Bureau Of Corrections leyte Regional Prison Abuyog Leyte Tender

Description Bids & Awards Committee Invitation For Negotiated Procurement - Two-failed Biddings For The Request For Supply & Delivery Of Medical Supplies 2025 1. The Leyte Regional Prison (lrp) Intends To Procure Medical Supplies 2025 With An Approved Budget For The Contract (abc) Amounting To Five Hundred Ninety-six Thousand Four Hundred Seventy-seven Pesos Only (php 596,477.00). 2. The Lrp Bids And Award Committee (bac) Now Invites Technically, Legally, And Financially Capable Suppliers For The Said Project. 3. The Procurement Procedure For This Requirement Is Negotiated Procurement For Two-failed Bidding Pursuant To Section 53.1 Of 2016 Revised Implementing Rules And Regulations (irr) Of Republic Act (ra) No. 9184. The Selection Of The Successful Offer Shall Be Based On The Best And Final Offer That Will Be Submitted On The Set Deadline By The Bac And Which Would Meet The Minimum Technical Specifications Required. 4. The Interested Bidders May Obtain Further Information From The Bac Secretariat At The Address Given Below From 09 January 2025 To 13 January 2025 Before 9:00am. 5. The Lrp Will Hold A Negotiation Meeting On 13 January 2025 At Exactly 9:00am At Conference Room, Admin Building, Lrp, Abuyog, Leyte, Which Shall Be Open To Prospective Bidders. 6. Four (4) Copies Of The Proposals (one Original And Three Copies) Must Be Submitted To The Bac Which Must Be Duly Received By The Bac Secretariat Through Manual Submission At The Office Address Indicated Above On Or Before 5:00 Pm Of 14 January 2025. Late Submission Shall Not Be Accepted. 7. Interested Bidders Shall Submit The Following Documents In Sealed Envelopes, Labeled As “negotiated Procurement For Two-failed Biddings”, With The Title Of The Procurement Project, Name Of The Bidder, Address, And The Contact Details Of The Bidder, Addressed To The Bac. I. Technical Component Envelope Class “a” Documents Legal Documents (a) Valid Philgeps Registration Certificate (platinum Membership) (all Pages) In Accordance With Section 8.5.2 Of The Irr; Technical Documents (b) Statement Of The Prospective Bidder Of All Its Ongoing Government And Private Contracts, Including Contracts Awarded But Not Yet Started, If Any, Whether Similar Or Not Similar In Nature And Complexity To The Contract To Be Bid; And (c) Statement Of The Bidder’s Single Largest Completed Contract (slcc) Similar To The Contract To Be Bid, Except Under Conditions Provided For In Sections 23.4.1.3 And 23.4.2.4 Of The 2016 Revised Irr Of Ra No. 9184, Within The Relevant Period As Provided In The Bidding Documents; And (d) Original Copy Of Bid Security. If In The Form Of A Surety Bond, Submit Also A Certification Issued By The Insurance Commission Or Original Copy Of Notarized Bid Securing Declaration; And (e) Conformity With The Schedule Of Requirements (annex “a”) & Technical Specifications (annex “b”), Which May Include Production/delivery Schedule, Manpower Requirements, And/or After-sales/parts, If Applicable; And (f) Original Duly Signed Omnibus Sworn Statement (oss) And If Applicable, Original Notarized Secretary’s Certificate In Case Of A Corporation, Partnership, Or Cooperative; Or Original Special Power Of Attorney Of All Members Of The Joint Venture Giving Full Power And Authority To Its Officer To Sign The Oss And Do Acts To Represent The Bidder. Financial Documents ⬜ (g) The Prospective Bidder’s Computation Of Net Financial Contracting Capacity (nfcc) Or A Committed Line Of Credit From A Universal Or Commercial Bank In Lieu Of Its Nfcc Computation. Class “b” Documents ⬜ (h) If Applicable, A Duly Signed Joint Venture Agreement (jva) In Case The Joint Venture Is Already In Existence Or Duly Notarized Statements From All The Potential Joint Venture Partners Stating That They Will Enter Into And Abide By The Provisions Of The Jva In The Instance That The Bid Is Successful. Ii. Financial Component Envelope ⬜ (i) Original Of Duly Signed And Accomplished Financial Bid Form; And ⬜ (j) Original Of Duly Signed And Accomplished Price Schedule(s). 