CEBU SOUTH MEDICAL CENTER Tender

Description Quotation Form For Negotiated Procurement Due To Two-failed Bidding Registered Name Of Establishment: Date: Mode Of Procurement: April 11, 2024 Negotiated Procurement (two-failed Bidding) Address: Quotation No. Tfb-2024-04-006 Contact No. Pr No. 2023-09-010 Phar Bac No. Bac Epa 2024-002 -a Tin: Lbp Acct. Name: Lbp Acct. No.: ______________________ ______________________ Deadline For Submission Of Quotation April 19, 2024 @ 5:00p.m. Please Submit Your Best Offer On The Item/s Listed Below, Subject To The Terms And Conditions Of The Procuring Entity, Which Are Hereunder Stated: Item No. Unit Item Description Qty. Unit Abc Total Abc Unit Offer Total Offer Remarks (award Per Item) 25 Tab Butamirate Citrate 50mg Mr 2,000 15.75 31,500.00 121 Neb Salbutamol 2mg/ml, 2.5ml Nebule 20,000 9.25 185,000.00 Total Abc 216,500.00 Standard Documentary Requirements: 1. Valid Philgeps Certificate Of Registration & Membership (platinum) Note: The Failure By The Prospective Bidder To Update The Certificate With The Current And Updated Class “a” Eligibility Documents Shall Result In The Automatic Suspension Of Its Validity Until Such Time That All Of The Class “a” Eligibility Documents Has Been Updated 2. Mayor’s Permit/business Permit 3. Bid Security In The Form Of: 1.1. Form Of Bid Security 1.2. Amount Of Bid Security (equal To Percentage Of The Abc) 1.3. Bid Securing Declaration 1.4. In The Prescribed Form, Duly Signed And Notarized 1.5. A) Cash, Cashier’s/manager’s Check Issued By A Universal Or Commercial Bank. 1.6. Two Percent (2%) 1.7. B) Bank Draft/guarantee, Irrevocable Letter Of Credit Issued By A Universal Or Commercial Bank; Provided, However, That It Shall Be Confirmed Or Authenticated By A Universal Or Commercial Bank, If Issued By A Foreign Bank. 1.8. Two Percent (2%) 1.9. C) Surety Bond Callable Upon Demand Issued By A Surety Or Insurance Company Duly Certified By The Insurance Commission As Authorized To Issue Such Security. 1.10. Five Percent (5%) 4. Omnibus Sworn Statement, In Accordance With Section 25.3 Of The 2016 Revised Irr Of Ra 9184 Accompanied By A Secretary’s Certificate Or Board Resolution, If Corporation/partnership/cooperative Or Special Power Of Attorney, If Sole Proprietorship. 5. Conformity To Technical Specifications 6. If Awarded To The Supplier, Performance Security Notes/instructions: • For Payment Thru Modified Disbursement System (mds), Landbank Account Is Required. If None, Supplier Will Shoulder The Transaction Cost For Bank Payment Outside Lbp. • All Pages Of This Rfq Must Be Attached. Rfq Must Be Duly Accomplished, Signed And Sealed. • All Attachments That Are Photocopies Must Be Certified True Copies. • A Payment Of Non-refundable Fee Of P500.00 Is Required Upon Submission Of The Offer/ Quotation • Submit Your Quotation/offer To: Atty. Madyll S. Cuadra-robinta, Fpcha Bac Chairperson Through: O Fax : 032-273-8785 Prepared By: Rolando A. Samson O Email : Procurement@csmc.doh.gov.ph Designated Canvasser O Personally Serve To Csmc At 6/f, Bldg. B, Procurement Office Noted By: Mary Ann G. Lozada Procurement Officer Supplier’s Undertaking We/i, _____________________________________________________________________, Undertake To Post The Required Performance Bond Within The Prescribed Period From Receipt Of Noa And To Deliver The Goods On The Specified Date Upon Receipt Of The Purchase Order/ntp. Until A Purchase Order/ntp Is Prepared And Executed, This Quotation Shall Be Binding Upon Us. Name: ________________________________________ Duly Authorized To Sign In Behalf Of: Signature Above Printed Name Of The Authorized Representative ____________________________________ Name Of Supplier/bidder Bac Findings Recommended Supplier: Non-responsive & Non-complying Items: _____________________________ Due To: ___________________________________ Above Abc. ___________________________________ Items: ______________________ ___________________________________ ___________________________________ Specifications Not Met. Items: ______________________ ____________________________ ____________________________ Others: ____________________ Items: ______________________ ____________________________ ____________________________ No Offer Received Notes: Bids And Awards Committee Atty. Madyll S. Cuadra-robinta, Cese, Fpcha Harby O. Abellanosa, Msn, Rn, Fpsqua, Fpcha Bac Chairperson Bac Vice Chairperson Dr. Joannes Paul E. Miranda, Dpba, Fpsa Donnabelle L. Aranas, Mpa, Fpcha, Cese Member Member Dr. Maria Christina U. Napuli, Fpsgs, Fpcs Mr. Willy John V. Delute Member Member