| LBP Form No. 6 |
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| ANNUAL EQUIPMENT PROCUREMENT PROGRAM |
| By __________________________________ |
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| Provincial: Provincial Government of Pangasinan |
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| Fund/Special Account: General – (1011 – 06) |
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| Dept./Office/Unit: Management Information Services Office MISO) |
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| Fund: |
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Cost |
Amount Required |
| Item No. |
Type of Equipment/Description |
Existing |
Proposed |
Unit |
Total |
1 |
2 |
3 |
4 |
| (1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
(10) |
| 1 |
Desktop Computer |
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1 |
35,000.00 |
35,000.00 |
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| 2 |
Laptop Computer |
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1 |
50,000.00 |
50,000.00 |
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| 3 |
Computer Peripherals |
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DVDRW USB External Drive |
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2 |
2,100.00 |
4,200.00 |
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Keyboard USB Port |
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3 |
550.00 |
1,650.00 |
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Keyboard PS2 Port |
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1 |
500.00 |
500.00 |
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USB Portable Drive (8 GB) |
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6 |
1,500.00 |
9,000.00 |
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Power Supply |
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3 |
3,200.00 |
9,600.00 |
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UPS |
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3 |
7,500.00 |
22,500.00 |
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Mouse USB Port |
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6 |
420.00 |
2,520.00 |
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Mouse PS2 Port |
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2 |
350.00 |
700.00 |
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Memory DDR2 2 GB |
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4 |
4,250.00 |
17,000.00 |
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Wireless LAN Card |
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4 |
2,100.00 |
8,400.00 |
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USB Wireless LAN |
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6 |
2,000.00 |
12,000.00 |
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Video Camera (Sony) |
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1 |
100,000.00 |
100,000.00 |
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| 4 |
Software Update: |
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Windows 2007 Operating Systems |
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4 |
9,200.00 |
36,800.00 |
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Antivirus |
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8 |
1,850.00 |
14,800.00 |
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TOTAL |
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324,670.00 |
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| Prepared by: |
Recommended by: |
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Approved by: |
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| MODESTO R. SINGSON |
_________________________ |
|
AMADO T. ESPINO, JR. |
| Comp. Services Chief |
General Service Officer |
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Governor |
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| _______________________ |
__________________________ |
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_________________________ |
| Date |
Date |
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Date |
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| Instructions: |
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| This form shall be prepared by the various department/office/unit heads to present their annual/supplemental office |
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| supplies requirement for the calendar year. It shall serve as a supporting document for the comprehensive release of |
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| MOOE items falling under the Needing Clearance portion of the LBM. |
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| The same shall be submitted to the Bids and Award Committee for recommendation, and to the local budget officer |
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| for review. It shall be approved by the local chief executive. |
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Colum No. |
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Information |
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1 |
Item number of the proposed supply in sequential order |
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2 |
Type of supply with corresponding descriptions/specifications |
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3 |
Number of existing units of supply |
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4 |
Number of proposed units of supplies |
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5 |
Cost per unit |
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6 |
Total Cost (col. 5 x col. 4) |
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7 |
Annual required by quarter |
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