DISBURSEMENT VOUCHER DV. No.
: ____________________________
Date: ________________________________
Barangay: BUNGRO City/ Municipality: CABUGAO
Tel. No. _______________ Province: ILOCOS SUR
Payee/ Office: ESS SUPPLIES
ENTERPRISES Employee No. _______ Fund: MOOE
Address: Cabugao, Ilocos Sur Tin No: ____________
AMOUNT
To payment of Office Supplies as per supporting documents here to attached: Php. 4, 000.00
1% - 40.00 - 160.00
3%- 120.00 3, 840.00
A. Certified: B. Certified C. Certified
Existence of available Funds (Cash) Available As to validity and legality of claim
appropriation for the charges/ Approved:
expenses indicated above For payment
Signature: ___________________ Signature: ___________________ Signature: ________________
Printed Name: REYDANTE S. SARINAS Printed Name: APRIL JOY S. HIDALGO Printed Name: FERMIN S. SARINAS
Position: Chairman, Committee on Position: Barangay Treasurer Position: Punong Barangay
Appropriation Date: _______________________ Date: ___________________
Date: __________________________
D. Received Payment:
Check No:
____________________________ Bank Name: Land Bank of the Philippines, Vigan City
Signature Over Printed Name O.R. Number: _____________________
Date: _______________ , 2018
PURCHASE ORDER
Barangay: BUNGRO City/Municipality: CABUGAO
Tel. No.: ___________________________ Province: ILOCOS SUR
Supplier: ESS SUPPLIES ENTERPRISES P.O.: ____________________________________
Address: Cabugao, Ilocos Sur Date: ____________________________________
TIN: 402-963-471-000 Mode of Procurement:
Bidding Negotiated Over the Counter
Gentlemen:
Please deliver to this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery: ______________________________ Delivery Term: ________________________
Date of Delivery: _______________________________ Payment Term: ________________________
Unit Particulars Quantity Unit Cost Amount
Pieces My Gel Black 4 45.00 180.00
Pieces Pencil Mongol (Big) 8 10.00 80.00
Pieces G-Tech Sign Pen 5 65.00 325.00
Ream Book Paper Substance 20 (Long) 3 240.00 720.00
Ream Book Paper Substance 20 (Short) 2 235.00 940.00
Pieces Record Book 200 Pages 5 58.00 290.00
Pieces Record Book 300 Pages 3 70.00 210.00
Pieces Panda Ballpen (Black) 30 6.00 180.00
Pieces Folder Long 45 7.00 315.00
Pad Yellow Paper 3 25.00 75.00
Pieces Liquid Erases 3 38.00 114.00
Pieces Ink 5 95.00 475.00
Box Fastener 2 48.00 96.00
(Total Amount in Words) FOUR THOUSAND PESOS ONLY 4, 000.00
In case of failure to make the full delivery within the specified above, a penalty of one-tenth (1/10) of one percent for everyday
of delay shall imposed.
Very truly yours,
_________________________________________
Signature Over Printed Name
Punong Barangay
Conforme: Existence of Available of Appropriation of :
____________________________________ ____________________________________
Signature Over Printed Name Signature Over Printed Name
Supplier
_____________________________________ _____________________________________
Date Date
PURCHASE REQUEST
Barangay: BUNGRO P.R. No.: ________________________
City/Municipality: CABUGAO Date: ___________________________
REQUISITION
Item No. Quantity Unit of Item Description Estimated Estimated
Measurement Unit Cost Amount
1. 4 Pieces My Gel Black 45.00 180.00
2. 8 Pieces Pencil Mongol (Big) 10.00 80.00
3. 5 Pieces G-Tech Sign Pen 65.00 325.00
4. 3 Ream Book Paper Substance 20 (Long) 240.00 720.00
5. 2 Ream Book Paper Substance 20 (Short) 235.00 940.00
6. 5 Pieces Record Book 200 Pages 58.00 290.00
7. 3 Pieces Record Book 300 Pages 70.00 210.00
8. 30 Pieces Panda Ballpen (Black) 6.00 180.00
9. 45 Pieces Folder Long 7.00 315.00
10. 3 Pad Yellow Paper 25.00 75.00
11. 3 Pieces Liquid Erases 38.00 114.00
12. 5 Pieces Ink 95.00 475.00
13. 2 Box Fastener 48.00 96.00
Total Estimated PHP 4, 000.00
Purpose:
OFFICE SUPPLIES
Requested by: Approved:
___________________________________ ___________________________________
Signature Over Printed Name Signature Over Printed Name
Requisitioner Punong Barangay
__________________________________ ____________________________________
Date Date
Local Government Unit
Cabugao, Ilocos Sur
Standard Form No. SF-GOOD-60
Revised on: May 24, 2008
Standard Form Title: REQUEST FOR QUOTATION Date: ____________________
Please quote your lowest price on the item/s listed below, subject to the General Conditions on
this page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than in the return envelope attached herewith.
