For Goods Offered From Within the Philippines Name of Bidder: __________________________________ ITB Number ITB 15 - 0138 - 1 Price Schedule No. 1 "BIDDING PER ITEM" 1 2 3 4 5 Item No. Description Unit ABC Qty. Unit Price EXW per Item 6 7 8 9 10 Unit prices per Sales & Other Total Price Cost of Local Total Price taxes payable delivered final Item final Labor, Raw EXW per Item Destination per item if Material & (cols. 4 X 5) destination and unit of other (col. 8+ 9 Contract is Component incidental services X 4) awarded DT 49 Dump Truck, Isuzu FVR, SEU 846 (4-pc), DT 50 Dump Truck, Isuzu FVR, SEU 835 (4-pc), DT 51 Dump Truck, Isuzu FVR, SEU 845 (4-pc), DT 52 Dump Truck, HINO FF3HP,SEN 997 (4-pc), DT 53 Dump Truck, HINO FF3HP,SEN 986 (4-pc), DT 54 Dump Truck, HINO FF3HP,SEN 992 (4-pc), DT 55 Dump Truck, HINO FF3HP,SEN 993 (4-pc), DT 56 Dump Truck, Isuzu FVR, SHA 475 (4-pc), DT 57 Dump Truck, Isuzu FVR, SHA 485 (4-pc), DT 58 Dump Truck, Isuzu FVR, SHA 455 (4-pc), DT 59 Dump Truck, Isuzu FVR, SHA 465 (4-pc) 1 TIRE, with tube and flap 10x20x16 P.R., Lug Type 18,300.00 44 pcs DT 49 Dump Truck, Isuzu FVR, SEU 846 (2-pc), DT 50 Dump Truck, Isuzu FVR, SEU 835 (2-pc), DT 51 Dump Truck, Isuzu FVR, SEU 845 (2-pc), DT 52 Dump Truck, HINO FF3HP,SEN 997 (2-pc), DT 53 Dump Truck, HINO FF3HP,SEN 986 (2-pc), DT 54 Dump Truck, HINO FF3HP,SEN 992 (2-pc), DT 55 Dump Truck, HINO FF3HP,SEN 993 (2-pc), DT 56 Dump Truck, Isuzu FVR, SHA 475 (2-pc), DT 57 Dump Truck, Isuzu FVR, SHA 485 (2-pc), DT 58 Dump Truck, Isuzu FVR, SHA 455 (2-pc), DT 59 Dump Truck, Isuzu FVR, SHA 465 (2-pc) 2 TIRE, with Tube and Flap 10x20x16 P.R, Miler 17,200.00 22 pcs DT 60 Dump Truck, Isuzu FTS, SKB 528 (6-pc), DT 61 Dump Truck, Isuzu FTS, SKB 527 (6-pc), DT 62 Dump Truck, Isuzu FTS, SKB 536 (6-pc), DT 63 Dump Truck, Isuzu FTS, SKB 538 (6-pc), DT 64 Dump Truck, Isuzu FTS, SKJ 549 (6-pc) 3 TIRE, with tube and flap, 9.00x20x16 P.R, Lug Type 16,300.00 30 pcs DT 65 Dump Truck, HINO FG1J, SKE 738 (4-pc), DT 66 Dump Truck, HINO FG1J, SKE 718 (4-pc), DT 67 Dump Truck, HINO FG1J, SKE 708 (6-pc), DT 68 Dump Truck, HINO FG1J, SKE 728 (6-pc), DT 69 Dump Truck, HINO FG1J, SKE 748 (4-pc), PM 09 Prime Mover, Frieghtliner, Temp. Plate # 123007 (4-pc) 4 TIRE, Tubeless 11R 22.5x16 P.R, Lug Type 20,100.00 28 pcs DT 65 Dump Truck, HINO FG1J, SKE 738 (2-pc), DT 68 Dump Truck, HINO FG1J, SKE 728 (2-pc), DT 69 Dump Truck, HINO FG1J, SKE 748 (2-pc), PM 09 Prime Mover, Frieghtliner, Temp. Plate # 123007 (2-pc) 5 TIRE, Mix Tubeless 11R 22.5x16 P.R 18,700.00 8 pcs MG 25 Motor Grader, Mitsubishi MG 330 (6-pc), MG 26 Motor Grader, Mitsubishi MG 330 (6-pc), MG 27 Motor Grader, Mitsubishi MG 330 (6-pc), MG 28 Motor Grader, Mitsubishi MG 330 (6-pc), MG 29 Motor Grader, Mitsubishi MG 330 (6-pc) 43,500.00 30 pcs 50,000.00 2 pcs FL 18 Wheel Loader, Komatsu WA 180-3 59,000.00 8 TIRE, Tubeless, 18.4x24x12 P.R 4 pcs 6 TIRE, with tube and flap, 13x24x12 P.R SR 12 Steel Roller, HAMM 2520D 7 TIRE, Tubeless, 23.1x26x10 P.R LB 01 Low Bed Trailer, Plate # 12503-0 (8-pc), LB 02 Trailer 2, Plate # SUC 670 (8-pc) 9 TIRE, with tube and flap, 11.00x20x16 19,400.00 P.R, Miler BT 01 Boom Truck, Plate # 123004 16 pcs 10 TIRE, with tube and flap, 7.50x16x16 P.R, Lug Type 10,000.00 4 pcs 11 TIRE, with tube and flap, 7.50x16x14 P.R, Miler 8,900.00 2 pcs x-x-x Page 2.00 follows x-x-x Page 1 of 2 For Goods Offered From Within the Philippines Name of Bidder: __________________________________ ITB Number ITB 15 - 0138 - 1 Price Schedule No. 1 "BIDDING PER ITEM" 1 2 3 4 5 Item No. Description Unit ABC Qty. Unit Price EXW per Item 6 7 8 9 Unit prices per Sales & Other Total Price Cost of Local Total Price Item final taxes payable delivered final Labor, Raw EXW per Item Destination per item if Material & (cols. 4 X 5) destination and unit of other (col. 8+ 9 Contract is Component incidental services X 4) awarded 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 FOR STOCKING ONLY Delivery Period: 30 cal. days Note: For use of PEO-Equipment Pool Div. Source of Fund: PEO-8754-830-MOOE-15-10-2498 Approved Budget: P4,394,200.00 REQUIRED BID SECURITY: 1. Bid Securing Declaration. 2. 2% Cash or cashier's/manager's check issued by a Universal or Commercial Bank. P 87,884.00 3. 2% Bank draft/guarantee or irrevocable letter of credit issued by a Universal or Commercial Bank. P 87,884.00 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 219,710.00 5. Any combination of the foregoing. Proportionate to the share of form with respect to the total amount of security. Name and Signature of Bidder Prepared by: bac-jack; PR.No. 15 - 1540 Page 2 of 2 10