APP-CSE 2021 FORM ANNUAL PROCUREMENT PLAN-COMMON SUPPLIES .

APP-CSE 2021 FORMANNUAL PROCUREMENT PLAN-COMMON SUPPLIES AND EQUIPMENT (APP-CSE) 2021 FORMIntroduction:Listed in this template are all the common supplies and equipment (CSE) carried in stock by the Procurement Service (PS) that may be purchased by government agencies. Agencies must accomplish this form and submit in order to purchase CSEs from the PS. Consistent with DBM Circular No. 2018-10dated November 8,2018 , the APP-CSE shall serve as the agency's APR for all its CSE requirements. Items in the template has been arranged in accordance with UNSPSC coding and this is in preparation for integration of the APP-CSE template in the Modernized Government Electronic Procurement System(MGEPS).Instructions:1. Download the worksheet file APP-CSE 2021 FORM at www.ps-philgeps.gov.ph2. Indicate the agency’s monthly requirement per item in the APP-CSE 2021 form.3. The agency should indicate zero "0" if an item is not being purchased by the agency or purchased for a particular month.4. Agency must not delete any item in the template; neither should revise the template.5. An APP-CSE is considered incorrect or invalid ifa. form used is other than the prescribed format which can be downloaded only at www.ps- philgeps.gov.ph and;b. correct format is used but fields were deleted and/or inserted in PART I of the template6. Fill out the CSE requirements that are available for purchase in the PS under the PART I. For other Items that are not available from the PS but is regularly purchased by the agency from other sources, agency must indicate the items in the PART II and indicate likewise the unit prices based on its lastpurchase. To add or insert items are only applicable in PART II.7. Once accomplished and finalized, the APP-CSE 2021 form should be:a. Saved using this format: APP2021 Name of Agency Main or Regional Office (e.g. APP2021 DBM Central Office, APP2021 DBM Region IVA).b. Printed and signed by the agency Property/Supply Officer, Budget Officer and Head of the Procuring Entity. An unsigned APP-CSE or that which lacks any of the three (3) signatures will be considered as an invalid submission.8. The SIGNED COPY of the APP-CSE must be scanned and saved as pdf format for reference of the agency. The file in excel format should be submitted online using the Virtual Store (VS) facility at PhilGEPS website. (Only buyer coordinators will be allowed to upload APP-CSEs.)9. An agency may revise its APP-CSE during the year if there will be changes in its requirements. However, it should submit an original APP-CSE within the prescribed deadline. Agency may follow the same procedure as indicated in No. 7 when submitting the revised copy. All requirements in excess of thequantities indicated in the original APP-CSE will not be served if not covered by a revised APP-CSE.10. For further assistance/clarification, agencies may call the Marketing and Sales Division of the Procurement Service at telephone no.8-290-6300; 8290-6400 Local 8006-8010Note: Consistent with Memorandum Circular No. 2020 -1 dated 02 June 2020, issued by AO 25, the APP-CSE for FY 2021 must be submitted on or before December 15, 2020.Department/Bureau/Office: BUREAU OF THE TREASURYRegion: REGION XAddress: 2F Jugador Bldg., Velez-Gaerlan Sts., Barangay 2,Cagayan de Oro CityItem & SpecificationsUnit ofMeasureAgency Account Code:Organization Type: National Government Agency (NGA)Contact Person:Position:E-mail :Telephone/Mobile Nos:Bienvenido V. Esmeralda, Jr.OIC-Regional thly Quantity RequirementTotal Quantityfor the 4.885117975.5271191,254.24311500.0000.0000.00Total Amountfor the yearPART I. AVAILABLE AT PROCUREMENT SERVICE STORESPESTICIDES OR PEST REPELLENTS110191509-IN-A01INSECTICIDE, aerosol type, net content: 