ANNUAL PROCUR

For Common-Use

INSTRUCTIONS IN FILLING OUT THE ANNUAL PROCUREMENT PLAN (APP) FORM:

1. Indicate the School/Divisions monthly requirement per item in the APP form. The form will autom
1. APPs are considered incorrect if: a) form used is other than the prescribed format and; b) correc
in Portion A of the APP. The District/School/Division will be informed through e-mail if the submi
2. For Other Items not available from the Procurement Service but regularly purchased from other so
purchase of the item/s. These items will be evaluated by the Procurement Service and may be cons
virtual store as soon as it is procured and made available by the Procurement Service.
3. The accomplished HARD COPY of the APP-CSE shall be submitted in the following manner:
a. SUPPLY SECTION - MAYALENE DE LA RITA -SGOD,OSDS, CID B. CID-JOSHUA ALBI
4. The accomplished SOFT COPY of the APP-CSE shall be submitted to the following email addressess
a. For elementary Schools kindly get the email address of your district property cus
b. [email protected] - Consolidated APP by District
c. [email protected] - CID, SGOD and OSDS
d. [email protected] & [email protected] For primary and empo
6. Rename your APP file in the following format: APP-CSE-2017- Name of Agency(School/District/Divis
7. For further assistance/clarification, you may call 085 3410022 - local 101 or 203.
8. Please delete this instruction and hide spreadsheets without data before printing of you

Department/Bureau/Office: DEPARTMENT OF EDUCATION/MAHAY ISS/SOUTHEAST II/BUTUAN CITY

Region: APP-CSE-2018-OSDS-REGION XIII
Address: P-14 BRGY. MAHAY, BUTUAN CITY

Unit of
Item & Specifications Measure Jan Feb March Q1 April

A. AVAILABLE AT PROCUREMENT SERVICE STORES

COMMON ELECTRICAL SUPPLIES
1 BATTERY, size AA, alkaline, 2 pieces per blister pack pack 0 2
2 BATTERY, size AAA, alkaline, 2 pieces per blister pack pack 0 2
7 TAPE, electrical roll 0 3
COMMON OFFICE SUPPLIES
3 ALCOHOL, 70%, ethyl, 500ml bottle 8 8 8 24 8
6 CARTOLINA, assorted color, 20 pieces per pack pack 3 3 3 9
8 CLEARBOOK, A4 size piece 0
9 CLEARBOOK, Legal size piece 20 20
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

14 CORRECTION TAPE, 6 meters(min), 1 piece in individual plastic piece 15 15

15 DATA FILE BOX, made with chipboard, with closed ends box 15 15
20 ENVELOPE, EXPANDING, plastic piece 0
21 ENVELOPE, MAILING, 500 pieces per box box 0 1
23 ERASER, felt, for blackboard/whiteboard piece 0
24 ERASER, plastic or rubber piece 0
25 FASTENER, for paper, metal, 50 sets per box box 3 3
26 FILE ORGANIZER, expanding, legal, plastic, assorted colors piece 0
29 FOLDER, Fancy, A4, 50s/ bundle bundle 0
30 FOLDER, Fancy, Legal, 50 pieces per bundle bundle 0
31 FOLDER, L-type, A4, 50 pieces pack pack 0
32 FOLDER, L-type, Legal size, 50 pieces per pack pack 2 2
36 GLUE, all purpose, 300 grams min. jar 2 2
41 MARKER, whiteboard, bullet type, black piece 1 1 1 3
44 MARKER, permanent, bullet type, black piece 25 25 25 75
52 PAPER CLIP, gem type, 48mm, 100 pieces per box box 1 1
54 PAPER, MULTICOPY, 80gsm, size: 210mm x 297mm ream 15 15 15 45 15
55 PAPER, MULTICOPY, 80gsm, size: 216mm x 330mm ream 8 3 10 21 1
56 PAPER, Multi-Purpose (COPY) A4, 70gsm ream 1 1 1 3
58 PARCHMENT PAPER, A4 size, 80 gsm, 100 sheets per pack] ream 1 1 1
60 PENCIL, lead, w/eraser, 0ne(1) dozen per box box 5 5
61 PHILIPPINE NATIONAL FLAG piece 2 2 1
62 RECORD BOOK, 300 pages, size: 214mm x 278mm min book 0
63 RECORD BOOK, 500 pages, size: 214mm x 278mm min book 0
67 SIGN PEN, black piece 0
70 STAMP PAD INK, violet, 50mL bottle 2 2
71 STAMP PAD, felt pad, min 60mm x 100mm piece 3 3
72 STAPLE WIRE, Heavy duty, 23/13 box 2 2
73 STAPLE WIRE, Standard box 1 1
74 TAPE, masking, 24mm, 50 meters length roll 15 15
75 TAPE, masking, 48mm, 50 meters length roll 10 10
76 TAPE, transparent, 24mm, 50 meters roll 15 15
77 TAPE, transparent, 48mm, 50 meters roll 10 10
78 TAPE, packaging, 48mm, 50 meters length roll 1 1
79 TOILET TISSUE, 12 rolls per pack pack 1 1 2
80 TWINE, plastic, one kilo per roll roll 0
COMMON OFFICE DEVICES
1 CUTTER BLADE, heavy duty cutter, 10 pieces per tube tube 2 2
2 CUTTER KNIFE, heavy duty piece 15 15
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

