RISPR Template

DSWD template for RISPR

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DEPARTMENT OF SOCIAL WELFARE & DEVELOPMENT - CENTRAL OFFICE

REQUISITION AND ISSUE SLIP(RIS)
Responsibility Center

RIS No.:

Date:

Code:

Requesting Party:

SAI No.:

Date:

REQUISITION
Stock No.

PURPOSE:

ISSUANCE

Description

Unit

Quantity

Certified as to Fund Source and in accordance with the

approved Work & Financial Plan (WFP):
Appropriations:____________________________________
Fund:____________________________________________
Allotment Class:__________________________________
P/A/P:____________________________________________

_____________________________

_____________________________

MARY ANGELENE DP. ARABIT

ZENAIDA L. FAROL

Chief, Procurement Planning and Management Division - PS
REQUESTED BY:

Designation:
Date:

Chief, Budget Division
3/14/2018 4:12

Date:

Date:

Printed Name:

Remarks

For publication of Invitation to Bid in the newspaper of general nationwide circulation and for wide
dissemination of information

Cerified that the above-request is/are included in the
Annual Procurement Plan (APP) & with complete
supporting documents:

Signature:

Quantity

APPROVED BY:

ISSUED BY:

RECEIVED BY:

BASIC SPECIFICATIONS / REQUIREMENTS & SUPPORTING DOCUMENTS
PARTICULARS

BASIC SPECIFICATIONS

SUPPORTING DOCUMENTS

Supplies/ Materials/
Furniture/ Fixtures/
Equipment, & the
like.

a) Quantity; b) Unit of Measurement (unit, set, piece, etc.); c)
Size & Shape (length, width, height, etc.); d) Material, Fabric,
Texture, etc.; e) Color; e) Part No. (for toner/ink); f) Warranty
Period, After-sales Service, etc.; g) Delivery Site & Contact
Person; and h) Other relevant specifications / description

a) Technical Assessment (TA) from: BMU - for building maintenance
items/ civil works; ICTMS - for ICT items; GSD (Motorpool) - for vehicles;
GSD (Communication) - for mobile phones; SMS - for cameras; b) Sample
for non-common items; c) Distribution list; d) Approved Project Proposal
(training supplies & materials); e) Approved Program of Work/Detailed
Estimates (construction supplies & materials); f) Sample swatches (for
color of tiles, blinds, carpets, paint mixing, etc.); g) Pre-Repair Inspection
Report (for replacement of Furniture/ Fixture/ Equipment); h) Job
Order/Wear & Tear (for Vehicle Parts); i) Justification (for vehicle repair
and accessories)

ICT Equipment

Technical Specifications must be in accordance with ICTMS
standard specifications provided in the Technical Assessment
(TA)

a) TA from ICTMS; b) Distribution List; c) Standard Service Level
Agreement (SLA) form (from ICTMS)

ICT Services

a) Scope of Work; b) Duration of the Project/Works; c) Terms of
Payment; d) Warranty & After-sales Services or minimum Service
Level Agreement (SLA) terms

a) Approved Terms of Reference (TOR)/Project Proposal; b) Approved
Floor Plan/Layout (if applicable)

Construction,
Repair, Renovation,
etc. (Labor, Supplies
& Materials)

For Supplies/Materials: See Basic Specifications above
For Labor: a) Detailed Scope of Work; b) Qualification of
Contractor; c) Duration of the Project; d) Manpower
requirement; e) Equipment Requirement

a) Approved Program of Work with costing; b) Detailed Scope of Work; c)
Approved Plans, Drawing, Layout, Sample of non-common
(extraordinary) items; d) Sample swatches (tiles, blinds, carpets, paint
mixing, etc.); e) Scaled plan/drawing/layout; f) Approved Electrical Plan
with specific cost & estimate length of wire needed in metric system; g)
Construction Schedule

Prepaid Cellular
Phone cards

a) Communication network; b) Quantity & amount of pre-paid
card;

a) Approved Request (by the Undersecretary for GASSG) and/or project
proposal for the purchase of cellular phone cards; b) Distribution List

Board & Lodging
Services

a) No. of Participants; b) Preferred Location; c) Dates Covered; d)
a) Approved Project Proposal; b) Certification that DSWD facilities are not
Check In/Out Date & Time; e) Type of Room Sharing; f) Type of
available (SWADCAP, Dormitory, etc.); c) Cost Benefit Analysis; d)
Food Serving; g) Other inclusions (Amenities, Restrictions) h)
Justification; and e) Rating Factors/Evaluation Criteria
Preferred Menu (Halal, Vegetarian, etc)

Catering Services

a) No. of Participants; b) Dates Covered; c) Venue; Inclusions
(waiters, table setting, etc); d) Menu; e) Type of serving; and f)
Date & Time of Serving

a) Approved Project Proposal; and b) Menu

Printing Services /
Advocacy Materials

a) Size; b) Material/ Paper stock or grammage; c) Color/Design; d)
Binding (for manuals, journal, etc.); d) Delivery schedule (lay-out,
1st draft, final proof, final delivery, etc); e) Delivery site; f)
Inclusions/Other required services); g) Qualifications of Service
Provider; h) Gauge, eyelets (for tarpaulin/ streamers); i)
Breakdown of sizes (t-shirt etc.)

a) Approved Project Proposal and/or Approved TOR (especially those
request requiring services of a Specialist for editing, lay-out, etc.); b)
Photos, Layouts, Design; c) Camera-ready materials (in CD/USB); d)
Sample (if available)

Audio Visual
a) Qualification; b) Detailed Scope of work; c) Deliverables; d)
Production (AVP)/TV
Terms of Payment; e) Length of Video (time); f) Audio Format
Plugs/Video
Editing Format; g) Release Format; h) Quantity; i) Delivery Site
Documentary

Consulting Services

a) Approved Project Proposal and/or TOR

a) Title of Consulting Services/Project; b) Indicate if Individual or
a) Approved TOR (following contents/format in MC#20, s.2004); b)
Firm; c) Qualifications; d) Detailed Scope of Work; e) Terms of
Evaluation Criteria with corresponding percentage rating (followng MC
Payment; f) Contract Duration; g) Deliverables; h) Other Terms &
16, s.2009)
Conditions

DEPARTMENT OF SOCIAL WELFARE & DEVELOPMENT - CENTRAL OFFICE

P U R C H A S E R E Q U E S T (P R)
Requesting Party: (OBSU)

Date:

ALOBS No.:
Unit

Date:

SAI No.:

Quantity

RIS No.:

Date:

Item Description

Stock No.

PURPOSE:
REQUESTED BY:
Signature:
Printed Name:
Designation:
Date:

APPROVED BY:

Unit Cost

Total Cost