APRIL JOY S. HIDALGO
Procurement Officer
Note: 1. All entries must be typewritten.
2. Delivery period within 3 calendar days.
3. Warranty shall be for a period of six (6) months for supplies and material one (1) years for
equipment, from date of acceptance the procuring entity.
4. PHILGEPS Registration Certificate shall be attached upon submission of the Quotation.
Item No. Description Quantity Unit Cost Amount
1. My Gel Black 4 Pieces 45.00 180.00
2. Pencil Mongol (Big) 8 Pieces 10.00 80.00
3. G-Tech Sign Pen 5 Pieces 65.00 325.00
4. Book Paper Substance 20 (Long) 3 Ream 240.00 720.00
5. Book Paper Substance 20 (Short) 4 Ream 235.00 940.00
6. Record Book 200 Pages 5 Pieces 58.00 290.00
7. Record Book 300 Pages 3 Pieces 70.00 210.00
8. Panda Ballpen (Black) 30 Pieces 6.00 180.00
9. Folder Long 45 Pieces 7.00 315.00
10. Yellow Paper 3 Pad 25.00 75.00
11. Liquid Erases 3 Pieces 38.00 114.00
12. Ink 5 Pieces 95.00 475.00
13. Fastener 2 Boxes 48.00 96.00
Php 4, 000.00
After having carefully read and accepted your General Conditions. I/We quote you on item at
prices noted above.
Printed Name/ Signature
Date
Local Government Unit
Cabugao, Ilocos Sur
Standard Form No. SF-GOOD-60
Revised on: May 24, 2008
Standard Form Title: REQUEST FOR QUOTATION Date: ____________________
Please quote your lowest price on the item/s listed below, subject to the General Conditions on
this page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than in the return envelope attached herewith.
APRIL JOY S. HIDALGO
Procurement Officer
Note: 1. All entries must be typewritten.
2. Delivery period within 3 calendar days.
3. Warranty shall be for a period of six (6) months for supplies and material one (1) years for
equipment, from date of acceptance the procuring entity.
4. PHILGEPS Registration Certificate shall be attached upon submission of the Quotation.
Item No. Description Quantity Unit Cost Amount
1. My Gel Black 4 Pieces 50.00 200.00
2. Pencil Mongol (Big) 8 Pieces 10.00 80.00
3. G-Tech Sign Pen 5 Pieces 70.00 350.00
4. Book Paper Substance 20 (Long) 3 Ream 243.00 729.00
5. Book Paper Substance 20 (Short) 4 Ream 237.00 948.00
6. Record Book 200 Pages 5 Pieces 60.00 300.00
7. Record Book 300 Pages 3 Pieces 70.00 210.00
8. Panda Ballpen (Black) 30 Pieces 8.00 240.00
9. Folder Long 45 Pieces 7.00 315.00
10. Yellow Paper 3 Pad 25.00 75.00
11. Liquid Erases 3 Pieces 40.00 120.00
12. Ink 5 Pieces 95.00 475.00
13. Fastener 2 Boxes 50.00 100.00
Php 4, 142.00
After having carefully read and accepted your General Conditions. I/We quote you on item at
prices noted above.
