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Details for Supply and Delivery of Medical Supplies for use of Ospital ng Sta. Cruz

PropertyValue
Name:Supply and Delivery of Medical Supplies for use of Ospital ng Sta. Cruz
Description:

Republic of the Philippines

PROVINCE OF ZAMBALES

I B A




Project Reference Number/Purchase Request No..

120

Location of the Project:

OSC

















REQUEST FOR QUOTATION

Date:

March 10, 2017













RFQ No.

067-2017

















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 Seven(7) days.











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


numbers indicated below.













 






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

with Technical

the

Specifications

(QTY)

Contract

(please check)

Estimate

Yes

No

Unit Cost

Total Cost

QTY

Unit Price

Total Price

For OSC use.

 

 

 

 

 

 

 

 

 

 

 

1. Oxygen Canulla, Pedia

50

piece

50.00

2,500.00


 

 

 

 


 

2. Solucet




50

piece

190.00

9,500.00


 

 

 

 


 

3. Neb Kit




200

piece

70.00

14,000.00


 

 

 

 


 

4. IV Infusion Set, Adult

150

piece

27.00

4,050.00


 

 

 

 


 

5. IV Infusion Set, Pedia

150

piece

27.00

4,050.00


 

 

 

 


 

6. IV Catheter, G-24


100

piece

28.00

2,800.00


 

 

 

 


 

7. IV Catheter, G-22


100

piece

28.00

2,800.00


 

 

 

 


 

8. IV Catheter, G-26


100

piece

36.00

3,600.00


 

 

 

 


 

9. Oxygen Canulla, adult

50

piece

50.00

2,500.00


 

 

 

 


 

10. Disposable Syringe, 1cc

7

box

350.00

2,450.00


 

 

 

 


 

11. Disposable Syringe, 3cc

7

box

350.00

2,450.00


 

 

 

 


 

12. Disposable Syringe, 5cc

7

box

350.00

2,450.00


 

 

 

 


 

13. Disposable Syringe, 10cc

7

box

380.00

2,660.00


 

 

 

 


 

14. Face Mask



10

box

80.00

800.00


 

 

 

 


 

15. Heplock



50

box

18.00

900.00


 

 

 

 


 

16. Exmination Gloves, Small

8

box

240.00

1,920.00


 

 

 

 


 

17. Examination Gloves, Medium

8

box

240.00

1,920.00


 

 

 

 


 

18. Examination Gloves, Large

8

box

240.00

1,920.00


 

 

 

 


 

19. Surgical Gauze 4 x 4

8

box

375.00

3,000.00


 

 

 

 


 

20. Disposable Needle, G-19

2

box

310.00

620.00


 

 

 

 


 

21. Disposable Needle, G-21

1

box

310.00

310.00


 

 

 

 


 

22. Cord Clamp



2

box

600.00

1,200.00


 

 

 

 


 

23. Urine Collector, Pedia

2

box

700.00

1,400.00


 

 

 

 


 

24. Urine Collector, Adult

2

box

700.00

1,400.00


 

 

 

 


 

25. Adhesive Plaster 1/2 inch, 24's

5

box

420.00

2,100.00


 

 

 

 


 

 





 

 


 


 

 

 

 


 

 

 

 

 

 

 

 

TOTAL

73,300.00

 

 

 

 

 

 

 

 









 


 









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 Provincial Government of Zambales shall have the right   to inspect and/or test the goods to confrim their



confirmity 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 Provincial Government of Zambales shall rescind the contract once the cumulative amount of liquidated



 

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



 

remidies open to it.

 

 

 

 

 

 

 

 

 



______________________________________










Signature Over Printed Name/Date/Time












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