8. The Special Conditions Of The Contract (annex “c”) Shall Form Part Of The Contract. Other Conditions Of The Contract Shall Be Governed By The Implementation Of The Rules And Regulations Of Ra 9184 And Other Related And Applicable Laws. Issued This 8th Day Of January 2025. Mr. Tracy B. Soriano, Msca Chairperson, Bids And Awards Committee Company Letterhead Statement Of Ongoing Government & Private Contracts Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Statement Of All Its Ongoing Government And Or Private Contracts Including Contracts Awarded But Not Yet Started, If Any Whether Similar Or Not Similar In Nature. Name Of Contract Date Of Contract Contract Duration Owner’s Name And Address Kind Of Goods Amount Of Contract Value Of Outstanding Contract Total Value Of Outstanding Contract: Certified Correct: Name And Signature Of Authorized Representative Position Date Company Letterhead Statement Of Single Largest Completed Contract Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Statement Of Single (1) Largest Completed Contract Of Similar In Nature Within The Last Two (2) Years From The Date Of Submission And Receipt Of Bids Amounting To At Least Twenty-five Percent (25%) Of The Approved Budget Of The Contract (abc) Name Of Contract Date Of Contract Contract Duration Owner’s Name And Address Kind Of Goods Amount Of Contract Amount Of Completed Contracts, Adjusted By The Bidder To Current Prices Using Psa’s Consumer Price Index, If Necessary Date Of Delivery End User’s Acceptance Or Official Receipt(s) Or Sales Invoice Issued For The Contract, (attached Copy) Certified Correct: Name And Signature Of Authorized Representative Position Date Company Letterhead Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Republic Of The Philippines) City Of _______________________) S.s. X------------------------------------------------------x Bid Securing Declaration Invitation To Bid: [insert Reference Number] To: Leyte Regional Prison I/we, The Undersigned, Declare That: 1. I/we Understand That, According To Your Conditions, Bids Must Be Supported By A Bid Security, Which May Be In The Form Of A Bid-securing Declaration. 2. I/we Accept That: (a) I/we Will Be Automatically Disqualified From Bidding For Any Contract With Any Procuring Entity For A Period Of Two (2) Years Upon Receipt Of Your Blacklisting Order; And, (b) I/we Will Pay The Applicable Fine Provided Under Section 6 Of The Guidelines On The Use Of Bid Securing Declaration, Within Fifteen (15) Days From Receipt Of The Written Demand By The Procuring Entity For The Commission Of Acts Resulting To The Enforcement Of The Bid Securing Declaration Under Sections 23.1(b), 34.2, 40.1 And 69.1, Except 69.1(f), Of The Irr Of Ra 9184; Without Prejudice To Other Legal Action The Government May Undertake. 3. I/we Understand That This Bid Securing Declaration Shall Cease To Be Valid On The Following Circumstances: (a) Upon Expiration Of The Bid Validity Period, Or Any Extension Thereof Pursuant To Your Request; (b) I Am/we Are Declared Ineligible Or Post-disqualified Upon Receipt Of Your Notice To Such Effect, And (i) I/we Failed To Timely File A Request For Reconsideration Or (ii) I/we Filed A Waiver To Avail Of Said Right; (c) I Am/we Are Declared The Bidder With The Lowest Calculated Responsive Bid, And I/we Have Furnished The Performance Security And Signed The Contract. In Witness Whereof, I/we Have Hereunto Set My/our Hand/s This ____ Day Of [month] [year] At [place Of Execution]. [insert Name Of Bidder’s Authorized Representative] [insert Signatory’s Legal Capacity] Affiant Subscribed And Sworn To Before Me This ___ Day Of [month] [year] At [place Of Execution], Philippines. Affiant/s Is/are Personally Known To Me And Was/were Identified By Me Through Competent Evidence Of Identity As Defined In The 2004 Rules On Notarial Practice (a.m. No. 02-8-13-sc). Affiant/s Exhibited To Me His/her [insert Type Of Government Identification Card Used], With His/her Photograph And Signature Appearing Thereon, With No. ________ And His/her Community Tax Certificate No. _______ Issued On ____ At ______. Witness My Hand And Seal This ___ Day Of [month] [year]. Name Of Notary Public Serial No. Of Commission _______________ Notary Public For _______ Until __________ Roll Of Attorneys No. __________________ Ptr No. ______ [date Issued], [place Issued] Ibp No. ______ [date Issued], [place Issued] Doc. No. _____ Page No. _____ Book No. _____ Series Of _____ Section Vi. Schedule Of Requirements Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 The Delivery Schedule Expressed As Weeks/months Stipulates Hereafter A Delivery Date Which Is The Date Of Delivery To The Project Site. # Description Qty Dosage Form Delivered, Weeks/months 1 Acid Fast Stain, Medic (ziel-neelsen Hot Method) 3 Pcs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 