PUNCHER, paper, heavy duty, with two hole guide, 1 piece in

5 piece 0
individual box
6 SCISSORS, (6") pair 0
7 STAPLER, standard piece 0
9 STAPLE REMOVER, plier type piece 0
10 TAPE DISPENSER, table top piece 0
11 WASTE BASKET, non-rigid plastic piece 0
COMMON JANITORIAL SUPPLIES
1 BROOM, soft (tambo) piece 1 1 1
2 BROOM, stick (tingting) piece 1 1 1
5 DETERGENT POWDER, all purpose, 1kilo/pouch pouch 2 2
7 DUST PAN, non-rigid plastic piece 1 1
8 FLOOR WAX, Paste, red can 1 1
12 MOPHANDLE, screw type, aluminum handle piece 0
13 MOPHEAD, made of rayon piece 0
14 RAG, all cotton, 32 pieces per kilo per bundle bundle 0
16 TRASHBAG, plastic, transparent, 10pcs/roll roll 1 1 2
COMMON OFFICE EQUIPMENT
CALCULATOR, COMPACT, electronic, 12 digits cap, 1 unit in
2 unit 2 2
individual box
4 CHAIR, monobloc, without armrest, beige piece 10 10
5 CHAIR, monobloc, without armrest, white piece 15 15
9 ELECTRIC FAN, orbit type unit 0
10 ELECTRIC FAN, stand type unit 0
COMMON COMPUTER SUPPLIES
HANDBOOK ON PROCUREMENT
HANDBOOK ON PHILIPPINE GOVERNMENT PROCUREMENT-RA
1 piece 1 1
9184(6th Edition), 6" x 9", 296 pages,
CONSUMABLES
B. OTHER ITEMS NOT AVALABLE AT PS BUT REGULARLY PURCHASED FROM OTHER SOURCES (Note: Please indicate p
COMMON ELECTRICAL SUPPLIES
COMMON OFFICE EQUIPMENT

COMMON OFFICE SUPPLIES

1 CARTOLINA, white, 20 pieces per pack pack 0
3 COLUMNAR PAD, 18 cols, 50 gsm min. pad 0
10 MANILA PAPER, 10sheets per pack pack 10 10 10 30

14 PUSH PIN, flat head type, assorted colors, 100 pieces per case case 0

18 STAPLE WIRE, Heavy duty, 23/17 box 1 1

19 TAPE DISPENSER, handheld piece 0
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

COMMON JANITORIAL SUPPLIES

2 FLOOR WAX, Paste type, natural can 2 2
3 SOAP, BATHROOM, 90 grams, 1 piece in individual box piece 1 1
CONSUMABLES
Office Equipment and Accessories
1 Form 137 piece 0
2 Form 138 piece 0
3 Form 48 pad 2 2 2
4 Tarpauline (4'x8') piece 2 2 2 6 2
5 Tarpauline (4'x6') piece 3 3 3 9 3
Office Supplies
1 Ballpen, black box 3 3 2
2 Ballpen, red box 2 2 2
3 Linen, paper (10pcs/pack) pack 1 1 1 3
4 Construction Paper box 1 1 2
5 Tape (double sided,1/2 inch) roll 15 15 30 15
6 Thumb Tacks box 1 1 1 3
7 Pins pad 1 1 1 3
8 Load piece 1 1 1 3 1
Audio and visual presentation and composing equipment
Photographic or filming or video equipment
1 Photopaper (10pcs/pack) pack 1 1
Cleaning Equipment and Supplies
1 Mop pcs 3 3
2 Rags pcs 0
3 Feather Duster pcs 0
Paper Materials and Products
1 Construction Paper ream 0
Lighting and fixtures and accessories
1 Electrical Wire pcs 0
2 Bulb pcs 0
3 Convenience Outlet (3 gang) pcs 0
4 Plug pcs 0
5 Switch pcs 0
6 Staple Wire/ u-nail pcs 0
Electrical equipment and components and supplies
1 Polo shirt pcs 0
2 Gina Cloth meter 50 50
3 Plywood (1/4' marine) pcs 0
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

