Procurement of Fuel (Diesel/Gasoline) with a Fuel Card
Technology/System for the Department of Tourism-Motor Vehicle for CY
2023
The Supplier shall provide the fuel, lubricants, and other services requirements of DOT
Central Office using the fuel card technology.

Item No.

Particulars

Total Fuel Allocation for the Duration(based on allocation/service vehicle per monthindicated in the fuel card)

1

Gasoline

9,822.48 liters more or less2

Diesel24,239.68 liters more or lessContract Duration:
Contract duration will be for the period May – December 2023 (8 Months)
Payment Scheme:
Payment will be done on a monthly basis upon submission of the Supplier’s(Service Provider) Statement of Account (SOA)/Billing Statement

Other Terms and Conditions:
1. Bidders shall provide correct and accurate information required in this form.
2. The BAC shall recommend award of contract to the Head of the Procuring Entity(HoPE) or her duly authorized representative in favor of the Supplier determined tohave the Single or Lowest Calculated Responsive Quotation (S/LCRQ).
3. Price quotation/s must be valid for a period of Thirty (30) calendar days from the dateof the submission of the quotation.
4. Price quotation/s, to be denominated in Philippine peso shall include all taxes, duties
and/or levies payable.
5. All quotations exceeding the approved budget for the contract shall be automaticallyrejected.
6. Any erasures or overwriting shall be valid only if there are properly signed by you or
your duly authorized representatives.
7. Payment shall be made within 15-30 days upon receipt of the Billing Statement, on abank-to-bank basis.
8. All particulars relative to the eligibility, bidding, evaluation of bids and award ofcontract shall be governed by the applicable provisions of R.A 9184, otherwise known
as the “Government Procurement Reform Act” (GPRA), and its 2016 Revised IRR.
Name of Bidder: _______________________________________________________Name of Authorized Representative: ______________________________________
Signature of Authorized Representative: ____________________ Date: _________TECHNICAL SPECIFICATIONS
DOT’s Specifications
Qualifications of the Service Provider:1. The Service Provider must have awideservice
stationnetwork
nationwide to dispense the fuelrequirements of DOT-CO following
the terms and conditions set in thecontract;
2. The Service Provider to submit a listof all its service stations nationwide
that accept or implement the fuelcard system; and3. The Service Provider must be
PhilGEPS Registered.
Minimum Requirements
1. The Service Provider shall have aweb-based
programfor
data
tracking or monitoring reflecting themonthly purchases in which the DOT
point personnel will be given access;2. The Service Provider shall provide
the DOT-CO with at least one (1)Administrative Fuel Card to be used
and managed exclusively by DOT –General Services Division (GSD).
The use of administrative card shallbe in accordance with the terms &conditions set by the provider;
3. The Service Provider shall provide
the DOT-CO service vehicle/s the
specific fuel card/s containing thefollowing information:a. Card Number
b. Office Namec. Vehicle details (type of vehicle
andplate/conduction
stickernumber)
4. The Service Provider shall provide
additional fuel card upon written
request from the DOT-CO under thesame terms and conditions;5. The Service Provider service station
shall load fuel only to the motor
vehicle indicated in the fuel card
(plate/conduction sticker number,fuel etc.) and no excess shall beallowedoutsidethemaximum

Bidder’s Statement of Compliance to
the Specifications
Detailed Specifications:DOT’s Specifications

Bidder’s Statement of Compliance to
the Specifications

allocation;
6. A transaction slip/receipt/invoice
shall be issued every time fuel iswithdrawn;
7. The Service Provider shall issue
accurate
StatementofAccount/Billing Statement consistent
with the receipt/invoice issued by
the service station, within four (4)days after the cut-off for processingof payment;
8. The Service Provider shall conduct
an end-user orientation on the useof Fuel Cards upon delivery. Theorientation
schedule
shall
becoordinatedwiththeGeneralServices Division;
9. The Service Provider shall ensurethat the fuel card transaction slip/s
accuratelyreflect/s
thefuelconsumption per fuel card; and10. The payment shall be processed
uponreceipt
oftheService
Provider’sStatementofAccount/Billing Statement on amonthly basis.

Name of Bidder: _______________________________________________________Name of Authorized Representative: ______________________________________
Signature of Authorized Representative: ____________________ Date: _________

Price Proposal Form

Date:
Procurement of Fuel, Lubricants, and Other Services for
DOT Vehicles thru a Fleet Card Program
Item
No.

Particulars

Quantity1

Gasoline

9,822.48 liters
more or less2

Diesel24,239.68 liters
more or less

Unit Price(in Phil Peso)

Total Price(in Phil Peso)*Supplier must indicate discounts, if any.
Name of Bidder: _______________________________________________________Name of Authorized Representative: _________________________________________
Signature of Authorized Representative: ______________________________________
Date: ___________________________

DOCUMENTARY REQUIREMENTS
To ensure that the DOT negotiates the contract with a technically, legally, and financiallycapable supplier, the prospective supplier/service provider must submit the following
documents together with the Schedule of Requirements, Technical Specifications, andPrice Quotation Forms, to wit:
Legal Documentsa. Valid PhilGEPS Registration Certificate (Platinum Membership) (allpages);
Technical Documentsb. Statement of the prospective bidder of all its ongoing government andprivate contracts, including contracts awarded but not yet started, if
any, whether similar or not similar in nature and complexity to thecontract to be bid (Annex “A”); andc. Statement of the bidder’s Single Largest Completed Contract (SLCC)
similar to the contract to be bid, except under conditions provided forin Sections 23.4.1.3 and 23.4.2.4 of the 2016 revised IRR of RA No.
9184, within the relevant period as provided in the Bidding Documents(Annex “B”); andd. NFCC computation with ITB Clause 5.5 or a committed Line of Credit
from a universal or commercial bank; (Annex “C”)
Note: The NFCC must be at least equal to the ABC to be bid.
e. Original copy of Bid Security. If in the form of a Surety Bond, submit
also a certification issued by the Insurance Commission;
orOriginal copy of Notarized Bid Securing Declaration (Annex “D”);
andf. Original duly signed Omnibus Sworn Statement (OSS) (Annex “E”);
and if applicable, Original Notarized Secretary’s Certificate in case of acorporation, partnership, or cooperative; or Original Special Power ofAttorney of all members of the joint venture giving full power andauthority to its officer to sign the OSS and do acts to represent theBidder.