2 Acepto Bulb Syringe 5 Pcs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 3 Adult Pulse Oximeter Fingertip (durable) 5 Pcs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 4 Alcohol 70% Gallon 100 Gallon Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 5 Aneroid Sphygmomanometer W/ Stethoscope (durable) 10 Set Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 6 Battery Double Aa (heavy Duty) 50 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 7 Battery Triple Aaa (heavy Duty) 50 Capsule Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 8 Blood Collection Tube 5ml (lavender) 1 Box Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 9 Blood Collection Tube 5ml (yellow) 1 Box Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 10 Cold Compress Bag 5 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 11 Denatured Alcohol 1l 2 Gallon Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 12 Disinfectant Solution 10 Litrs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 13 Drug Testing Kit (urine) 1000 Unit Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 14 Dsn 10cc 500 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. I/we Hereby Commit To Comply And Deliver All The Requirement In Accordance With The Above Stated Schedule. Conforme: Name Of Company In Print Signature Printed Name Of Authorized Representative Date Section Vi. Schedule Of Requirements Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 The Delivery Schedule Expressed As Weeks/months Stipulates Hereafter A Delivery Date Which Is The Date Of Delivery To The Project Site. # Description Qty Dosage Form Delivered, Weeks/months 15 Dsn 3cc 700 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 16 Dsn 5cc 700 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 17 Dsn 1cc 500 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 18 Easy Touch Blood Glucose Strips 25's 20 Bottle Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 19 Easy Touch Blood Cholesterol Strips 25's 30 Bottle Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 20 Easy Touch Blood Uric Strips 25's 30 Bottle Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 21 Examination Disposable Latex Gloves Powder Free 100 Box Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 22 Face Mask 50's 100 Box Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 23 Heplock 20 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 24 Hot Water Bag 10 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 25 Hydrogen Peroxide 10 Volume 20 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 26 Iv Infusion Set Adult 500 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 27 Kidney Basin Stainless 4 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 28 Lubricating Jelly 80gms 50 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. I/we Hereby Commit To Comply And Deliver All The Requirement In Accordance With The Above Stated Schedule. Conforme: Name Of Company In Print Signature Printed Name Of Authorized Representative Date Section Vi. Schedule Of Requirements Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 The Delivery Schedule Expressed As Weeks/months Stipulates Hereafter A Delivery Date Which Is The Date Of Delivery To The Project Site. # Description Qty Dosage Form Delivered, Weeks/months 29 Medical Penlight 5 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 30 Medical Oxygen Regulator 5 Pcs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 31 Muriatic Acid Solution 50 Gallon Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 32 Na Hypochlorite Solution 30 Gallon Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 33 Nebulizer 2 Set Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 34 One Touch Select Simple Test Strip 25's 50 Bottle Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 35 Oxygen Mask Cannula 150 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 36 Oxygen Trolley (5-20 Lbs) 2 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 37 Petroleum Jelly 25gms 100 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 38 Plastic Canister 3 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 39 Plastic Splint Adult 10 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 40 Rotahaler 50 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 41 Sphygmomanometer Valve With Bulb 20 Set Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed 42 Sterile Latex Surgical Gloves #7, 50pairs/box 5 