Printed Name/ Signature
Date
Local Government Unit
Cabugao, Ilocos Sur
Standard Form No. SF-GOOD-60
Revised on: May 24, 2008
Standard Form Title: REQUEST FOR QUOTATION Date: ____________________
Please quote your lowest price on the item/s listed below, subject to the General Conditions on
this page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than in the return envelope attached herewith.
APRIL JOY S. HIDALGO
Procurement Officer
Note: 1. All entries must be typewritten.
2. Delivery period within 3 calendar days.
3. Warranty shall be for a period of six (6) months for supplies and material one (1) years for
equipment, from date of acceptance the procuring entity.
4. PHILGEPS Registration Certificate shall be attached upon submission of the Quotation.
Item No. Description Quantity Unit Cost Amount
1. My Gel Black 4 Pieces 60.00 240.00
2. Pencil Mongol (Big) 8 Pieces 10.00 80.00
3. G-Tech Sign Pen 5 Pieces 75.00 375.00
4. Book Paper Substance 20 (Long) 3 Ream 245.00 735.00
5. Book Paper Substance 20 (Short) 4 Ream 240.00 960.00
6. Record Book 200 Pages 5 Pieces 65.00 325.00
7. Record Book 300 Pages 3 Pieces 70.00 210.00
8. Panda Ballpen (Black) 30 Pieces 8.00 240.00
9. Folder Long 45 Pieces 10.00 450.00
10. Yellow Paper 3 Pad 30.00 90.00
11. Liquid Erases 3 Pieces 40.00 120.00
12. Ink 5 Pieces 95.00 475.00
13. Fastener 2 Boxes 55.00 110.00
Php 4, 410.00
After having carefully read and accepted your General Conditions. I/We quote you on item at
prices noted above.
Printed Name/ Signature
Date
Republic of the Philippines
MUNICIPALITY OF CABUGAO
PROVINCE OF ILOCOS SUR
PROGRAM OF WORK
Name of Project: REHABILITATION OF FARM TO MARKET ROAD (RIPRAPPING)
Location of Project: Bungro, Cabugao, Ilocos Sur
Source of Fund: 20% Development Fund
Quantity Unit Particulars Unit Price Total Price
200 Pieces CHB5 12.00 2, 400.00
15 Bags Cement 260.00 3, 900.00
10 Pieces 10mm 165.00 1, 650.00
9 Pieces 9mm 100.00 900.00
2 Loads Mixed Sand 1, 800.00 3, 600.00
2 Pieces Lisso 400.00 800.00
2 Bags Cement 260.00 520.00
2 Pieces 9mm 100.00 200.00
¼ Kilogram Wire #16 30.00 30.00
Estimated Cost Materials ____________________________Php __________________ 14, 000.00
Labor ____________________________________________Php _________________ 6, 000.00
Total Cost of the Price ______________________________ Php _________________ 20, 000.00
Prepared by: Approved by:
JOMMEL S. VELASCO FERMIN S. SARINAS
Chairman, Comm. On Infrastructure Barangay Captain
Republic of the Philippines
Municipality of Cabugao
Province of Ilocos Sur
Standard Form.: SF-INFR-56
Revised on May 24, 2004
Project Name: PURCHASE OF OFFICE SUPPLIES
Project Location: Bungro, Cabugao, Ilocos Sur
Implementing Office: PB
Source of Fund: MOOE
Name of Suppliers ESS SUPPLIES ENTERPRISES REIHAN GENERAL MERCHANDISE ETHEL SCHOOL SUPPLIES
Total Amount of Bid P 4, 000.00 4, 142.00 4, 410.00
Method of Procurement AWARD WINNING BIDDER
Remarks
JOMMEL VELASCO FRANKLIN SONIDO DICK SONIDO
BAC – Chairman Vice Chairman Member
REYDANTE SARINAS GERALD AGSALOG REMA AGSALOG
Member Member Head BAC Secretariat
INVENTORY CUSTODIAN SLIP
Barangay: BUNGRO City/Municipality: CABUGAO ICS No.: _____________
Tel. No.: ____________________ Province: ILOCOS SUR
Quantity Unit Description Amount
4 Pieces My Gel Black 180.00
8 Pieces Pencil Mongol (Big) 80.00
5 Pieces G-Tech Sign Pen 325.00
3 Ream Book Paper Substance 20 (Long) 720.00
2 Ream Book Paper Substance 20 (Short) 940.00
5 Pieces Record Book 200 Pages 290.00
3 Pieces Record Book 300 Pages 210.00
30 Pieces Panda Ballpen (Black) 180.00
45 Pieces Folder Long 315.00
3 Pad Yellow Paper 75.00
3 Pieces Liquid Erases 114.00
5 Pieces Ink 475.00
2 Box Fastener 96.00
Received by: Issued by:
_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name
_____________________________________ _____________________________________
Position Position
_____________________________________ _____________________________________
Date Date
REQUISITION AND ISSUE SLIP
Barangay: BUNGRO City/Municipality: CABUGAO RIS. No.: _______________
Tel. No.: _________________________ Province: ILOCOS SUR Date: __________________
REQUISITION ISSUANCE
UNIT PARTICULARS QUANTITY QTY REMARKS
Pieces My Gel Black 4
Pieces Pencil Mongol (Big) 8
Pieces G-Tech Sign Pen 5
Ream Book Paper Substance 20 3
(Long)
Ream Book Paper Substance 20 2
(Short)
Pieces Record Book 200 Pages 5
Pieces Record Book 300 Pages 3
Pieces Panda Ballpen (Black) 30
Pieces Folder Long 45
Pad Yellow Paper 3
Pieces Liquid Erases 3
Pieces Ink 5
Box Fastener 2
Purpose:
PURCHASE OF OFFICE SUPPLIES
Signature: A. Requested by: B. Approved for issuance: C. Received by: D. Issued by:
Printed ___________________ ___________________ ___________________ ___________________
Name; REYDANTE SARINAS FERMIN SARINAS REYDANTE SARINAS APRIL JOY S. HIDALGO
Designation: Requisitioner Requisitioner Recipient Barangay Treasurer
Date:
INSPECTION AND ACCEPTANCE REPORT
Barangay: BUNGRO
Tel. No.:
Supplier: ESS SUPPLIES ENTERPRISES Invoice No.: ___________ IAR No.: ___________ RIS No.: ___________
PO No.: ________________________________Date: _________________ Date: ______________ Date: _____________
Unit Description Quantity
Pieces My Gel Black 4
Pieces Pencil Mongol (Big) 8
Pieces G-Tech Sign Pen 5
Ream Book Paper Substance 20 (Long) 3
Ream Book Paper Substance 20 (Short) 2
Pieces Record Book 200 Pages 5
Pieces Record Book 300 Pages 3
Pieces Panda Ballpen (Black) 30
Pieces Folder Long 45
Pad Yellow Paper 3
Pieces Liquid Erases 3
Pieces Ink 5
Box Fastener 2
INSPECTION ACCEPTANCE
Date Inspected: _____________________________ Date Received: _____________________________
Inspected, certified as to quantity and specifications
Partial (Pls. Specify quantity received)
_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name
Authorized Inspector Authorized Inspector
Republic of the Philippines
Municipality of Cabugao
Ilocos Sur
BARANGAY BUNGRO
BIDS AND AWARDS COMMITTEE
Resolution No. 01
Series of 2019
Resolution recommending of Negotiated Procurement as an Alternative Method for the
Procurement of PURCHASE OF OFFICE SUPPLIES
WHEREAS, R.A. 9184 otherwise known as the Government Procurement Reform Act
prescribes the necessary rules and regulation for the modernization, standardization and regulation of the
procurement activities of the government;
WHEREAS, the Government Procurement Policy Board (GPPB) under Section 63 of R.A. 9184,
is mandated to formulate and amend public procurement policies, rules and regulations, and amend
whenever necessary the implementing rules and regulations of R.A. 9184;
WHEREAS, one of the amendments under the IRR is the increase in the threshold for shopping
under Section 52 and Small Value Procurement under Section 53. of the IRR;
WHEREAS, the conduct of negotiated procurement for this type of procurement is in
conformance with the provisions set forth under the said law;
RESOLVED AS IT IS HEREBY RESOLVED to recommend negotiated procurement for the
given procurement;
RESOLVED FURTHER AND FINALLY, that copy of this resolution be forwarded to all
offices and persons concerned for their information and appropriate action.
