BASES CONVERSION and DEVELOPMENT AUTHORITY 2nd Floor Bonifacio Technology Center, Fort Bonifacio Taguig City Tel. Nos. 816-6666 local 140 Fax Nos. 816-1030 PRICE QUOTATION REQUEST (Company Name): DATE ______________________________ ______________________________ ______________________________ Please quote your lowest price(s) using this form, or your letterhead. Also, take note of the following details: 1) Quotation/s shall address to the Head of Procurement . Please indicate Solicitation or Reference No. 2) Send the said quotation/s to BCDA not later than 31 May; 9:00a.m. 3) Quotation/s submitted later than above date shall not be accepted/considered. 4) The quotation/proposal shall not be considered unless it is properly signed by the authorized representative and/or immediate supervisor. BCDA reserves the right to accept or reject any or all of the quotations ot waive formally therein, or to accept quotation/s as may be considered most advantageous to the govt or to pursue appropriate legal action should the winning bidder refuse to accept the award without justifiable reason/s. LEONOR M. RIVERA MARILOU C. LACSINA Canvasser Procurement Division Chief TO: BCDA HEAD OF PROCUREMENT Per request, below is/are the price(s) of the article(s)/service(s) as indicated under Unit Price: QTY UNIT Code RIS # DESCRIPTION/SPECIFICATIONS BRAND UNIT PRICE TOTAL Various Ink and Toner Cartridges, original 4 cartridge Ink, Brother LC-47BK, black, for Brother MFC 425CN 2 cartridge Ink, Brother LC-47C, cyan, for Brother MFC 425CN 2 cartridge Ink, Brother LC-47M, magenta, for Brother MFC 425CN 2 cartridge Ink, Brother LC-47Y, yellow, for Brother MFC 425CN 2 cartridge Ink, Brother LC-57BK, black, orig for Brother Fax 1360 5 cartridge Ink, Brother LC-67BK, black, orig for Brother MFC6490 3 cartridge Ink, Brother LC-67C, cyan, orig for Brother MFC6490 3 cartridge Ink, Brother LC-67M, magenta, orig for Brother MFC6490 3 cartridge Ink, Brother LC-67Y, yellow, orig for Brother MFC6490 2 cartridge Ink, Canon PG40, black, for orig Canon Fax Pixma 4 cartridge Ink, Epson T007, black, for Epson Stylus Photo 1290 4 cartridge Ink, Epson T009, color, for Epson Stylus Photo 1290 15 cartridge Ink, HP #96, black, orig for HP inkjet printer 7210 15 cartridge Ink, HP #97, tricolor, orig for HP inkjet printer 7210 3 cartridge Ink, HP C4836A, cyan,orig for HP2800 3 cartridge Ink, HP C4837A, magenta, orig for HP2800 3 cartridge Ink, HP C4838A, yellow, orig for HP2800 We hereby certify, that we have prepared, checked and reviewed this quotation. This quotation is valid unless revoked in writing which should be prior to our receipt of your Purchase Order or Job Order. _____________________________ Printed Name/Signature/DATE __________________________________ Immediate Supervisor _______________________ Telephone / Fax Number BASES CONVERSION and DEVELOPMENT AUTHORITY 2nd Floor Bonifacio Technology Center, Fort Bonifacio Taguig City Tel. Nos. 816-6666 local 140 Fax Nos. 816-1030 PRICE QUOTATION REQUEST (Company Name): DATE ______________________________ ______________________________ ______________________________ QTY UNIT 3 cartridge Ink, HP C4902A, black, orig for HP 8500 3 cartridge Ink, HP CB316WN, black, for HP Photo Smart C5380/D5460 3 cartridge Ink, HP CB317WN, photo, for HP Photo Smart C5380/D5460 3 cartridge Ink, HP CB318WN, cyan, for HP Photo Smart C5380/D5460 3 Code RIS # cartridge DESCRIPTION/SPECIFICATIONS BRAND UNIT PRICE TOTAL Ink, HP CB319WN, magenta, for HP Photo Smart C5380/D5460 3 cartridge Ink, HP CB320WN, yellow, for HP Photo Smart C5380/D5460 2 cartridge Ink, HP CC646AA, #901, tricolor for HP OJ J4660 2 cartridge Ink, HP CC653AA, #901, black, for HP OJ J4660 1 cartridge Toner, Brother TN240BK, Black, for Brother MFC9120CN 1 cartridge Toner, Epson SO51165, black for Epson Aculaser C2800 1 cartridge Toner, Epson SO51164, cyan for Epson Aculaser C2800 1 cartridge Toner, Epson SO51163, magenta for Epson Aculaser C2800 1 cartridge Toner, Epson SO51162, yellow for Epson Aculaser C2800 3 cartridge Toner, HP CC530A, Black, orig for HP CP2025 3 cartridge Toner, HP CC531A, Cyan, orig for HP CP2025 3 cartridge Toner, HP CC532A, Yellow, orig for HP CP2025 3 cartridge Toner, HP CC533A, Magenta, orig for HP CP2025 2 cartridge Toner, HP Q6470A, black, original for HP3600 4 cartridge Toner, Samsung ML1610D2, original, black 5 cartridge Toner, Samsung CLT-K409S, Black, for Samsung CLP315W 5 cartridge Toner, Samsung CLT-C409S, Cyan, for Samsung CLP315W 5 cartridge Toner, Samsung CLT-M409S, Magenta, for Samsung CLP315W 5 cartridge Toner, Samsung CLT-Y409S, Yellow, for Samsung CLP315W Terms and conditions: Price : Payment: inclusive of all applicable taxes NET Thirty (30) working days Delivery: please specify Validity of price : one month WARRANTY: Ink cartridge: at least nine (9) months expiry date from date of delivery, Toners: shld be 2011 manufacturing date, otherwise full replacement to a brand new item or if found remanufactured or not original We hereby certify, that we have prepared, checked and reviewed this quotation. This quotation is valid unless revoked in writing which should be prior to our receipt of your Purchase Order or Job Order. _____________________________ Printed Name/Signature/DATE __________________________________ Immediate Supervisor _______________________ Telephone / Fax Number