Box Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed I/we Hereby Commit To Comply And Deliver All The Requirement In Accordance With The Above Stated Schedule. Conforme: Name Of Company In Print Signature Printed Name Of Authorized Representative Date Section Vi. Schedule Of Requirements Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 The Delivery Schedule Expressed As Weeks/months Stipulates Hereafter A Delivery Date Which Is The Date Of Delivery To The Project Site. # Description Qty Dosage Form Delivered, Weeks/months 43 Soluset Infusion Set 5 Pcs Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 44 Urinal (male) 10 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. 45 Urine Container 50ml 1000 Pieces Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. I/we Hereby Commit To Comply And Deliver All The Requirement In Accordance With The Above Stated Schedule. Conforme: Name Of Company In Print Signature Printed Name Of Authorized Representative Date Section Vii. Technical Specifications Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Item No. Qty. Dosage Form Agency Specification Bidder’s Statement Of Compliance 1 3 Pcs Acid Fast Stain, Medic (ziel-neelsen Hot Method) 2 5 Pcs Acepto Bulb Syringe 3 5 Pcs Adult Pulse Oximeter Fingertip (durable) 4 100 Gallon Alcohol 70% Gallon 5 10 Set Aneroid Sphygmomanometer W/ Stethoscope (durable) 6 50 Pieces Battery Double Aa (heavy Duty) 7 50 Capsule Battery Triple Aaa (heavy Duty) 8 1 Box Blood Collection Tube 5ml (lavender) 9 1 Box Blood Collection Tube 5ml (yellow) 10 5 Pieces Cold Compress Bag 11 2 Gallon Denatured Alcohol 1l 12 10 Litrs Disinfectant Solution 13 1000 Unit Drug Testing Kit (urine) 14 500 Pieces Dsn 10cc 15 700 Pieces Dsn 3cc 16 700 Pieces Dsn 5cc 17 500 Pieces Dsn 1cc I Hereby Certify That The Statement Of Compliance To The Foregoing Technical Specifications Are True And Correct, Otherwise, If Found To Be False Either During Bid Evaluation Or Post- Qualification, The Same Shall Give Rise To Automatic Disqualification Of Our Bid. ___________________________________________ Name Of Company In Print ___________________________________________ Signature Over Printed Name Of Authorized Representative Section Vii. Technical Specifications Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Item No. Qty. Dosage Form Agency Specification Bidder’s Statement Of Compliance 18 20 Bottle Easy Touch Blood Glucose Strips 25's 19 30 Bottle Easy Touch Blood Cholesterol Strips 25's 20 30 Bottle Easy Touch Blood Uric Strips 25's 21 100 Box Examination Disposable Latex Gloves Powder Free 22 100 Box Face Mask 50's 23 20 Pieces Heplock 24 10 Pieces Hot Water Bag 25 20 Pieces Hydrogen Peroxide 10 Volume 26 500 Pieces Iv Infusion Set Adult 27 4 Pieces Kidney Basin Stainless 28 50 Pieces Lubricating Jelly 80gms 29 5 Pieces Medical Penlight 30 5 Pcs Medical Oxygen Regulator 31 50 Gallon Muriatic Acid Solution 32 30 Gallon Na Hypochlorite Solution 33 2 Set Nebulizer 34 50 Bottle One Touch Select Simple Test Strip 25's I Hereby Certify That The Statement Of Compliance To The Foregoing Technical Specifications Are True And Correct, Otherwise, If Found To Be False Either During Bid Evaluation Or Post- Qualification, The Same Shall Give Rise To Automatic Disqualification Of Our Bid. ___________________________________________ Name Of Company In Print ___________________________________________ Signature Over Printed Name Of Authorized Representative Section Vii. Technical Specifications Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Item No. Qty. Dosage Form Agency Specification Bidder’s Statement Of Compliance 35 150 Pieces Oxygen Mask Cannula 36 2 Pieces Oxygen Trolley (5-20 Lbs) 37 100 Pieces Petroleum Jelly 25gms 38 3 Pieces Plastic Canister 39 10 Pieces Plastic Splint Adult 40 50 Pieces Rotahaler 41 20 Set Sphygmomanometer Valve With Bulb 42 5 Box Sterile Latex Surgical Gloves #7, 50pairs/box 43 5 Pcs Soluset Infusion Set 44 10 Pieces Urinal (male) 45 1000 Pieces Urine Container 50ml I Hereby Certify That The Statement Of Compliance To The Foregoing Technical Specifications Are True And Correct, Otherwise, If Found To Be False Either During Bid Evaluation Or Post- Qualification, The Same Shall Give Rise To Automatic Disqualification Of Our Bid. ___________________________________________ Name Of Company In Print ___________________________________________ Signature Over Printed Name Of Authorized Representative Company