TESDA-OP-AS-04-F03

Rev. No. 00 – 03/01/17

Annex “A”
PRICE QUOTATION FORM
Date :

Sir/Madam :
After having carefully read and accepted the Terms and Conditions in the Request for Quotation, hereunder is our quotation/s for the item/s
as follows:
APPROVED
BUDGET FOR THE OFFER
CONTRACT
Item
ITEM DESCRIPTION QTY. UNIT Compliance with the
No. (in Peso) Technical Specifications REMARKS
(please check)
YES NO (Price/Others)
AC Terminal block surface type 10 pcs
1 [ ] [ ]
mounted, 12 pole (250VAC, 10A)
2 Arborless hole saw, 22mm dia. 1 pcs [ ] [ ]
Balun AC/DC CCTV plug Adapter 10 pcs
3 [ ] [ ]
12v/5A, screw type
4 Battery solution 6 btls [ ] [ ]
BNC CCTV Cable connector, screw type 10 pcs
5 [ ] [ ]
CCTV Camera Z-D V800C (Vandal proof 2 sets
dy and night view indoor camera) [ ] [ ]
6
Ceiling lamp receptacle, 4x4", Flush type 10 pcs
7 [ ] [ ]
Convenience outlet surface type no 10 sets
8 [ ] [ ]
tandem ground, Eagle/Kopez/Anam
Convenience outlet surface type, 5 pcs
9 [ ] [ ]
Eagle/Kopez/Anam
Coupon bond paper, 8.5x11, Substance 2 reams
10 [ ] [ ]
20 (Short)
11 Coupon bond paper, Subs. 20, 8.5x13 2 reams [ ] [ ]
12 Coupon bond paper, Subs. 20, A4 3 reams [ ] [ ]
Dry cell battery, Size AA, 1.5 V, heavy 10 pcs
13 [ ] [ ]
duty
14 Single pole switch (S1), Flush type 10 sets [ ] [ ]
Duplex Single pole switch (S2), Flush 10 sets
15 [ ] [ ]
type
Triplex Single pole switch (S3), Flush 10 sets
16 [ ] [ ]
type
17 Three-way switch, flush type 12 sets [ ] [ ]
Dry wall screw, black positive head, 2 pack
18 [ ] [ ]
1,1/4"x7mm @ 144pcs/pack
Dry wall screw, black positive head, 4 pack
19 [ ] [ ]
3/4"x7mm @ 144pcs/pack
20 Electrical tape, big 5 rolls [ ] [ ]
21 EMT Conduit stright connector, set screw type10 pcs [ ] [ ]
22 EMT conduit, 1/2" diameter, thick wall 26 pcs [ ] [ ]
EMT connector, 1/2" diameter, with 10 pcs
23 [ ] [ ]
locknut & bushing
Flexible PVC Conduit connector, 1 box
24 [ ] [ ]
Polyflex, 1/2" dia.@50pcs/box
Flexible PVC Conduit, 1/2" dia.@ 1 rolls
25 [ ] [ ]
100trs/roll
26 Hacksaw blade, 24Teeth/Inch 5 pcs [ ] [ ]
27 Heat detector, 24v 2 sets [ ] [ ]
28 Insulated Staple, No. 1 Heavy Duty 1 box [ ] [ ]
LED Fluorescent lamp, 40" @ T8, 28 5 set
29 [ ] [ ]
watts
30 Dimmer switch 3 set [ ] [ ]
 Ground fault circuit interrupter (GFCI) 2 set
31 [ ] [ ]
outlet
Manual call Point (Fire alarm Push button 1 sets
32 [ ] [ ]
switch)
33 Mop handle with head 2 set [ ] [ ]
Natural floor wax, 2 kgs/can, Colorless 2 cans
34 [ ] [ ]
35 Panel board 4 holes single phase 7 pcs [ ] [ ]
PIR (Passive Infra Red) Motion detector 1 sets
36 [ ] [ ]
Switch, 220vAC (3-wire)
37 Pull-push rule, 3M, HD 10 pcs [ ] [ ]
PVC adaptor, 1/2" diameter, Ecodex @ 1 box
38 [ ] [ ]
50pcs/box
39 PVC Junction box, 2"x4"x4", Poly 15 pcs [ ] [ ]
40 PVC raceway, heavy duty 10 pcs [ ] [ ]
41 PVC Conduit, 1/2" dia. Thick wall 26 pcs [ ] [ ]
PVC trunking/duct 40x40x2000mm, white 20 pcs
42 [ ] [ ]
(solid no slot)
43 RSC conduit, 1/2" diameter 26 pcs [ ] [ ]
Self tapping screw, black positive head, 2 gross
44 [ ] [ ]
1,1/4"x7mm
Self tapping screw, black positive head, 5 gross
45 [ ] [ ]
3/4"x7mm
46 Service entrance cap, 1/2" dia. 15 pcs [ ] [ ]
Sign pen EnerGel Pentel .5mm ball 4 pcs
47 [ ] [ ]
needle point Red and Blue
Sign pen Pilot Hi-Tecpoint, V5 black, red 3 pcs
48 [ ] [ ]
and blue, 1 each color
49 Soft broom (walis tambo) 1 pcs [ ] [ ]
TW copper wire #14 AWG, solid, green 2 rolls
50 [ ] [ ]
TW copper wire 2.0 mm2, stranded, 2 rolls
white, red [ ] [ ]
51
52 Plywood 3/4"x4'x8', Marine 12 pcs [ ] [ ]
TW copper wire 3.5 mm2, stranded, 3 rolls
[ ] [ ]
53 yellow, blue, red
54 Utility box, 2"x2"x4" Metal, HD 10 pcs [ ] [ ]
55 Utility box, 2"x2"x4" PVC 10 pcs [ ] [ ]
56 Utility knife cutter, big blade 10 pcs [ ] [ ]
57 Test lamp, 80-260v 4 pcss [ ] [ ]
58 Fire Alarm Siren and Strobe, 24v DC 1 set [ ] [ ]
AC 220V Red Metal Motor Driven Air 1 set
[ ] [ ]
59 Raid Siren Horn Alarm

Name of Business/Company

Signature over Printed Name

Office Telephone/Fax No.

Mobile No.

Email address