4 G. I. sheet corrugated (8') pcs 0

5 G. I. sheet plain (8') pcs 0
6 Paint enamel gal 0
7 Paint latex gal 0
8 Lacquer thinner bot 0
9 Paint brush #4 pcs 0
10 Paint roller pcs 0
Computer Supplies
Computer Equipment and Accessories
1 Epson Ink pcs 2 2
*Other Categories
1 Graduation Expenses per student student 70 70
2 Various Medicines pad 15 15
3 Betadine bot 3 3
4 Gauze Bandage roll 3 3
5 Cotton pack 3 3

C. TOTAL (A + B):
D. ADDITIONAL PROVISION FOR INFLATION (10% of
TOTAL)
E. GRAND TOTAL (C + D)
F. APPROVED BUDGET BY THE AGENCY HEAD
In Figures and Words:
G. MONTHLY CASH REQUIREMENTS
G.1 Available at Procurement Service Stores 28965
G.2 Other Items not available at PS but regulary purchased from other sources 32460
TOTAL MONTHLY CASH REQUIREMENTS 61425
*Other categories that are not indicated herein
**Prices are FOB Manila/Applicable for items under A.

We hereby warrant that the total amount reflected in this Annual Supplies/ Equipment Procurement Plan to procure the listed common-

Prepared by: Certified Funds Available /

JULIA G. LABAJO Certified Appropriate Funds Available:
ICT Coordinator
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

EDGARDO B. TRUJELIO JOKER RYAN V. BABAEL

Property/Supply Officer Accountant /
Local Budget Officer
Date Prepared: October 9, 2017
AL PROCUREMENT PLAN FOR 2018
mmon-Use Supplies and Equipment

m will automatically compute for the Total Quarterly requirement, Total Amount per item and the Grand Total.
nd; b) correct format is used but fields were deleted and/or inserted
if the submission is incorrect.
from other sources, agency must specify/indicate the item name under each category and unit price based on their last
may be considered Common Supplies or Equipment (CSE). Items will be added to the electronic catalogue /

nner:
JOSHUA ALBIA - Secondary Empowered Schools and All Elementary Schools and High Schools Consolidated by their Distric
ail addressess:
property custodian

ary and empowered secondary schools

/District/Division)- Region (e.g. APP-CSE-2018 -OSDS-Region XIII).

nting of your APP.

Contact Person: MERLINDA L. BOLLOZOS

Position: HEAD TEACHER IV
E-mail : [email protected]
Telephone/Mobile Nos: 09293211945

Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

2 0 0 2
2 0 0 2
3 0 0 3

8 8 24 8 8 8 24 8 8 8 24 96
3 3 3 3 3 9 3 3 3 9 30
20 20 0 0 20
0 0 0 20
 Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

15 15 15 15 0 45

0 15 15 0 30
50 50 0 0 50
1 0 0 1
3 3 0 0 3
5 5 0 0 5
0 3 3 3 3 9
20 20 0 0 20
3 3 0 0 3
3 3 0 0 3
3 3 0 0 3
2 2 0 2 2 6
0 2 2 0 4
1 1 1 1 1 3 1 1 1 3 10
25 25 25 25 25 75 25 25 25 75 250
1 1 0 0 2
15 15 45 15 15 15 45 10 10 10 30 165
1 10 12 3 10 3 16 10 3 3 16 65
0 1 1 1 3 0 6
1 10 12 3 10 3 16 10 3 3 16 45
0 0 0 5
1 1 1 2 2 6
10 10 0 0 10
2 2 0 0 2
20 20 0 20 20 40
0 2 2 0 4
0 0 0 3
0 0 2 2 4
1 1 1 1 0 3
15 15 0 0 30
10 10 0 0 20
1 1 0 1 1 17
1 10 11 0 1 1 22
1 1 0 0 2
1 1 1 1 2 1 1 2 7
1 1 0 1 1 2

1 1 1 1 0 4
0 0 0 15
 Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

1 1 0 0 1

15 15 0 0 15
1 1 0 0 1
3 3 0 0 3
3 3 0 0 3
3 3 0 0 3

2 3 1 1 1 1 6
2 3 1 1 1 1 6
2 2 2 2 2 2 8
1 1 0 0 2
1 1 1 1 1 1 4
2 2 0 0 2
4 4 0 0 4
2 2 0 0 2
1 1 1 1 1 1 2 6

0 0 0 2

0 0 0 10
0 0 0 15
2 2 0 0 2
1 1 0 0 1

0 0 0 1

ase indicate price of items)