Letterhead Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Omnibus Sworn Statement Republic Of The Philippines ) City/municipality Of ______ ) S.s. Affidavit I, [name Of Affiant], Of Legal Age, [civil Status], [nationality], And Residing At [address Of Affiant], After Having Been Duly Sworn In Accordance With Law, Do Hereby Depose And State That: 1. Select One, Delete The Other: If A Sole Proprietorship: I Am The Sole Proprietor Or Authorized Representative Of [name Of Bidder] With Office Address At [address Of Bidder]; If A Partnership, Corporation, Cooperative, Or Joint Venture: I Am The Duly Authorized And Designated Representative Of [name Of Bidder] With Office Address At [address Of Bidder]; 2. Select One, Delete The Other: If A Sole Proprietorship: As The Owner And Sole Proprietor, Or Authorized Representative Of [name Of Bidder], I Have Full Power And Authority To Do, Execute And Perform Any And All Acts Necessary To Participate, Submit The Bid, And To Sign And Execute The Ensuing Contract For Supply & Delivery Of Medical Supplies 2025 Of The Leyte Regional Prison As Shown In The Attached Duly Notarized Special Power Of Attorney; If A Partnership, Corporation, Cooperative, Or Joint Venture: I Am Granted Full Power And Authority To Do, Execute And Perform Any And All Acts Necessary To Participate, Submit The Bid, And To Sign And Execute The Ensuing Contract For The Supply & Delivery Of Medical Supplies 2025 Of The Leyte Regional Prison, As Shown In The Attached [state Title Of Attached Document Showing Proof Of Authorization (e.g., Duly Notarized Secretary’s Certificate, Board/partnership Resolution, Or Special Power Of Attorney, Whichever Is Applicable;)]; 3. [name Of Bidder] Is Not “blacklisted” Or Barred From Bidding By The Government Of The Philippines Or Any Of Its Agencies, Offices, Corporations, Or Local Government Units, Foreign Government/foreign Or International Financing Institution Whose Blacklisting Rules Have Been Recognized By The Government Procurement Policy Board; 4. Each Of The Documents Submitted In Satisfaction Of The Bidding Requirements Is An Authentic Copy Of The Original, Complete, And All Statements And Information Provided Therein Are True And Correct; 5. [name Of Bidder] Is Authorizing The Head Of The Procuring Entity Or Its Duly Authorized Representative(s) To Verify All The Documents Submitted; 6. Select One, Delete The Rest: If A Sole Proprietorship: The Owner Or Sole Proprietor Is Not Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; If A Partnership Or Cooperative: None Of The Officers And Members Of [name Of Bidder] Is Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; If A Corporation Or Joint Venture: None Of The Officers, Directors, And Controlling Stockholders Of [name Of Bidder] Is Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; 7. [name Of Bidder] Complies With Existing Labor Laws And Standards; And 8. [name Of Bidder] Is Aware Of And Has Undertaken The Following Responsibilities As A Bidder: A) Carefully Examine All Of The Bidding Documents; B) Acknowledge All Conditions, Local Or Otherwise, Affecting The Implementation Of The Contract; C) Made An Estimate Of The Facilities Available And Needed For The Contract To Be Bid, If Any; And D) Inquire Or Secure Supplemental/bid Bulletin(s) Issued For The Supply & Delivery Of Medical Supplies 2025. 9. [name Of Bidder] Did Not Give Or Pay Directly Or Indirectly, Any Commission, Amount, Fee, Or Any Form Of Consideration, Pecuniary Or Otherwise, To Any Person Or Official, Personnel Or Representative Of The Government In Relation To Any Procurement Project Or Activity. In Witness Whereof, I Have Hereunto Set My Hand This __ Day Of ___, 20__ At ____________, Philippines. _____________________________________ Bidder’s Representative/authorized Signatory Subscribed And Sworn To Before Me This ___ Day Of [month] [year] At [place Of Execution], Philippines. Affiant/s Is/are Personally Known To Me And Was/were Identified By Me Through Competent Evidence Of Identity As Defined In The 2004 Rules On Notarial Practice (a.m. No. 02-8-13-sc). Affiant/s Exhibited To Me His/her [insert Type Of Government Identification Card Used], With His/her Photograph And Signature Appearing Thereon, With No. ________ And His/her Community Tax Certificate No. _______ Issued On ____ At ______. Witness My Hand And Seal This ___ Day Of [month] [year]. Name Of Notary Public Serial No. Of Commission _______________ Notary Public For _______ Until __________ Roll Of Attorneys No. __________________ Ptr No. ______ [date Issued], [place Issued] Ibp No. ______ [date Issued], [place Issued] Doc. No. _____ Page No. _____ Book No. _____ Series Of _____ Company Letterhead Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Certificate Of Net Financial Contracting Capacity (please Show Figures At How You Arrived At The Nfcc) This Is To Certify That Our Net Financial Contracting Capacity (nfcc) Is _________________________(p____________) Which Is At Least Equal To The Total Ceiling Price We Are Bidding. The Amount Is Computed As Follows: (please Show Computation Of Nfcc) Nfcc = (ca-cl) (15) – C Where: Ca = Current Assets Cl = Current Liabilities C = Value Of All Outstanding Or Uncompleted Portions Of The Projects Under Going Contracts, Including Awarded Contracts Yet To Be Started Coinciding With The Contract For This Project Note: The Values Of The Bidder’s Current Assets And Current Liabilities Shall Be Based On The Audited Financial Statement Submitted To The Bir. Issued This _______day Of __________2025. _______________________________________________ Name & Signature Of Authorized Representative ____________________ Position _______________ Date Company Letterhead Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Bid Form Date: Invitation To Bid No: Bid 2024-08 To: Mr. Tracy B. Soriano, Msca Bac Chairperson Leyte Regional Prison Abuyog, Leyte Gentlemen And/or Ladies: Having Examined The Bidding Documents Including Bid Bulletin Numbers Bid2024-08, The Receipt Of Which Is Hereby Duly Acknowledged, We, The Undersigned, Offer To Supply & Deliver Of Medical Supplies 2025 In Conformity With The Said Bidding Documents For The Sum Of __________________________________________₱ ________ Or Such Other Sums As May Be Ascertained In Accordance With The Schedule Of Prices Attached Herewith And Made Part Of This Bid. We Undertake, If Our Bid Is Accepted, To Deliver The Goods In Accordance With The Delivery Schedule Specified In The Schedule Of Requirements. If Our Bid Is Accepted, We Undertake To Provide A Performance Security In The Form, Amounts, And Within The Times Specified In The Bidding Documents. Until A Formal Contract Is Prepared And Executed, This Bid, Together With Your Written Acceptance Thereof And Your Notice Of Award, Shall Be Binding Upon Us. We Understand That You Are Not Bound To Accept The Lowest Calculated Bid Or Any Bid You May Receive. We Certify/confirm That We Comply With The Eligibility Requirements Of The Bidding Documents. I/we Likewise Certify/confirm That The Undersigned, [for Sole Proprietorships, Insert]: As The Owner And Sole Proprietor Or Authorized Representative Of [name Of Bidder], Has The Full Power And Authority To Participate, Submit The Bid, And To Sign And Execute The Ensuing Contract, On The Latter’s Behalf For The Supply & Delivery Of Medical Supplies 2025. We Acknowledge That Failure To Sign Each And Every Page Of This Bid Form, Including The Attached Schedule Of Prices, Shall Be A Ground For The Rejection Of Our Bid. Dated This ________________ Day Of ________________ 20______. [signature] [in The Capacity Of] Duly Authorized To Sign Bid For And On Behalf Of ____________________________ Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Schedule Of Prices Qty. Unit Of Issue Agency Specification Abc Unit Price Total Bid Price Inclusive Of Vat 3 Pcs Acid Fast Stain, Medic (ziel-neelsen Hot Method) 12,441.00 5 Pcs Acepto Bulb Syringe 350.00 5 Pcs Adult Pulse Oximeter Fingertip (durable) 10,500.00 100 Gallon Alcohol 70% Gallon 42,000.00 10 Set Aneroid Sphygmomanometer W/ Stethoscope (durable) 39,000.00 50 Pieces Battery Double Aa (heavy Duty) 5,400.00 50 Capsule Battery Triple Aaa (heavy Duty) 5,400.00 1 Box Blood Collection Tube 5ml (lavender) 130.00 1 Box Blood Collection Tube 5ml (yellow) 1,200.00 5 Pieces Cold Compress Bag 720.00 2 Gallon Denatured Alcohol 1l 1,200.00 10 Litrs Disinfectant Solution 21,600.00 1000 Unit Drug Testing Kit (urine) 108,000.00 500 Pieces Dsn 10cc 5,000.00 700 Pieces Dsn 3cc 4,900.00 [signature] [in The Capacity Of] Duly Authorized To Sign Bid For And On Behalf Of ____________________________ Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Schedule Of Prices Qty. Unit Of Issue Agency Specification Abc Unit Price Total Bid Price Inclusive Of Vat 700 Pieces Dsn 5cc 5,600.00 500 Pieces Dsn 1cc 3,500.00 20 Bottle Easy Touch Blood Glucose Strips 25's 20,400.00 30 Bottle Easy Touch Blood