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. joshua.albia@deped.gov.ph - Consolidated APP by District
c. Mayalene.delarita001@deped.gov.ph - CID, SGOD and OSDS
d. ps.app.deped@gmail.com & joshua.albia@deped.gov.ph- 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 3 3 3 9 3
6 CARTOLINA, assorted color, 20 pieces per pack pack 3 3 3 9
9 CLEARBOOK, Legal size piece 15 15

14 CORRECTION TAPE, 6 meters(min), 1 piece in individual plastic piece 10 10

 Unit of
Item & Specifications Measure Jan Feb March Q1 April

15 DATA FILE BOX, made with chipboard, with closed ends box 0
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 0
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 1 1
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 5 3 7 15 1
55 PAPER, MULTICOPY, 80gsm, size: 216mm x 330mm ream 15 15 15 45 10
56 PAPER, Multi-Purpose (COPY) A4, 70gsm ream 1 1 1 3
58 PARCHMENT PAPER, A4 size, 80 gsm, 100 sheets per pack] ream 2 2
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 1 1
71 STAMP PAD, felt pad, min 60mm x 100mm piece 3 3
72 STAPLE WIRE, Heavy duty, 23/13 box 1 1
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 5 5
76 TAPE, transparent, 24mm, 50 meters roll 0
77 TAPE, transparent, 48mm, 50 meters roll 0
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
PUNCHER, paper, heavy duty, with two hole guide, 1 piece in
5 piece 0
individual box
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

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 1 1
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
25 CHAIR, monobloc, without armrest, beige piece 5 5
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 5 5 5 15 5

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

COMMON JANITORIAL SUPPLIES

CONSUMABLES
Office Equipment and Accessories
1 Form 137 piece 0
2 Form 138 piece 0
3 Form 48 pad 2 2 2
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

4 Tarpauline (4'x8') piece 1 1 1 3 1

5 Tarpauline (4'x6') piece 2 2 2 6 2
Office Supplies
1 Ballpen, black box 2 2 2
2 Ballpen, red box 0
3 Linen, paper (10pcs/pack) pack 2 2 2 6
4 Construction Paper box 1 1 2
5 Tape (double sided,1/2 inch) roll 0
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 0
Cleaning Equipment and Supplies
3 Feather Duster pcs 0
Paper Materials and Products
Lighting and fixtures and accessories
1 Electrical Wire meter 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 Plywood (1/4' marine) pcs 0
2 G. I. sheet corrugated (8') pcs 0
3 G. I. sheet plain (8') pcs 0
4 Paint enamel gal 0 5
5 Paint latex gal 0 5
6 Lacquer thinner bot 0
7 Paint brush #4 pcs 0
8 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, Gauze Bandage and Cotton pad 15 15
 Unit of
Item & Specifications Measure Jan Feb March Q1 April

3 Betadine bot 3 3
4 Gauze Bandage roll 3 3
5 Cotton pack 3 3
6 Gina Cloth meter 50 50
7 Polo shirt pcs 0
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 18087.9
G.2 Other Items not available at PS but regulary purchased from other sources 25815
TOTAL MONTHLY CASH REQUIREMENTS 43902.9
*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

EDGARDO B. TRUJELIO JOKER RYAN V. BABAEL

Property/Supply Officer Accountant /
Local Budget Officer
Date Prepared: October 09,2017
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 : merlinda.bollozos@deped.gov.ph
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

3 3 9 3 3 3 9 5 5 5 15 42
3 3 3 3 3 9 3 3 3 9 30
0 0 0 15

10 10 10 10 0 30
 Quantity Requirement

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

15 15 0 0 15
30 30 0 0 30
1 0 0 1
3 3 0 0 3
5 5 0 0 5
1 1 0 0 1
10 10 0 0 10
1 1 0 0 1
1 1 0 0 1
1 1 0 0 1
1 1 0 1 1 3
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
1 15 17 3 5 3 11 5 3 3 11 54
10 10 30 10 15 10 35 15 10 10 35 145
0 1 1 1 3 0 6
0 0 0 2
0 0 0 5
1 1 1 2 2 6
5 5 0 0 5
2 2 0 0 2
20 20 0 0 20
0 0 0 1
0 0 0 3
0 0 1 1 2
1 1 1 1 0 3
15 15 0 0 30
5 5 0 0 10
15 15 1 1 1 1 17
15 15 1 1 1 1 17
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

1 1 0 0 1
 Quantity Requirement

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

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

2 3 1 1 1 1 6
2 3 1 1 1 1 6
1 1 1 1 1 1 4
1 1 0 0 2
1 1 0 1 1 3
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 5
1 1 0 0 1
1 1 0 0 1

0 0 0 1

ase indicate price of items)

15 15 0 0 15
1 1 0 0 1
5 5 15 5 5 5 15 5 5 5 15 60

1 1 0 0 1

400 400 0 0 400

400 400 0 0 400
2 2 2 2 2 8
 Quantity Requirement

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

1 1 3 1 1 1 3 1 1 1 3 12
2 2 6 2 2 2 6 2 2 2 6 24

2 2 2 2 2 8
2 2 0 2 2 4
2 2 2 2 2 6 2 2 2 6 20
1 1 1 1 1 4
15 15 0 15 15 30
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

0 4 4 0 4

2 2 0 0 2

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

5 5 0 0 5
5 5 0 0 5
5 5 0 0 5
5 10 0 0 10
10 15 0 0 15
10 10 0 0 10
5 5 0 0 5
3 3 0 0 3

2 2 2 2 2 2 8

0 0 0 70
0 0 0 15
 Quantity Requirement

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

0 0 0 3
0 0 0 3
0 0 0 3
0 0 0 50
0 0 20 20 20

23076.6 10350.2 11196.303

46725 7450 8655
69801.6 17800.2 19851.3

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

Approved by:

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 1,920.59
74.73 2,241.90
44.10 661.44

43.54 1,306.34
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

73.91 1,108.71
37.13 1,113.95
147.72 147.72
10.67 32.02
2.29 11.45
60.52 60.52
87.84 878.42
248.04 248.04
308.67 308.67
176.38 176.38
192.92 578.76
51.81 207.25
12.51 125.08
10.23 2,557.25
14.33 28.66
124.90 6,744.59
139.94 20,291.47
108.53 651.20
97.56 195.12
20.80 103.99
317.49 1,904.95
63.94 319.70
92.06 184.12
46.65 933.01
24.25 24.25
32.94 98.83
32.25 64.49
20.06 60.17
58.43 1,752.82
111.34 1,113.42
18.41 313.01
35.28 599.71
35.28 70.55
80.10 560.73
57.32 114.65

8.32 33.28
20.60 308.94

130.84 130.84
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

16.46 246.93
97.76 97.76
18.69 18.69
50.58 151.75
32.52 97.56

110.24 661.44
25.36 152.13
44.10 176.38
38.46 76.91
242.53 727.58
137.80 275.60
104.73 418.91
46.30 92.60
148.27 889.64

297.65 1,488.24
1,322.88 1,322.88
1,099.09 1,099.09

30.63 30.63

55.12 826.80
69.45 69.45
27.56 1,653.60

26.46 26.46

10.00 4,000.00
8.00 3,200.00
30.00 240.00
Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

450.00 5,400.00
320.00 7,680.00

130.00 1,040.00
130.00 520.00
50.00 1,000.00
190.00 760.00
95.00 2,850.00
10.00 100.00
10.00 100.00
750.00 9,000.00

120.00 480.00

50.00 100.00

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

400.00 2,000.00
300.00 1,500.00
180.00 900.00
700.00 7,000.00
700.00 10,500.00
50.00 500.00
100.00 500.00
200.00 600.00

-
290.00 2,320.00
-
250.00 17,500.00
50.00 750.00
 Price Catalogue as TOTAL
of July 6, 2017 AMOUNT

50.00 150.00
50.00 150.00
35.00 105.00
30.00 1,500.00
250.00 5,000.00
157,855.96
15,785.60
173,641.55

ear.