removers
pc
1
19
Paper Clips
3 cm Paper Clips
Pc
1
20
Paper Clips
5 cm Paper Clips
Pack of
100
1
21
Paper cutter
A4 Paper cutter
Pack of
100
1
22
Paper cutter
A3 Paper cutter
Pc
1
23
Paper trays
Paper trays (3 trays)
Pc
1
24
Pen
Pen (ordinary)
Pc
1
25
Pencil
Pencil
Box of
25
1
26
Pencil sharpener
Pencil sharpener
Box of 12
1
27
Permanent
markers
Thick Permanent markers
pc
1
28
Permanent
markers
Thin Permanent markers
Box of 12
1
DDP to
ACTED
Tacloban
Office and
ACTED
Guiuan
Office
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
3
Form PRO-06
Version 1.3
29
Plastic sleeves
(paper protectors)
/ Clear Sheets
30
A4 Plastic sleeves (paper protectors) / Clear
Sheets
Box of 12
1
Pens Holder
Pens Holder
Pack of
10
1
31
Sticky Note
Sticky Note
Pc
1
32
hole Puncher
2 hole Puncher
pack of
12
1
33
Push pins
Push pins
Pc
1
34
batteries
Rechargeable batteries+ charger
Box of
100
1
35
CDs
Recordable CDs (750Mb)
2 battery
set
1
Recordable DVDs (4.7Gb)
Box of
100
1
Retractable blades for cutting paper (1cm
x10 cm)
Box of
100
1
rubber bands (Thick type)
Box of 10
1
30 cm Ruler
Bag of
200
1
36
DVDs
37
Retractable blades
for cutting paper
38
rubber bands
39
Ruler
40
Scissors
20 cm Scissors
Pc
1
41
Scissors
25 cm Scissors
Pc
1
42
Stapler
B5 Stapler
Pc
1
43
Staples
45/3 Staples
Pc
1
44
Staples
24/6 Staples
Pack of
1000
1
DDP to
ACTED
Tacloban
Office and
ACTED
Guiuan
Office
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
4
Form PRO-06
Version 1.3
23/10 Staples
Pack of
1000
1
Tape
Small Tape - for office use / 1” size
Pack of
1000
1
47
Tape
Large Tape - for packing
Pack of 8
1
48
Tape dispenser
Tape dispenser - for scotch tape
Pc
1
49
U File
A4 U File
Pc
1
50
White board
markers
White board markers
Pc
1
51
White out
Correctors
White out Correctors
Pack of
12
1
52
Cardboard Archive
Boxes
Box of 12
1
Pc
1
Box of 25
1
A4 Photocopier Paper 80GSM
Pack of
500
1
A4 Colored Paper
Pack of
500
1
Stamp Pad
Pack of
500
1
A4 Lever arch Files (3 holes)
pc
1
Binder Separator ; assorted color
pc
1
Plastic Folders (Long)
Set
1
45
Staples
46
53
54
Hanging Folders
Photocopier Paper
55
Photocopier Paper
56
Colored Paper
57
Stamp Pad
58
Lever arch Files
59
Binder Separator
60
Plastic Folders
Cardboard Archive Boxes
Hanging Folders (40cm length)
A3 Photocopier Paper 80GSM
DDP to
ACTED
Tacloban
Office and
ACTED
Guiuan
Office
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
5
Form PRO-06
Version 1.3
61
Plastic Folders
62
Plastic Folders (Short)
pc
1
Sign Pen
Blue Sign Pen
pc
1
63
Sign Pen
Black Sign Pen
Box of 12
1
64
Puncher
3 hole Puncher
Box of 12
1
65
Staples
26/6 Staples
Pc
1
66
Tape
Small Tape - for office use / 1.5” size
Pack of
1000
1
67
Plastic Envelop
Expanding Plastic Envelop
Pack of 8
1
68
Plastic Envelop
Clear Plastic Envelop
pc
1
69
Clip Boards
Clip Boards (A4)
pc
1
70
Brown Envelop
Short Brown Envelop
pc
1
71
Manila Paper
1 whole Manila Paper
Box of
100
1
72
Envelop
Pay Envelop
pc
1
73
Cartolina
1 whole assorted colour Cartolina
Box of
450 /
500
1
74
Document
Box/Holder
Document Box/Holder
pc
1
75
acetate
acetate
pc
1
76
Glue Gun
Glue Gun (big)
meter
1
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
6
Form PRO-06
Version 1.3
77
Glue Stick
78
Glue Stick (big)
pc
1
Meter Stick
Wooden Meter Stick
pc
1
79
Photo Paper
A4 Photo Paper
pc
1
80
Sticker Paper
A4 Sticker Paper
Pack of
10 / 25
1
81
paper
Carbon paper
Pack of
10 / 25
1
82
Frames
Frames (for certificates)
Pack of
100
sheets
1
83
Frame Holder
Frame Holder
pc
1
84
Magnifying Glass
Magnifying Glass
pc
1
85
Cork Board
2x2 Cork Board
pc
1
86
Cork Board
2x3 Cork Board
pc
1
87
Cork Board
2x4 Cork Board
pc
1
88
Cork Board
3x3 Cork Board
pc
1
89
Cork Board
4x3 Cork Board
pc
1
90
White Board
2x2 White Board
pc
1
91
White Board
2x4 White Board
pc
1
92
White Board
3x3 White Board
pc
1
DDP to
ACTED
Tacloban
Office and
ACTED
Guiuan
Office
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
Call Off Basis
within 1 year
7
Form PRO-06
Version 1.3
93
White Board
4x8 White Board
pc
1
Call Off Basis
within 1 year
BIDDER’S COMMENTS/REMARKS:
1.
2.
Estimated delivery cost:
Batches No.
1
Destination
Guaranteed
delivery time
Total Transportation cost (PHP)
ACTED Office in Tacloban City and Guiuan Eastern Samar, Philippines
BIDDER’S TERMS AND CONDITIONS:
1. Validity of the offer: _______________________ (recommended: 6 months or more)
2. Terms of delivery:
_______________________
3. Terms of payment:
_______________________
Name of Bidder’s Authorized Representative: ________________________
Authorized signature and stamp:
Date:
________________________
________________________
8