Cholesterol Strips 25's 30,600.00 30 Bottle Easy Touch Blood Uric Strips 25's 30,600.00 100 Box Examination Disposable Latex Gloves Powder Free 42,000.00 100 Box Face Mask 50's 9,600.00 20 Pieces Heplock 360.00 10 Pieces Hot Water Bag 1,080.00 20 Pieces Hydrogen Peroxide 10 Volume 2,640.00 500 Pieces Iv Infusion Set Adult 25,000.00 4 Pieces Kidney Basin Stainless 2,976.00 50 Pieces Lubricating Jelly 80gms 4,200.00 5 Pieces Medical Penlight 3,000.00 5 Pcs Medical Oxygen Regulator 12,000.00 [signature] [in The Capacity Of] Duly Authorized To Sign Bid For And On Behalf Of ____________________________ Supply & Delivery Of Medical Supplies For Cy 2025 Bid Reference No.: Bid2024-08 Schedule Of Prices Qty. Unit Of Issue Agency Specification Abc Unit Price Total Bid Price Inclusive Of Vat 50 Gallon Muriatic Acid Solution 15,000.00 30 Gallon Na Hypochlorite Solution 9,000.00 2 Set Nebulizer 3,840.00 50 Bottle One Touch Select Simple Test Strip 25's 51,000.00 150 Pieces Oxygen Mask Cannula 11,700.00 2 Pieces Oxygen Trolley (5-20 Lbs) 8,400.00 100 Pieces Petroleum Jelly 25gms 7,200.00 3 Pieces Plastic Canister 3,600.00 10 Pieces Plastic Splint Adult 10,800.00 50 Pieces Rotahaler 6,000.00 20 Set Sphygmomanometer Valve With Bulb 6,520.00 5 Box Sterile Latex Surgical Gloves #7, 50pairs/box 4,500.00 5 Pcs Soluset Infusion Set 500.00 10 Pieces Urinal (male) 1,020.00 1000 Pieces Urine Container 50ml 6,000.00 Total Bid Price Inclusive Of Vat In Words [signature] [in The Capacity Of] Duly Authorized To Sign Bid For And On Behalf Of ____________________________ Special Conditions Of Contract Gcc Clause 1 Delivery And Documents – Delivery Of The Goods Shall Be Made By The Supplier In Accordance With The Terms Specified In Section Vi. Schedule Of Requirements. Upon Delivery Of The Goods To The Project Site, The Supplier Shall Notify The Procuring Entity And Present The Following Documents To The Procuring Entity: (i) Original And Four Copies Of The Supplier’s Invoice Showing Goods’ Description, Quantity, Unit Price, And Total Amount; (ii) Delivery Receipt Detailing Number And Description Of Items Received Signed By The Procuring Entity’s Representative At The Project Site; (iii)certificate Of Acceptance/inspection Report Signed By The Procuring Entity’s Representative At The Project Site; For Purposes Of The Contract, “exw (extra Work),” “fob (“free On Board” Shipping Point),” “fca (“free Carrier” Shipping Point),” “cif (cost Insurance And Freight.),” “cip (carriage And Insurance Paid),” “ddp (delivered Duty Paid)” And Other Trade Terms Used To Describe The Obligations Of The Parties Shall Have The Meanings Assigned To Them By The Current Edition Of Incoterms Published By The International Chamber Of Commerce, Paris. The Delivery Terms Of This Contract Shall Be As Follows: The Delivery Terms Applicable To This Contract Are Ddp Delivered To Supply Office, Leyte Regional Prison, Abuyog, Leyte. Risk And Title Will Pass From The Supplier To The Procuring Entity Upon Receipt And Final Acceptance Of The Goods At Their Final Destination.” Delivery Of The Goods Shall Be Made By The Supplier In Accordance With The Terms Specified In Section Vi (schedule Of Requirements). For Purposes Of This Clause The Procuring Entity’s Representative At The Project Site Is The Lrp Health And Welfare Services Section Chief As The End-user. All Medical Supplies Must Be Delivered On Working Days And Not Later Than 1:00pm, Forty-five (45) Calendar Days From The Receipt Of Notice To Proceed. Incidental Services – The Supplier Is Required To Provide All Of The Following Services, Including Additional Services, If Any, Specified In Section Vi. Schedule Of Requirements: The Contract Price For The Goods Shall Include The Prices Charged By The Supplier For Incidental Services And Shall Not Exceed The Prevailing Rates Charged To Other Parties By The Supplier For Similar Services. Packaging – The Supplier Shall Provide Such Packaging Of The Goods As Is Required To Prevent Their Damage Or Deterioration During Transit To Their Final Destination, As Indicated In This Contract. The Packaging Shall Be Sufficient To Withstand, Without Limitation, Rough Handling During Transit And Exposure To Extreme Temperatures, Salt And Precipitation During Transit, And Open Storage. Packaging Case Size And Weights Shall Take Into Consideration, Where Appropriate, The Remoteness Of The Goods’ Final Destination And The Absence Of Heavy Handling Facilities At All Points In Transit. The