Unanimously approved this day of , 2018.
RECOMMENDING APPROVAL:
FRANKLIN SONIDO DICK SONIDO REYDANTE SARINAS
Member Member Member
GERALD AGSALOG ELAINE SUMAGIT
Member Member
JOMMEL S. VELASCO
BAC Chairman
ATTESTED BY: APPROVED:
REMA AGSALOG FERMIN S. SARINAS
Head BAC Secretariat Punong Barangay
Republic of the Philippines
Province of Ilocos Sur
Municipality of Cabugao
BARANGAY BUNGRO
OFFICE OF THE BIDS AND AWARDS COMMITTEE SECRETARIAT
CERTIFICATION
This is to certify that the procurement of PURCHASE OF OFFICE SUPPLIES is include in
our Annual Procurement Plan. The winning supplier/ contractor is registered with the Philippines
Government Electronic Procurement System, thus he/she is qualified to transact business with us.
This certification is issued for whatever purpose it may serve.
Issued this day of , 2018.
REMA AGSALOG
BAC Secretary
Republic of the Philippines
Province of Ilocos Sur
Municipality of Cabugao
BARANGAY BUNGRO
EXCERPTS FROM THE MINUTES OF THE REGULAR SESSION OF THE SANGGUNIANG
BARANGAY OF BARANGAY BUNGRO, CABUGAO, ILOCOS SUR HELD ON JANUARY 21,
2018 AT 2:00 IN THE AFTERNOON HELD AT BARANGAY HALL.
PRESENT:
FERMIN SARINAS Punong Barangay
LILY ALBAJESO Barangay Kagawad
JAY-R ZABALA Barangay Kagawad
DICK SONIDO Barangay Kagawad
TONNET CRUZ Barangay Kagawad
ABSENT: NONE
ALSO PRESENT:
REMA AGSALOG Barangay Secretary
APRIL JPY S. HIDALGO Barangay Treasurer
RESOLUTION NO.
Series of 2018
RESOLUTION UTILIZING THE CONTINUING APPROPRIATION OF THE SK FUNDS IN
THE AMOUNT OF PHP. 141, 315.94 FOR THE IMPROVEMENT OF BASKETBALLCOURT/
MULTI-PURPOSE PAVEMENT; PHP. 68, 232.00 FOR THE FABRICATION OF BLEACHERS
AND PHP. 65,162.00 FOR THE REHABILITATION OF COVERED MULTI-PURPOSE
BUILDING.
WHEREAS, there is a saving from the SK Funds in the amount of PHP. 141, 315.94;
WHEREAS, the Sangguniang Barangay of Bungro decided to utilized the said savings for
fabrication of bleachers and rehabilitation of covered multi-purpose building;
THEREFORE, the Continuing Appropriation of SK Fund in the amount of PHP. 141, 315.94
will utilized for the fabrication of bleachers in the amount of Php. 68, 232.00 and rehabilitation of covered
multi-purpose building in the amount of 65, 162.00;
NOW THEREFORE, on motion of Kagawad Jommel Velasco duly seconded by the body be it;
RESOLVED AS IT IS HEREBY RESOLVED, to utilize the Continuing Appropriation of SK
Funds in the amount of PHP. 141, 315.94 for the fabrication of bleachers in the amount of Php. 68,
232.00 and rehabilitation of covered multi-purpose building in the amount of 65, 162.00;
RESOLVED FINALLY, that this resolution be provided to all concerned agencies for their
information, reference and appropriate action.
CERTIFIED CORRECT:
FERMIN S. SARINAS
Punong Barangay
ATTESTED BY:
REMA AGSALOG
Barangay Secretary
CONCURRED:
LILY ALBAJESO JOMMEL VELASCO
Barangay Kagawad Barangay Kagawad
DICK SONIDO JAY-R ZABALA
Barangay Kagawad Barangay Kagawad
TONETTE CRUZ
Barangay Kagawad
