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Details for Supply and Delivery of Medical Oxygen for use of San Marcelino District Hospital (SMDH), San Marce

PropertyValue
Name:Supply and Delivery of Medical Oxygen for use of San Marcelino District Hospital (SMDH), San Marce
Description:

Province of Zambales

I B A

Project Reference Number/Purchase Request No..

293 dated July 12, 2017

Location of the Project:

SMDH

REQUEST FOR QUOTATION


 

Date:

August 07, 2017

RFQ No.

182-2017

Name of Company:

 

 

 

 

 

 

 

 






Address:

 

 

 

 

 

 

 

 






Business Permit No.:

 

 

 

 

 

 

 

 






TIN No.

 

 

 

 

 

 

 

 






 















 


Please quote your best offer for the item/s described below, subject to the Terms and Conditions provided at the

 


dorsal portion of this request for quotation. Submit your quotations duly signed by you or your duly representative

 


not later than within 7 days.








 

 















 

 


Open quotation may be submitted, manually or through facsimile or email at the address and contact

 


numbers indicated below.









 

 















 

 










(sgd.) Engr. FRANCISCO D. ARCALA

 










Provincial   Engineer

 










BAC Chairman

 


After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for

 


the item/s as follows:


 







ITEM DESCRIPTION

QUANTITY

Approved

OFFER

PRICE

Compliance

REMARKS

Budget of the

with Technical

Contract

Specifications

Estimate

(please check)

Unit Cost

Total Cost

QTY

Unit Price

Total Price

Yes

No

For SMDH use.

 

 

 

 

 

 


1. STD. Medical Oxygen Cylinder, Full

1200

tank

 

 

 

 

 

 

 


 

2. FT Medical Oxygen Cylinder, Full

4

tank

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

454,480.00

 

 

 

 

 

 

 

 















 









 

 

 









Signature Over Printed Name

 

 









 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact Numbers (Landline and/or Cellphone No.)/E-mail Address

 

TERMS AND CONDITIONS:

 

1

Bidders shall provide correct and accurate information required in this form.

 

2

Bidders may quote for any or all the items.






 

 

3

Price quotation/s must be valid for a period of Thirty (30) calendar days from the date of submission.

 

4

Price quotation/s, to be denomidated in Philippine peso shall include all taxes, duties and/or

 

levies payable.









 

 

5

Quotations exceeding the Approved Budget for the Contract shall be rejected.

 

6

Award of contract shall be made to the lowest quotation (for goods and infrastructure) or,

 

the highest rated offer (for consulting services) which complies with the minimum technical

 

specifications and other terms and conditions stated herein.




 

 

7

Any interlineations, erasures or overwriting shall be valid only if they are signed or initiated

 

by you or any of your duty authorized representative/s.





 

 

8

The item/s shall be delivered within ten (10) calendar days from receipt of purchase order.

 

9

The Prov'l. Gov't. of Zambales shall have the right   to inspect and/or test the goods to confrim their conformity to the

 

technical specifications.








 

 

10

Liquidated damages equivalent to one tenth of one percent (0.001%) of the value of the goods not

 

delivered within the prescribed delivery period shall be imposed per day of delay.

 

 

The Prov'l. Gov't of Zambales shall rescind the contract once the cumulative amount of liquidated damages reaches

 

 

reaches ten percent (10%) of the amount contract, without   prejudice to other courses of action and remedies

 

 

open to it.

 

 

 

 

 

 

 

 

 

 

 

 















 

 

___________________________











 

 

Signature Over Printed Name/Date/Time











 

(Canvasser)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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