Packaging, Marking, And Documentation Within And Outside The Packages Shall Comply Strictly With Such Special Requirements As Shall Be Expressly Provided For In The Contract, Including Additional Requirements, If Any, Specified Below, And In Any Subsequent Instructions Ordered By The Procuring Entity. The Outer Packaging Must Be Clearly Marked On At Least Four (4) Sides As Follows: Name Of The Procuring Entity Name Of The Supplier Contract Description Final Destination Gross Weight Any Special Lifting Instructions Any Special Handling Instructions Any Relevant Hazchem Classifications A Packaging List Identifying The Contents And Quantities Of The Package Is To Be Placed On An Accessible Point Of The Outer Packaging If Practical. If Not Practical The Packaging List Is To Be Placed Inside The Outer Packaging But Outside The Secondary Packaging. Additional Requirements On Box Or Bottle, Blister Packs, Inhaler And Tube. The Following Is Legibly Imprinted Or Stamped In Any Color. Date Of Manufacture __________________ Date Of Expiry ___________________ Transportation – Where The Supplier Is Required Under Contract To Deliver The Goods Cif (cost Insurance And Freight.), Cip (carriage And Insurance Paid), Or Ddp (delivered Duty Paid), Transport Of The Goods To The Port Of Destination Or Such Other Named Place Of Destination In The Philippines, As Shall Be Specified In This Contract, Shall Be Arranged And Paid For By The Supplier, And The Cost Thereof Shall Be Included In The Contract Price. Where The Supplier Is Required Under This Contract To Transport The Goods To A Specified Place Of Destination Within The Philippines, Defined As The Project Site, Transport To Such Place Of Destination In The Philippines, Including Insurance And Storage, As Shall Be Specified In This Contract, Shall Be Arranged By The Supplier, And Related Costs Shall Be Included In The Contract Price. Where The Supplier Is Required Under Contract To Deliver The Goods Cif (cost Insurance And Freight.), Cip (carriage And Insurance Paid), Or Ddp (delivered Duty Paid), Goods Are To Be Transported On Carriers Of Philippine Registry. In The Event That No Carrier Of Philippine Registry Is Available, Goods May Be Shipped By A Carrier Which Is Not Of Philippine Registry Provided That The Supplier Obtains And Presents To The Procuring Entity Certification To This Effect From The Nearest Philippine Consulate To The Port Of Dispatch. In The Event That Carriers Of Philippine Registry Are Available But Their Schedule Delays The Supplier In Its Performance Of This Contract The Period From When The Goods Were First Ready For Shipment And The Actual Date Of Shipment The Period Of Delay Will Be Considered Force Majeure. The Procuring Entity Accepts No Liability For The Damage Of Goods During Transit Other Than Those Prescribed By Incoterms For Ddp Deliveries. In The Case Of Goods Supplied From Within The Philippines Or Supplied By Domestic Suppliers Risk And Title Will Not Be Deemed To Have Passed To The Procuring Entity Until Their Receipt And Final Acceptance At The Final Destination. Intellectual Property Rights – The Supplier Shall Indemnify The Procuring Entity Against All Third-party Claims Of Infringement Of Patent, Trademark, Or Industrial Design Rights Arising From Use Of The Goods Or Any Part Thereof. 2.1 Partial Payment Is Not Allowed 4 The Inspections And Tests That Will Be Conducted Are: Partial/complete Delivery Of Goods Shall Be Inspected By The Lrp Inspection And Acceptance Committee. Inspection And Acceptance Will Be Conducted By The Lrp Inspection And Acceptance Committee To The Actual Delivery At The Project Site (lrp). Goods With Defect Or Non-compliant With The Required Specifications As Stipulated In The Approved Purchase Order/technical Specifications Shall Be Rejected And Shall Be Replaced By The Supplier Free Of Cost To The Procuring Entity Within Seven (7) Calendar Days The Goods Shall Be Accepted By The End User After Passing The Inspection Of The Lrp Inspection And Acceptance Committee. The Inspections And Tests That Will Be Conducted Are; 1.) Upon Delivery, The Goods Shall Undergo Physical Inspection By The Lrp Inspection And Acceptance Committee Of The Procuring Entity To Ascertain The Physical Condition And Acceptability Of The Goods. 2.) Actual Counting Inspection To Determine The Quantity And Completeness Of The Medical Supplies Delivered In Accordance To The Schedule Of Requirements Set In The Bidding Documents.