30 30 0 0 30
1 1 0 0 1
30 30 10 10 10 30 10 10 10 30 120

1 1 0 0 1

1 1 0 0 2
3 3 0 0 3
 Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

2 2 0 2 2 6
1 1 1 1 1 1 4

400 400 0 0 400

400 400 0 0 400
2 2 2 2 2 8
2 2 6 2 2 2 6 2 2 2 6 24
3 3 9 3 3 3 9 3 3 3 9 36

3 5 2 2 3 3 13
2 2 2 2 2 8
1 1 1 1 1 3 1 1 1 3 10
1 1 1 1 2 1 1 2 7
15 30 15 15 30 15 15 30 120
1 1 1 1 1 3 1 1 1 3 10
1 1 1 1 1 3 1 1 1 3 10
1 1 3 1 1 1 3 1 1 1 3 12

1 1 1 1 1 1 4

0 0 0 3
6 6 0 0 6
2 2 0 0 2

5 5 0 0 5

100 100 0 0 100

20 20 0 0 20
10 10 0 0 10
10 10 0 0 10
10 10 0 0 10
4 4 0 0 4

0 0 20 20 20
0 0 0 50
20 20 0 0 20
 Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

25 25 0 0 25
10 10 0 0 10
10 10 0 0 10
10 10 0 0 10
5 5 0 0 5
5 5 0 0 5
5 5 0 0 5

2 2 2 2 2 2 8

0 0 0 70
0 0 0 15
0 0 0 3
0 0 0 3
0 0 0 3

32156 16387.6 14680.3

59220 11800 16930
91376 28187.6 31610.3

listed common-use supplies, materials and equipment has been included in or is within our approved budget for the year.

Approved by:
 Quantity Requirement

Total
May June Q2 July Aug Sept Q3 Oct Nov Dec Q4 Quantity

MERLINDA L. BOLLOZOS
Head of Office/Agency
and Total.

based on their last

alogue /

lidated by their District.

OLLOZOS

ed.gov.ph
1945

Price Catalogue as TOTAL

of July 6, 2017 AMOUNT

18.17 36.34
15.66 31.31
19.29 57.88

45.73 4,389.93
74.73 2,241.90
39.69 793.73
44.10 881.92
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

43.54 1,959.52

73.91 2,217.41
37.13 1,856.59
147.72 147.72
10.67 32.02
2.29 11.45
60.52 544.64
87.84 1,756.84
248.04 744.12
308.67 926.02
176.38 529.15
192.92 1,157.52
51.81 207.25
12.51 125.08
10.23 2,557.25
14.33 28.66
124.90 20,608.47
139.94 9,096.18
108.53 651.20
97.56 4,390.31
20.80 103.99
317.49 1,904.95
63.94 639.39
92.06 184.12
46.65 1,866.02
24.25 97.01
32.94 98.83
32.25 128.98
20.06 60.17
58.43 1,752.82
111.34 2,226.85
18.41 313.01
35.28 776.09
35.28 70.55
80.10 560.73
57.32 114.65

8.32 33.28
20.60 308.94
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

130.84 130.84

16.46 246.93
97.76 97.76
18.69 56.06
50.58 151.75
32.52 97.56

110.24 661.44
25.36 152.13
44.10 352.77
38.46 76.91
242.53 970.11
137.80 275.60
104.73 418.91
46.30 92.60
148.27 889.64

163.16 326.31

297.65 2,976.48
297.65 4,464.72
1,322.88 2,645.76
1,099.09 1,099.09

30.63 30.63

55.12 1,653.60
69.45 69.45
27.56 3,307.20

26.46 26.46

43.97 87.94
30.85 92.54
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

237.02 1,422.10
23.70 94.81

10.00 4,000.00
8.00 3,200.00
30.00 240.00
450.00 10,800.00
320.00 11,520.00

130.00 1,690.00
130.00 1,040.00
50.00 500.00
190.00 1,330.00
95.00 11,400.00
10.00 100.00
10.00 100.00
500.00 6,000.00

120.00 480.00

150.00 450.00
35.00 210.00
50.00 100.00

150.00 750.00

35.00 3,500.00
150.00 3,000.00
50.00 500.00
25.00 250.00
25.00 250.00
50.00 200.00

250.00 5,000.00
30.00 1,500.00
370.00 7,400.00
 Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

250.00 6,250.00
200.00 2,000.00
700.00 7,000.00
700.00 7,000.00
50.00 250.00
100.00 500.00
200.00 1,000.00

-
290.00 2,320.00
-
250.00 17,500.00
45.00 675.00
50.00 150.00
50.00 150.00
35.00 105.00

212,598.88
21,259.89
233,858.77

ear.
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT