Republic of the Philippines

Name of the Procuring Entity

Project Reference Number

Name of the Project

Location of the Project

Standard Form Number: SF-GOOD-01

Revised on: May 24, 2004

APPROVED BUDGET FOR THE CONTRACT

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Project Name and Location

Stations:

Length:Contract Duration:

ITEM NO.DESCRIPTIONQUANTITYUNITCURRENT MARKET PRICEVAT, OTHER TAXES AND/OR DUTIES APPLICABLEFREIGHT & INSURANCEOTHER INDIRECT COSTSOTHER COST FACTORS(COST OF SUPPLY, INFLATION, CURRRENCY VALUATION ADJUSTMENT)TOTAL COSTUNIT COST

%VALUE

(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)

(5)X(9)(11)

(10%[(5)+(10)](12)

(11) / (3)

TOTAL

PREPARED/SUBMITTED BY:

RECOMMENDING APPROVAL:

APPROVED:

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