600ml mincanPERFUMES OR COLOGNES OR FRAGRANCES253131626-HS-S01HAND SANITIZER, 500 mlbottleALCOHOL OR ACETONE BASED ANTISEPTICS312191601-AL-E01ALCOHOL, ethyl, 68%-72%, scented, 500ml 043.583573.56412191601-AL-E02ALCOHOL, ethyl, 68%-72%, scented, 3.785 71901-AL-I01ALCOHOL, isopropyl, 68%- 72%, 500ml 1901-AL-I02ALCOHOL, isopropyl, 68%-72%, scented, 3.785 71505-PO-P01POVIDONE IODINE, 10 % solution, 120 LOR COMPOUNDS AND DISPERSIONS812171703-SI-P01STAMP PAD INK, purple or violet, 50ml (min.)bottle140200500100913111203-AC-F01ACETATE, thickness: 0.075mm min (gauge 1-CF-P01CARBON FILM, PE, black, size 210mm x 01-CF-P02CARBON FILM, PE, black, size 216mm x ER MATERIALS AND PRODUCTS1214111525-CA-A01CARTOLINA, assorted colorspack1314111506-CF-L11CONTINUOUS FORM, 1 PLY, 280 x 241mmbox1414111506-CF-L12CONTINUOUS FORM, 1 PLY, 280 x 003Page 1 of 512.00882.5510590.6000.000.001029.600.00

1514111506-CF-L22CONTINUOUS FORM, 2 ply, 280 x 378mm, 14111506-CF-L21CONTINUOUS FORM, 2 ply, 280mm x 241mm, NUOUS FORM, 3 PLY, 280 x 241mm, 03.00884.002652.001814111506-CF-L32CONTINUOUS FORM, 3 PLY, 280 x 378mm, 14111609-LL-C01LOOSELEAF COVER, made of chipboard, for 11514-NP-S02NOTE PAD, stick on, 50mm x 76mm (2" x 3") NP-S04NOTE PAD, stick on, 76mm x 100mm (3" x 4") NP-S03NOTE PAD, stick on, 76mm x 76mm (3" x 3") NB-S01NOTEBOOK, STENOGRAPHER, spiral, 40 1507-PP-M01PAPER, MULTICOPY, 80gsm, size: 210mm x 1507-PP-M02PAPER, MULTICOPY, 80gsm, size: 216mm x 1507-PP-C01PAPER, Multi-Purpose (COPY) A4, 70 P-C02PAPER, Multi-Purpose (COPY) Legal, 70 1PAPER, PAD, ruled, size: 216mm x 330mm (? -PA-P01PAPER, PARCHMENT, size: 210 x 297mm, multi-purposebox3014111818-TH-P02PAPER, THERMAL, 55gsm, size: 216mm?1mm x 30m-0.3mroll3114111531-RE-B01RECORD BOOK, 300 PAGES, size: 214mm x 278mm minbook3214111531-RE-B02RECORD BOOK, 500 PAGES, size: 214mm x 278mm 0000.00book1001TOILET TISSUE PAPER, 2-ply, 100% recycledpack232TISSUE, interfolded paper 40007611.80328278.7242BATTERIES AND CELLS AND ACCESSORIES3526111702-BT-A02BATTERY, dry cell, AA, 2 pieces per blister .30217.803626111702-BT-A01BATTERY, dry cell, AAA, 2 pieces per blister 73157.843726111702-BT-A03BATTERY, dry cell, D, 1.5 volts, .000.0019.760.001307.58MANUFACTURING COMPONENTS AND SUPPLIES3831201610-GL-J01GLUE, all purpose, gross weight: 200 grams minjar3931151804-SW-H01STAPLE WIRE, for heavy duty staplers, (23/13)box4031151804-SW-S01STAPLE WIRE, STANDARD, 3.0862.0021.094131201502-TA-E01TAPE, ELECTRICAL, 18mm x 16M 37.344231201503-TA-M01TAPE, MASKING, width: 24mm ( .0054.601037.404331201503-TA-M02TAPE, MASKING, width: 48mm ( 1mm)roll4431201517-TA-P01TAPE, PACKAGING, width: 48mm ( 1mm)roll4405007006004531201512-TA-T01TAPE, TRANSPARENT, width: 24mm ( 1mm)roll00.0000.0000.0004631201512-TA-T02TAPE, TRANSPARENT, width: 48mm ( TW-P01TWINE, plastic, one (1) kilo per EATING AND VENTILATION AND AIR CIRCULATION4840101604-EF-G01ELECTRIC FAN, INDUSTRIAL, ground type, metal 64940101604-EF-C01ELECTRIC FAN, ORBIT type, ceiling, metal 1604-EF-S01ELECTRIC FAN, STAND type, plastic 604-EF-W01ELECTRIC FAN, WALL type, plastic .0000.0000.0000.000.003068.000.00MEDICAL THERMOMETERS AND ACCESSORIES5241112224-TG-T01THERMOGUNLIGHTING AND FIXTURES AND ACCESSORIESPage 2 of 24

5339101628-LT-L01LED LINEAR TUBE, 18 WATTS FRO 01628-LB-L01LIGHT BULB, Light Emitting Diode (LED), 001136.2412.00136.241634.88MEASURING AND OBSERVING AND TESTING EQUIPMENT5541111604-RU-P02RULER, plastic, 450mm (18"), width: 38mm minCLEANING EQUIPMENT AND SUPPLIES5647131812-AF-A01AIR FRESHENER, aerosol, 280ml/150g min5747131604-BR-S01BROOM, soft (tambo)5847131604-BR-T01BROOM, STICK (TING-TING), usable length: 760mm 20182.005947131829-TB-C01CLEANER,TOILET BOWL AND URINAL, 900ml-1000ml 6.0054.0041.602246.406047131805-CL-P01CLEANSER, SCOURING POWDER, 350g 1811-DE-B02DETERGENT BAR, 140 grams as 811-DE-P02DETERGENT POWDER, all purpose, 0.0037.431122.906347131803-DS-A01DISINFECTANT SPRAY, aerosol type, 400-550 2.7234.00128.964384.646447131601-DU-P01DUST PAN, non-rigid plastic, w/ detachable .0024.83248.306551241552-SH-S01SODIUM HYPOCHLORITE, 3.785 101612-HS-L01HAND SOAP, Liquid, 422.00102.962265.126747131802-FW-P02FLOOR WAX, PASTE, 761858.566847131830-FC-A01FURNITURE CLEANER, aerosol type, 300ml min per 0115.531617.426947121804-MP-B01MOP BUCKET, heavy duty, hard 131613-MP-H02MOPHANDLE, heavy duty, aluminum, screw 619-MP-R01MOPHEAD, made of rayon, weight: 400 grams 01-RG-C01RAGS, all cotton, 32 pieces per kilogram 02-SC-N01SCOURING PAD, 5 pieces per 7.12642.727447121701-TB-P04TRASHBAG, GPP specs, black, WB-P01WASTEBASKET, non-rigid .0027.96335.52PERSONAL PROTECTIVE EQUIPMENT7646181503-CA-C01COVERALL, non-sterile, protective, medical 81702-FSH01FACE SHIELD, direct splash 846181804-GG-G01PROTECTIVE SAFETY 131601-PA-A01Polyethylene Apron 702-SG-01SURGICAL 711-HC-H01HEAD COVER, 2131609-SC-S01SHOE COVER, 132203-MG-G01NITRILE 203-MG-G02PREMIUM LATEX 713-SM-M01SURGICAL MASK, 008-KN-M01KN95 FACE TION AND COMMUNICATION TECHNOLOGY (ICT) EQUIPMENT AND DEVICES AND ACCESSORIES8743211507-DSK001MITHI DESKTOP, 211507-DSK002MITHI DESKTOP, 8943211503-LAP001MITHI LAPTOP, 201827-HD-X02EXTERNAL HARD DRIVE, 1TB, 2.5"HDD, USB 50.832650.839143202010-FD-U01FLASH DRIVE, 16 GB 08.00167.441339.52Page 3 of 240.00

9243211708-MO-O01MOUSE, OPTICAL, USB CONNECTION TYPE, 1 unit in 8-MO-O02MOUSE, WIRELESS, 2-PR-D02PRINTER, IMPACT DOT MATRIX, 24 pins, 136 212102-PR-D01PRINTER, IMPACT DOT MATRIX, 9 pins, 80 212105-PR-L01PRINTER, laser, 43212105-PR-L02PRINTER, laser, 40.00OFFICE EQUIPMENT AND ACCESSORIES AND SUPPLIES9844121710-CH-W01CHALK, molded, white, dustless, length: 78mm P, BACKFOLD, all metal, clamping: 19mm 05-BF-C02CLIP, BACKFOLD, all metal, clamping: 25mm 105-BF-C03CLIP, BACKFOLD, all metal, clamping: 32mm 105-BF-C04CLIP, BACKFOLD, all metal, clamping: 50mm 801-CT-R01CORRECTION TAPE, film base type, UL 6m 010444111515-DF-B01DATA FILE BOX, made of chipboard, with closed 011-DF-F01DATA FOLDER, made of chipboard, taglia 506-EN-D01ENVELOPE, DOCUMENTARY, for A4 size 121506-EN-D02ENVELOPE, DOCUMENTARY, for legal size 3210844121506-EN-X01ENVELOPE, EXPANDING, KRAFTBOARD,for legal size 6-EN-X02ENVELOPE, EXPANDING, PLASTIC, 0.50mm thickness NVELOPE, mailing, white, NVELOPE, mailing, white, with window0.0011244111912-ER-B01ERASER, FELT, for blackboard/whiteboard11344122118-FA-P01FASTENER, METAL, 70mm between prongsbox11444111515-FO-X01FILE ORGANIZER, expanding, plastic, 12 pockets11544122018-FT-D01FILE TAB DIVIDER, bristol board, for A411644122018-FT-D02FILE TAB DIVIDER, bristol board, for legal11744122011-FO-F01FOLDER, FANCY, for A4 size documents11844122011-FO-F02FOLDER, FANCY, for legal size 000set00.000set00.00bundle00.00bundle0FOLDER, L-TYPE, PLASTIC, for A4 size documentspack44122011-FO-L02FOLDER, L-TYPE, PLASTIC, for legal size documentspack12144122027-FO-P01FOLDER, PRESSBOARD, size: 240mm x 370mm (-5mm)box12244122011-FO-T03FOLDER, TAGBOARD, for A4 size documentspack12344122011-FO-T04FOLDER, TAGBOARD, for legal size documentspack12444122008-IT-T01INDEX TAB, self-adhesive, transparent12544111515-MF-B02MAGAZINE FILE BOX, LARGE size, made of chipboard12644121716-MA-F01MARKER, FLUORESCENT, 3 assorted colors per set12744121708-MW-B01MARKER, whiteboard, black, felt tip, bullet type12844121708-MW-B02MARKER, whiteboard, blue, felt tip, bullet RKER, whiteboard, red, felt tip, bullet typepiece44121708-MP-B01MARKER, PERMANENT, bullet type, blackpiece13144121708-MP-B02MARKER, PERMANENT, bullet type, blue13244121708-MP-B03MARKER, PERMANENT, bullet type, red13344122104-PC-G01PAPER CLIP, vinyl/plastic coat, length: 32mm .006208Page 4 of 2404421